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对女性进食障碍综合多学科治疗经历的解释性描述。

An Interpretive Description of Women's Experience in Coordinated, Multidisciplinary Treatment for an Eating Disorder.

作者信息

Woodruff Kary, Clark Lauren, Joy Elizabeth, Summers Scott A, Metos Julie M, Clark Nica, Jordan Kristine C

机构信息

The University of Utah, Salt Lake City, Utah, USA.

University of California, Los Angeles, Los Angeles, California, USA.

出版信息

Glob Qual Nurs Res. 2020 May 4;7:2333393620913271. doi: 10.1177/2333393620913271. eCollection 2020 Jan-Dec.

Abstract

Coordinated, multidisciplinary treatment for women with eating disorders is consistently recommended as maximally effective, but few studies have considered the patient experience. This qualitative study examined the experiences of women receiving such care in an outpatient setting. Using an interpretive description methodology, we conducted 12 in-depth interviews with participants who were diagnosed with an eating disorder and were receiving team-based treatment. Patients uniformly advocated for the coordinated, multidisciplinary treatment approach. Analysis of participants' experiences yielded four categories: relying on the lifeline of communication, supporting autonomy, drawing on individual strengths, and valuing synergy. These findings build on previous research emphasizing the importance of autonomy support and connectedness in the recovery process from an eating disorder. Findings highlight the importance of nurses to support a multidisciplinary care approach to working with this patient population; these women's voices also support a treatment approach that, despite being widely recommended, is vastly understudied and underutilized.

摘要

一直以来,协调一致的多学科治疗被认为是治疗饮食失调女性患者的最有效方法,但很少有研究考虑患者的体验。这项定性研究考察了在门诊环境中接受此类护理的女性的经历。我们采用解释性描述方法,对12名被诊断患有饮食失调症且正在接受团队治疗的参与者进行了深入访谈。患者一致主张采用协调一致的多学科治疗方法。对参与者经历的分析产生了四个类别:依赖沟通生命线、支持自主性、发挥个人优势和重视协同作用。这些发现建立在先前强调自主性支持和联系在饮食失调康复过程中的重要性的研究基础之上。研究结果突出了护士支持针对这一患者群体采用多学科护理方法的重要性;这些女性的声音也支持一种尽管被广泛推荐,但却极少被研究和利用的治疗方法。

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