Connolly C, Corbett-Dick P
Kennedy Institute, Baltimore, MD 21205.
J Sch Health. 1990 Oct;60(8):401-5. doi: 10.1111/j.1746-1561.1990.tb05959.x.
Anorexia nervosa and bulimia nervosa are complex illnesses identified with increased frequency among adolescents, particularly adolescent females. Eating disorders can have serious health consequences and school nurses can play an important role in primary, secondary, and tertiary prevention. An overview of eating disorders within a theoretical framework for school nursing practice is presented, and a case management role within an educational setting is proposed for school nurses. Etiology, classification, and signs and symptoms are highlighted for application in schools. Recommendations are made for curriculum planning and involvement of other school professionals. Treatment for eating disorders is most successful when initiated early in the illness. Schools provide a natural forum to reach adolescents, and school nurses, with their biopsychosocial emphasis, are uniquely prepared to address these disorders.
神经性厌食症和神经性贪食症是复杂的疾病，在青少年尤其是青春期女性中发病率日益增加。饮食失调会对健康造成严重后果，学校护士在一级、二级和三级预防中可发挥重要作用。本文在学校护理实践的理论框架内概述了饮食失调问题，并为学校护士在教育环境中提出了病例管理角色。重点介绍了病因、分类以及体征和症状，以便在学校应用。针对课程规划和其他学校专业人员的参与提出了建议。饮食失调症在疾病早期开始治疗时最为成功。学校为接触青少年提供了一个天然的平台，而学校护士以生物心理社会为重点，具备独特的条件来应对这些疾病。
