Keller O L
Nurse Pract. 1986 Aug;11(8):42-4, 46-8, 51.
Bulimia is a serious and increasingly prevalent eating disorder involving both the ingestion of large quantities of food and the subsequent purging of the ingested calories. Nurse practitioners can effectively intervene in cases of bulimia because of their ability to assess the bulimic's potential medical problems and provide the health education and counseling necessary to stop the dangerous binge/purge cycle. Clues aiding in the diagnosis of bulimia include frequent weight fluctuations, enlargement of the patient's parotid glands, dental erosion, menstrual irregularity, electrolyte imbalance and depression. Interventions should address the patient's medical problems, disrupt the binge/purge cycle, help the patient to establish normal eating patterns, raise the bulimic's self-esteem and help resolve underlying depression.
暴食症是一种严重且日益普遍的饮食失调症，其特征包括大量进食以及随后排出摄入的热量。执业护士能够有效干预暴食症病例，因为他们有能力评估暴食症患者潜在的医疗问题，并提供停止危险的暴饮暴食/催吐循环所需的健康教育和咨询服务。有助于诊断暴食症的线索包括频繁的体重波动、患者腮腺肿大、牙齿侵蚀、月经不调、电解质失衡和抑郁。干预措施应解决患者的医疗问题，打破暴饮暴食/催吐循环，帮助患者建立正常的饮食模式，提高暴食症患者的自尊心，并帮助解决潜在的抑郁问题。
