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慢性病的营养自我管理:系统性审查和共同创建的定性合成
Andrew Morris1, Riya Patel2, Konstantinos Papadopoulos3
1Health & Community Wellbeing Research Centre, Coventry University, Coventry, United Kingdom; Dietetic Department, Worcestershire Acute Hospitals NHS Trust, Worcester, United Kingdom.
概括
患有慢性病 (CKD) 的患者因复杂的饮食建议和社会因素而难以进行营养自我管理. 当前的服务往往无法满足其在所有CKD阶段的需求.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 营养科学 营养科学
- 行为科学 行为科学
- 定性研究是指质量研究.
背景情况:
- 有效的营养自我管理对于降低慢性病 (CKD) 的发病率和死亡率至关重要.
- 对于CKD患者的饮食干预和行为支持的最佳方法仍然不清楚.
- 了解患者的经验是改善营养自我管理策略的关键.
研究的目的:
- 系统地综合患者在慢性病 (CKD) 中营养自我管理的经验的定性证据.
- 识别CKD各个阶段饮食自我管理中的挑战和促进者.
- 在CKD中为营养支持提供未来的服务交付模式提供信息.
主要方法:
- 92项研究的系统定性证据综合,涉及2924名患有CKD阶段1-5的成年人.
- 在 MEDLINE,PsycINFO,CINAHL,Google Scholar 和 Web of Science 中进行的搜索.
- 主题综合用于分析来自初级定性和混合方法研究的定性数据.
主要成果:
- 三个总体主题出现了:导航饮食建议,适应生活变化,以及饮食作为社会结构.
- 患者报告了饮食建议的质量,定制和接收方面的困难.
- 挑战包括哀悼以前的生活方式,试错调整,以及管理社会影响和耻辱感.
结论:
- 患有CKD的成年人在所有疾病阶段和治疗方式的饮食自我管理方面遇到重大挑战.
- 当前的饮食服务往往无法满足患者的复杂需求.
- 需要在CKD管理中改善以患者为中心的营养支持方法.
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