Sandsten Anna, Lindgren Britt-Marie, Strömbäck Maria, Looi Git-Marie Ejneborn, Larsson Hanna, Gabrielsson Sebastian
Department of Nursing, Umeå University, Umeå, Sweden
Department of Nursing, Umeå University, Umeå, Sweden.
BMJ Open. 2025 May 15;15(5):e098772. doi: 10.1136/bmjopen-2025-098772.
Persons diagnosed with anorexia nervosa (AN) may receive care in general psychiatric inpatient care (GPIC) for several reasons including severity of their condition, comorbidities and lack of access to specialised inpatient care. However, scant research has explored how this specific setting may impact persons with AN, either positively or negatively. Additionally, there is limited evidence regarding the most effective form of care for AN within GPIC. This integrative literature review provides a comprehensive overview of research focusing on care for AN in GPIC settings, shedding light on person-centred care and power within this specific context.
The review was conducted according to the methods of Whittemore and Knafl. We searched the academic databases PubMed, CINAHL and PsycInfo, with the latest search conducted in March 2025, in accordance with a specific search strategy and analysed the data using a constant comparison method. The review is reported in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses checklist for systematic reviews.
The synthesis revealed three perspectives of care for persons with AN in the context of GPIC: and . Overall, the findings suggest that GPIC can aid in weight gain, but the impact on recovery is unclear.
Research indicates that GPIC possesses the biomedical knowledge necessary to save lives, but there is a lack of research focusing on the perspectives of persons with AN. This gap in understanding may affect treatment outcomes, the possibility of recovery and the personal experience of care for those with AN in this context.
CRD42023426095.
被诊断为神经性厌食症（AN）的患者可能因多种原因接受普通精神科住院治疗（GPIC），包括病情严重程度、合并症以及无法获得专门的住院治疗。然而，很少有研究探讨这种特定环境可能如何对AN患者产生积极或消极影响。此外，关于GPIC中治疗AN最有效形式的证据有限。这篇综合文献综述全面概述了聚焦于GPIC环境中AN患者护理的研究，揭示了这种特定背景下的以患者为中心的护理和权力问题。
该综述按照惠特莫尔和克纳夫的方法进行。我们根据特定的搜索策略，检索了学术数据库PubMed、CINAHL和PsycInfo，最近一次搜索于2025年3月进行，并使用持续比较法分析数据。该综述按照系统评价和Meta分析的首选报告项目清单进行报告。
综合分析揭示了在GPIC背景下对AN患者护理的三个视角：以及。总体而言，研究结果表明GPIC有助于体重增加，但对康复的影响尚不清楚。
研究表明，GPIC拥有挽救生命所需的生物医学知识，但缺乏关注AN患者视角的研究。这种理解上的差距可能会影响治疗结果、康复的可能性以及在此背景下AN患者的护理个人体验。
PROSPERO注册号：CRD42023426095。
