Ziegler Olivier
Service de diabétologie, maladies métaboliques, maladies de la nutrition, CHU de Nancy, hôpital Jeanne-d'Arc, 54200 Toul, France.
Rev Prat. 2009 Jan 20;59(1):48-53.
Four approaches are described: nutrition counseling, diet, therapeutic lifestyle interventions and cognitive-behavioral therapies, of which the common objective should be patient therapeutic education. Multidimensional programs combine in a positive fashion several aspects of the previous strategies. The role of various health professionals is analyzed within the care continuum driven by the referring physician. The management of nutrition disorders requires patient-focused medicine; it should be comprehensive and, as far as possible, multidisciplinary. Nutritionists have a role to play in this continuum.
营养咨询、饮食、治疗性生活方式干预和认知行为疗法，其共同目标应为患者治疗教育。多维计划以积极的方式结合了先前策略的多个方面。在由转诊医生推动的连续护理过程中，分析了各类健康专业人员的作用。营养失调的管理需要以患者为中心的医疗；它应该是全面的，并且尽可能是多学科的。营养学家在这个连续过程中可以发挥作用。
