Department of Clinical Sciences and Nutrition, University of Chester, Chester, UK.
Department of Nutrition and Dietetics, East Lancashire Hospitals NHS Trust, Blackburn, UK.
Eur Eat Disord Rev. 2024 Nov;32(6):1197-1214. doi: 10.1002/erv.3117. Epub 2024 Jun 18.
Dietitians have a central role in eating disorder (ED) treatment, however few studies exist investigating therapeutic aspects of dietetic care and factors influencing the dietitian-patient relationship. To address the gap, this study aimed to use a qualitative description approach to explore the experiences of delivering and receiving dietetic care in ED treatment in the UK.
Semi-structured interviews were conducted with 6 specialist ED dietitians and focus groups with 11 recovered ED patients. Interviews were transcribed and inductive thematic analysis was performed to identify key themes describing the data.
Six key themes were generated: (1) Building trust, (2) Appropriate timing, (3) Adapting, (4) Dietitians as experts, (5) Boundaries, and (6) Difficult relationships. Participants highlighted the importance of building trust and considering nutritional risk and readiness in treatment approach. Patients expressed a desire for dietitians to have experience in EDs, facilitating understanding of their illness. However, dietitians identified the nature of EDs making their role challenging at times.
This study described various factors affecting dietetic care in EDs and provided a valuable insight into patients' perceptions of treatment. The findings support advancements in ED dietitians' knowledge and understanding, helping to enhance quality of care.
营养师在饮食失调（ED）治疗中起着核心作用，但很少有研究调查饮食护理的治疗方面以及影响营养师与患者关系的因素。为了解决这一差距，本研究旨在采用定性描述方法探讨英国 ED 治疗中提供和接受饮食护理的经验。
对 6 名专科 ED 营养师进行半结构式访谈，并对 11 名已康复的 ED 患者进行焦点小组讨论。对访谈进行转录，并进行归纳主题分析，以确定描述数据的关键主题。
生成了 6 个关键主题：（1）建立信任，（2）适当的时机，（3）适应，（4）营养师作为专家，（5）界限，和（6）困难的关系。参与者强调了建立信任和考虑营养风险以及治疗方法准备情况的重要性。患者表示希望营养师在 ED 方面有经验，从而更好地理解他们的疾病。然而，营养师发现 ED 的性质有时会使他们的角色具有挑战性。
本研究描述了影响 ED 饮食护理的各种因素，并深入了解了患者对治疗的看法。研究结果支持 ED 营养师知识和理解的进步，有助于提高护理质量。
