处方糖尿病营养治疗:加拿大限制碳水化合物饮食经验的定性研究。

IF 3.3 Q2 NUTRITION & DIETETICS
Ashley Viljoen, Katharine Yu, Eliana Witchell, Annalijn I Conklin
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引用次数: 0

摘要

背景:糖尿病护理传统上不包括限制碳水化合物的营养治疗,也没有教给注册营养师(rd)限制碳水化合物来支持糖尿病患者选择这种饮食方法。我们的目的是描述rd照顾使用治疗性碳水化合物限制饮食(TCR)的患者的经验和观点,特别是代谢疾病,如2型糖尿病或前驱糖尿病。对象/方法:采用在线需求评估调查的自由文本回答,采用定性研究设计。我们邀请了在加拿大执业的注册医生(n=6640), 274名完成了调查,其中45名定期给患者开TCR的受访者提供了开放文本回复(2987个单词),使用归纳主题分析对其进行了分析。结果:我们确定了加拿大注册医生在处方TCR方面的四个主题:人际关系、个人经验/知识、监管环境和以患者为中心。虽然这些主题经常相互作用,但每个主题都独特地影响TCR处方,以患者为中心的护理是处方报告经验的核心。结论:在加拿大护理糖尿病患者的rd中,与TCR处方相关的经验和观点多种多样,并且都集中在患者的需求、益处和偏好上。TCR的处方通常由科学文献提供,但也由注册医生的经验知识提供。回应强调了对以证据为基础的教育材料的渴望,以及糖尿病营养社区对这一主题的更多讨论。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Prescribing diabetes nutrition therapy: a qualitative study of dietitians' experiences of carbohydrate restriction in Canada.

Prescribing diabetes nutrition therapy: a qualitative study of dietitians' experiences of carbohydrate restriction in Canada.

Background: Diabetes care has traditionally not included nutrition therapy using carbohydrate restriction, nor has carbohydrate restriction been taught to registered dietitians (RDs) to support patients living with diabetes choosing this dietary approach. We aimed to describe the experiences and views of RDs caring for patients using therapeutic carbohydrate-restricted diets (TCR), particularly metabolic conditions such as type 2 diabetes or prediabetes.

Subjects/methods: A qualitative study design using free-text responses from an online needs assessment survey was employed. RDs who practised in Canada were invited (n=6640) and 274 completed the survey, with 45 respondents who regularly prescribed TCR to their patients providing open-text responses (2987 words), which were analysed using inductive thematic analysis.

Results: We identified four themes characterising Canadian RDs' experiences around prescribing TCR: interpersonal context, personal experience/knowledge, regulatory environment and patient-centredness. While these themes often interacted, each impacted TCR prescription uniquely, with patient-centred care at the core of reported experiences of prescribing.

Conclusions: There exists a variety of experiences and perspectives related to prescribing of TCR among Canadian RDs caring for patients with diabetes, and all focus on the patient's needs, benefits and preferences. Prescribing TCR was often informed by the scientific literature yet also by RDs' experiential knowledge. Responses highlighted a desire for evidence-based educational materials and greater discussion within the diabetes nutrition community on this topic.

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来源期刊
BMJ Nutrition, Prevention and Health
BMJ Nutrition, Prevention and Health Nursing-Nutrition and Dietetics
CiteScore
5.80
自引率
0.00%
发文量
34
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