内科医院进食障碍门诊项目的经验。
Experience of an eating disorders out-patient program in an internal medicine hospital.
机构信息
Obesity and Eating Disorders Clinic, Department of Endocrinology and Metabolism, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Vasco de Quiroga No. 15, Colonia Sección XVI, Delegación Tlalpan, 14000, Mexico, D.F., Mexico.
出版信息
Eat Weight Disord. 2013 Dec;18(4):429-35. doi: 10.1007/s40519-013-0073-4. Epub 2013 Oct 6.
PURPOSE
The aim of this study was to develop a successful low budget out-patient program, in an internal medicine hospital, for patients presenting eating disorders in an emerging nation.
METHODS
A total of 144 patients were included in a 6 month intervention centered in medical support, with fortnightly medical consultations, monthly counseling by a nutritionist and by a psychiatrist and three psycho-educational courses. The Three Factor Eating Questionnaire and the Eating Disorders Inventory-2 were performed at the beginning and at the end of the study.
RESULTS
After 6 months, more than half of the patients who completed the intervention were on remission. Substantial improvement was observed regarding the scores of both instruments after completion of the program.
CONCLUSIONS
The outcome of this study compares favorably to previous published data of more intensive programs. These results were obtained having little infrastructure, a low budget and limited human resources, making this a suitable eating disorders program for emerging nations.
目的
本研究旨在为新兴国家的内科医院中出现饮食障碍的患者开发一个成功的低预算门诊项目。
方法
共有 144 名患者参加了为期 6 个月的以医疗支持为中心的干预措施，每两周进行一次医疗咨询，每月由营养师、精神科医生进行一次咨询，并进行三次心理教育课程。在研究开始和结束时，使用三因素饮食问卷和饮食障碍问卷-2 进行评估。
结果
经过 6 个月的治疗，完成干预的患者中有一半以上已经缓解。完成项目后，两个工具的评分都有显著改善。
结论
本研究的结果与以前更密集的项目发表的数据相比具有优势。这些结果是在基础设施薄弱、预算低、人力资源有限的情况下获得的，使该项目成为新兴国家适合开展的饮食障碍项目。
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