Skrautvol Kari, Nåden Dagfinn
Oslo and Akershus University College, Faculty of Health Sciences, Department of Nursing, Oslo, Norway.
Holist Nurs Pract. 2015 Jan-Feb;29(1):22-32. doi: 10.1097/HNP.0000000000000064.
This study explored how young adult people living with chronic inflammatory bowel disease (IBD) experienced that knowledge about their body symptoms and their food intake could promote recovery from their diagnosed disease. A hermeneutic approach was used to analyze interviews with patients living with IBD outside hospital. Thirteen young adults 18 to 45 years of age, with IBD, resided in their home environment and were engaged in different study and work activities. Two main themes emerged from the analysis of the interviews: (1) confidence with symptoms of disease as a source to recovery and (2) nutritional recovery in different stages of IBD. The course of the disease may be turned toward regeneration using a balanced diet in a long-term management perspective. Development of a tailored diet will provide energy and act as a catalyst to enhance the adaptive immune system in the body. Embodied knowledge and recovery from IBD within the individual patient requires understanding, clinical support, and the skills of the IBD nurse, dietitian, and doctor in an interdisciplinary team collaboration.
本研究探讨了患有慢性炎症性肠病（IBD）的年轻人如何体验到有关其身体症状和食物摄入的知识能够促进其已确诊疾病的康复。采用诠释学方法分析了对不住院的IBD患者的访谈。13名年龄在18至45岁之间的IBD青年居住在自己家中，从事不同的学习和工作活动。访谈分析中出现了两个主要主题：（1）对疾病症状作为康复来源的信心，以及（2）IBD不同阶段的营养康复。从长期管理的角度来看，使用均衡饮食可能会使疾病进程转向恢复。制定个性化饮食将提供能量，并作为增强身体适应性免疫系统的催化剂。个体患者体内的身体知识和IBD康复需要跨学科团队合作中IBD护士、营养师和医生的理解、临床支持及技能。
