Lakeman Richard, McIntosh Christine
Adjunct Associate Professor, Southern Cross University, Lismore, NSW, Australia.
Manager of Clinical Nutrition, London Health Sciences Centre, London, ON, Canada.
Australas Psychiatry. 2018 Aug;26(4):432-436. doi: 10.1177/1039856218766124. Epub 2018 Apr 3.
Eating disorders (EDs) are challenging to treat and contribute to considerable morbidity and mortality. This study sought to identify the educational preparedness, competence and confidence of clinicians to work with people with EDs; and to identify how services might be improved.
Clinicians who worked in the emergency department, medical, paediatric wards and mental health services were invited to complete an online survey.
From the 136 surveys returned, 73% of respondents reported little or no confidence working with EDs. There was a strong linear correlation between perceived confidence and competence and hours of education. Those with 70 or more hours of self-reported training were 2.7 times more likely to rate themselves as both confident and competent. Improving services for people with eating disorders included the provision of appropriate training, improving access to services including psychotherapy, and facilitating consistency in and continuity of care.
To increase the confidence and competence of the workforce, regular training around EDs should be undertaken. The establishment of a specialist team to provide services across the continuum of care for people with severe or complex EDs appears warranted in a regional health service.
饮食失调症（EDs）的治疗具有挑战性，会导致相当高的发病率和死亡率。本研究旨在确定临床医生在治疗饮食失调症患者方面的教育准备情况、能力和信心；并确定如何改进服务。
邀请在急诊科、内科、儿科病房和精神卫生服务部门工作的临床医生完成一项在线调查。
在回收的136份调查问卷中，73%的受访者表示在治疗饮食失调症方面几乎没有信心或完全没有信心。感知到的信心和能力与教育时长之间存在很强的线性相关性。自我报告接受过70小时或以上培训的人将自己评为既有信心又有能力的可能性是其他人的2.7倍。改善饮食失调症患者的服务包括提供适当的培训、改善包括心理治疗在内的服务获取途径，以及促进护理的一致性和连续性。
为提高工作人员的信心和能力，应定期开展关于饮食失调症的培训。在区域卫生服务机构中，成立一个专家团队为患有严重或复杂饮食失调症的患者提供连续护理服务似乎是有必要的。
