目的 了解医护视角下2型糖尿病患者直觉饮食理念应用的障碍因素,为实施该人群的临床干预提供参考。方法 采用描述性质性研究方法,对安徽省某三级甲等医院17名内分泌科医护人员进行半结构式访谈,采用Colaizzi七步法对资料进行分析、提炼。结果 归纳出个体层面（思维固化、直觉饮食理念相关知识储备不足、自信心缺乏）;环境层面（现实情境制约、组织氛围欠佳）;资源层面（直觉饮食理念应用体系不完善、实践经验的限制）3个主题和7个亚主题。结论 直觉饮食理念在2型糖尿病患者中的应用受多种因素的阻碍,医护人员在临床实践过程中,应促进患者思维转变,基于循证医学理念、借助互联网技术、运用多元化健康教育提高患者参与动机,通过多学科团队紧密合作,完善规范化体系及工作流程,为后续实施高质量的临床干预提供参考。
Abstract
Objective To understand the barriers to implementing intuitive eating in patients with type 2 diabetes from the perspective of healthcare professionals, and to provide reference for clinical intervention in this population. Methods A descriptive study method and semi-structured interviews were conducted with 17 medical staff from endocrinology department in a tertiary grade-A hospital in Anhui province. The data were analyzed and extracted by Colaizzi seven-step analysis. Results Three themes and 7 sub-themes were extracted including individual level (cognitive rigidity, insufficient knowledge on intuitive eating, and lack of self-confidence); environmental level (contextual constraints, poor organizational atmosphere), and resource level (immature application system of intuitive eating and limited practical experience). Conclusion There are multiple barriers to implementing intuitive eating in patients with type 2 diabetes. Clinicians should promote cognitive shifts and participation motivation in patients by integrating evidence-based medicine with digital health technologies and multidimensional education strategies. Multidisciplinary collaboration, standardized system and work processes are conducive to providing references for subsequent high-quality clinical interventions.
关键词
医护人员 /
直觉饮食 /
2型糖尿病 /
障碍因素 /
质性研究
Key words
healthcare professional /
intuitive eating /
type 2 diabetes /
barrier /
qualitative study
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基金
中华中医药学会护理学科发展专项（HLKT-CACM-2022-4-5）;安徽省教育厅优秀青年教师培育项目（YQYB2024117）
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