临床普外科电子杂志 ›› 2021, Vol. 9 ›› Issue (1): 56-.

• • 上一篇    

短肠综合征患者饮食行为特征及管理的质性研究

  

  1. 东部战区总医院 普通外科研究所,江苏 南京 210002
  • 出版日期:2021-01-01 发布日期:2021-05-17

Qualitative study on the characteristics of dietary behavior and management of patients with short bowel syndrome

  1. Research Institute of General Surgery, Jinling Hospital, Nanjing 210002, Jiangsu
  • Online:2021-01-01 Published:2021-05-17

摘要:

深入了解短肠综合征患者饮食行为特征及自我饮食管理方面的体验,以进一步指导和干预患者饮食管理,提高饮食管理依从性。方法 运用质性研究中的现象学方法,对15例短肠综合征患者进行面对面、半结构式访谈,采用Colaizzi 现象学资料分析法分析访谈资料。结果 短肠综合征患者的饮食行为特征及管理中主要存在4 个方面的体验:日常饮食结构改变、饮食指导信息获取与认知、自我饮食管理类型、饮食管理支持需求。结论 医务人员应重视短肠综合征患者疾病和饮食知识认知的提高,可采用多模式饮食指导方式提高患者知识储备并通过制订科学量化的饮食方案提高饮食依从性。同时,应关注患者家庭和社会支持,保障患者正常社交功能。

关键词: 短肠综合征, 饮食行为, 饮食管理, 质性研究

Abstract:

To deeply understand the dietary behavior characteristics and self dietary management experience of patients with short bowel syndrome, so as to further guide and intervene the dietary management of patients and improve the compliance of dietary management. Methods Face to face and semi-structured interviews were conducted in 15 patients with short bowel syndrome by

using qualitative research phenomenological method. The interview data were analyzed by Colaizzi phenomenological data analysis method. Results There were four aspects of experience in the dietary behavior characteristics and management of patients with short bowel syndrome: daily dietary structure change, dietary guidance information acquisition and cognition, self dietary management types, dietary management support needs. Conclusion In the future work, medical staff should pay attention to the

improvement of the cognition of disease and diet knowledge of patients with short bowel syndrome. Multi mode diet guidance can be used to improve the knowledge reserve of patients, and the diet compliance can be improved by making scientific and quantitative diet plan. At the same time, it should be pay attention to the family and social support of patients to ensure their normal social function.

Key words: Short bowel syndrome, Dietary behavior, Dietary management, Qualitative research