营养师被公认为营养护理专家和多学科医疗团队的重要成员。然而,营养师在照顾饮食失调者中的作用还没有得到很好的理解。本审查旨在确定,批判性地评价和综合当前探索营养师观点和经验的证据,其他卫生专业人员,患者和护理人员关于营养师在饮食失调治疗中的作用。
CINAHL,MEDLINE,Embase,Scopus和PsycINFO分别于2020年4月和2021年2月进行了搜索。如果是原始研究,则包括研究;探讨营养师在饮食失调治疗中的作用的观点和经验,包括对病人的看法,有关饮食失调的营养护理的护理人员和其他卫生专业人员;全文以英语提供。标题和摘要筛选,全文筛选,质量评估和数据提取一式两份。使用混合方法评估工具进行质量评估。专题综合用于数据分析。
14项研究符合纳入标准。定量,包括定性和混合方法研究设计。从数据中归纳出四个主题:(I)营养师作为合作者,教育者和顾问;(ii)营养师个性化护理并希望采取整体方法;(iii)营养师获得信心的机会;(iv)作为患者或护理人员体验营养护理。
这篇综述表明,营养师在饮食失调治疗中扮演着不同的角色,但需要进一步的培训。了解营养师的培训需求可以确定实践差距和机会,以增强临床医生的信心。
Dietitians are recognised as experts in nutrition care and essential members of multidisciplinary healthcare teams. However, the role of dietitians in caring for people with eating disorders is not well understood. The present
review aimed to identify, critically appraise and synthesise the current evidence exploring the views and experiences of dietitians, other health professionals, patients and carers regarding the role of dietitians in the treatment of eating disorders.
CINAHL, MEDLINE, Embase, Scopus and PsycINFO were searched in April 2020 and again in February 2021. Studies were included if they were original research; explored views and experiences of the role of dietitians in the treatment of eating disorders, including perceptions of patients, carers and other health professionals regarding nutrition care for eating disorders; and the full-text article was available in English. Title and abstract screening, full-text screening, quality assessment and data extraction were completed in duplicate. Quality assessment was conducted using the Mixed Methods Assessment Tool. Thematic synthesis was used for data analysis.
Fourteen studies met the inclusion criteria. Quantitative, qualitative and mixed-methods study designs were included. Four themes emerged inductively from the data: (i) dietitians as collaborators, educators and counsellors; (ii) dietitians individualising care and desiring a holistic approach; (iii) opportunities for dietitians to gain confidence; and (iv) experiencing nutrition care as a patient or carer.
This
review suggests that dietitians have a varied role in eating disorder treatment but desire further training. Understanding the training needs of dietitians can identify practice gaps and opportunities to enhance clinician confidence.