Jarrett M, Visser R, Heitkemper M
Department of Biobehavioral Nursing and Health Systems, University of Washington, Box 357266, Seattle, WA 98195-7266, USA.
Gastroenterol Nurs. 2001 Sep-Oct;24(5):246-52. doi: 10.1097/00001610-200109000-00006.
The purpose of this phenomenological analysis was to describe perceptions of women with irritable bowel syndrome regarding the relationship of diet to their symptoms. Thirty-five women ages 18-45 with a medical diagnosis of irritable bowel syndrome or symptoms compatible with a diagnosis of irritable bowel syndrome were interviewed and completed questionnaires as part of a larger study. During the interview, the women were asked what they thought caused their symptoms. Overall, women tried to adjust their diet to achieve a "Range of Comfort" so their symptoms were tolerable or manageable. To do this, women used a process of "Trial and Error." If a link could be made to diet, then women developed "Self-care Strategies" to maintain a "Healthy Diet." Women who failed to find a relationship during the "Trial and Error" process either felt the frustration of "Uncertainty" or, for a few women, decided that adjusting their diet was not worth the bother. This study suggests diet and eating behaviors are an important starting point for many women as they try to manage their irritable bowel syndrome symptoms.
这项现象学分析的目的是描述肠易激综合征女性对于饮食与症状之间关系的看法。作为一项更大规模研究的一部分，对35名年龄在18至45岁之间、被医学诊断为肠易激综合征或有与肠易激综合征诊断相符症状的女性进行了访谈并完成了问卷调查。在访谈过程中，这些女性被问及她们认为是什么导致了自己的症状。总体而言，女性试图调整饮食以达到“舒适范围”，使她们的症状能够耐受或可控。为此，女性采用了“反复试验”的过程。如果能够将症状与饮食联系起来，那么女性就会制定“自我护理策略”以保持“健康饮食”。在“反复试验”过程中未能找到关联的女性，要么感到“不确定”带来的挫败感，要么对少数女性来说，认为调整饮食不值得麻烦。这项研究表明，饮食和进食行为是许多女性试图控制肠易激综合征症状时的一个重要起点。
