What do people with inflammatory bowel disease want to know about diet? The dietary information needs of people with inflammatory bowel disease and perceptions of healthcare providers

IF 2.9 3区医学 Q3 NUTRITION & DIETETICS Journal of Human Nutrition and Dietetics Pub Date : 2024-03-11 DOI:10.1111/jhn.13297

Chiara Miglioretto, Eleanor Beck, Kelly Lambert

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Abstract

Background

Inflammatory bowel disease (IBD) is an incurable illness of the gastrointestinal tract. Its relapsing–remitting nature negatively impacts physical health and quality of life. Food and eating are key concerns for people with this illness. To provide holistic person-centred care, healthcare providers (HCPs) need to meet patients’ dietary information needs. However, there is a paucity of literature describing these in any meaningful detail. The present study aimed to explore the perceived dietary information needs of individuals with IBD, the perceptions of HCPs and enablers and barriers to communication.

Methods

Online and face-to-face semi-structured interviews with 13 HCPs and 29 people with IBD were conducted. The framework method aided thematic analysis of de-identified interview recordings.

Results

The cyclical nature of IBD contextualised the five themes. Both individuals with IBD and HCPs articulated similar ideas viewed from different perspectives: (1) living with IBD is exasperating and unique to the individual; (2) individuals with IBD desire dietary information; (3) diet manipulation is used to exert control on a disease with unpredictable nature; (4) people with IBD and HCPs have different views on the role of diet; and (5) doctors are perceived as gatekeepers to accessing dietetics care.

Conclusions

A lack of dietary guidance at diagnosis negatively impacts the patient's journey with food and eating. The present study supports a paradigm shift towards holistic person-centred care for consistent access to dietetics services to meet the needs of people with IBD.

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炎症性肠病患者想了解哪些饮食信息？炎症性肠病患者对饮食信息的需求以及医疗服务提供者的看法。

背景：炎症性肠病（IBD炎症性肠病（IBD）是一种无法治愈的胃肠道疾病。它具有复发性和缓解性，对身体健康和生活质量造成负面影响。食物和饮食是该病患者最关心的问题。为了提供以人为本的整体护理，医疗服务提供者（HCP）需要满足患者对饮食信息的需求。然而，对这些需求进行详细描述的文献少之又少。本研究旨在探讨 IBD 患者对饮食信息需求的感知、医护人员的看法以及沟通的促进因素和障碍：方法：对 13 名保健医生和 29 名 IBD 患者进行了在线和面对面半结构式访谈。对去标识化的访谈记录进行了主题分析：结果：IBD 的周期性特征为五个主题提供了背景。IBD 患者和保健医生从不同的角度阐述了类似的观点：（1）IBD 患者的生活是令人恼火的，而且对个人而言是独一无二的；（2）IBD 患者渴望获得饮食信息；（3）饮食操作被用来控制一种性质难以预测的疾病；（4）IBD 患者和保健医生对饮食的作用有不同的看法；（5）医生被视为获得营养学护理的守门人：结论：诊断时缺乏饮食指导会对患者的饮食过程产生负面影响。本研究支持向以人为本的整体护理模式转变，以满足 IBD 患者对营养学服务的一致需求。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Human Nutrition and Dietetics 医学-营养学

CiteScore

5.30

自引率

15.20%

发文量

133

审稿时长

6-12 weeks

期刊介绍： Journal of Human Nutrition and Dietetics is an international peer-reviewed journal publishing papers in applied nutrition and dietetics. Papers are therefore welcomed on: - Clinical nutrition and the practice of therapeutic dietetics - Clinical and professional guidelines - Public health nutrition and nutritional epidemiology - Dietary surveys and dietary assessment methodology - Health promotion and intervention studies and their effectiveness - Obesity, weight control and body composition - Research on psychological determinants of healthy and unhealthy eating behaviour. Focus can for example be on attitudes, brain correlates of food reward processing, social influences, impulsivity, cognitive control, cognitive processes, dieting, psychological treatments. - Appetite, Food intake and nutritional status - Nutrigenomics and molecular nutrition - The journal does not publish animal research The journal is published in an online-only format. No printed issue of this title will be produced but authors will still be able to order offprints of their own articles.