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[High-level sports and anorexia nervosa]. [高水平运动与神经性厌食症]。
Q4 Nursing Pub Date : 2023-12-01 Epub Date: 2023-11-25 DOI: 10.1016/j.soin.2023.10.010
Guillaume R Coudevylle, Jean-Pierre Bouchard

Due to intensive physical training, and the pressure exerted by coaches, parents and the athlete him/herself during pre-competitive and competitive periods, a large number of high-level sporting activities can trigger or participate in anorexia nervosa. That said, some of these activities are more likely than others to promote this eating disorder. It is worth highlighting the sports most at risk for the onset or development of anorexia nervosa, and then addressing the means of prevention and regulation adapted to these circumstances.

由于高强度的体能训练,以及教练、家长和运动员本人在赛前和比赛期间施加的压力,大量高水平的体育活动都可能诱发或参与神经性厌食症。尽管如此,其中一些活动比其他活动更容易诱发这种饮食失调症。值得强调的是,哪些运动最有可能导致神经性厌食症的发生或发展,然后针对这些情况采取相应的预防和调节手段。
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引用次数: 0
[From diagnosis to symptoms]. [从诊断到症状]。
Q4 Nursing Pub Date : 2023-12-01 Epub Date: 2023-11-25 DOI: 10.1016/j.soin.2023.10.008
Olivier Sorel, Juliane Tortes Saint-Jammes

The diagnosis of anorexia nervosa is one of the easiest to make in that it is a positive diagnosis, not a differential diagnosis. It is defined by a few criteria which together become almost pathognomonic: excessive restriction of energy intake combined with an irrational fear of weight and an altered body image. Even if weight is at the heart of the medical team's concerns, it is important to question the pathology in its history, in order to put it in to context, and sometimes to understand the para-logic and its function in the patient's life history. It is necessary to work on emotions and cognitions in addition to behaviour.

神经性厌食症是最容易诊断的疾病之一,因为它是一种阳性诊断,而不是鉴别诊断。厌食症由几项标准界定,这些标准加在一起几乎可以成为病理标志:过度限制能量摄入,加上对体重和身体形象改变的非理性恐惧。即使体重是医疗团队关注的核心问题,也有必要从病史的角度对病理提出质疑,以便将其纳入背景中,有时还可以了解患者生活史中的副逻辑及其功能。除了行为之外,还有必要对情绪和认知进行研究。
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引用次数: 0
[Medical electroradiology technicians: mediators in hospital care]. [医用电子放射技术员:医院护理的调解人]。
Q4 Nursing Pub Date : 2023-12-01 Epub Date: 2023-11-27 DOI: 10.1016/j.soin.2023.10.016
Déborah Gasnot, Antonio Borrelli, Jordan Meiss

Beyond simply carrying out the medical imaging procedure, radiology technicians have an ambivalent position in radiology departments: working both with the patient and with the doctor, they act as a link between these two entities which rarely, if ever, meet. This socioprofessional category is a keystone to medical imaging services, yet it receives little recognition and its crucial role is often overlooked. The exact delimitation of its functions within the hospital is often misunderstood.

除了执行医学影像程序外,放射科技术人员在放射科还处于一种矛盾的地位:他们既要与病人打交道,又要与医生打交道,是这两个很少见面的实体之间的纽带。这一社会职业类别是医学影像服务的基石,但却很少得到认可,其关键作用往往被忽视。他们在医院中的职能划分往往被误解。
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引用次数: 0
["Sens et motions": a supportive media therapy in oncology]. [感官与运动":肿瘤学中的辅助媒体疗法]。
Q4 Nursing Pub Date : 2023-12-01 Epub Date: 2023-11-25 DOI: 10.1016/j.soin.2023.10.003
Marie Lelièvre, Jean-Luc Sudres

Art therapy is overused in oncology support care, to the point of appearing as an improved form of animation. In the absence of a clearly defined system, there are few guidelines for practice. Here we propose and describe "Sens et motions", an original, reproducible and assessable approach to cancer care.

艺术疗法在肿瘤支持护理中被过度使用,甚至被视为一种改良的动画形式。由于缺乏一个明确界定的系统,因此几乎没有实践指南。在此,我们提出并描述了 "感官与动作",这是一种新颖、可重复、可评估的癌症护理方法。
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引用次数: 0
[Anorexia nervosa, a familiar and complex pathology]. [神经性厌食症,一种熟悉而复杂的病症]。
Q4 Nursing Pub Date : 2023-12-01 Epub Date: 2023-11-25 DOI: 10.1016/j.soin.2023.10.005
Stéphane Scotto Di Rinaldi, Jean-Luc Sudres, Amélie Rousseau, Jean-Pierre Bouchard

Anorexia nervosa affects people of all ages, and has the highest mortality rate of all psychiatric disorders, following medical complications inherent in the disease or suicide. Early and appropriate treatment is crucial to prevent the risk of chronic disease, which may affect one in two anorexics. Severe undernutrition linked to a complex psychopathology calls for the necessary theoretical and clinical knowledge on the part of the caregiver, applied to the dynamics of care, ideally conceived in a transdisciplinary way and involving nursing teams.

神经性厌食症影响着各个年龄段的人群,是所有精神疾病中死亡率最高的一种,患者会因疾病本身的并发症或自杀而死亡。每两名厌食症患者中就有一人可能会患上慢性疾病,因此,及早进行适当的治疗对于预防这种风险至关重要。与复杂的精神病理学相关的严重营养不良要求护理人员具备必要的理论和临床知识,并将其应用于动态护理中,最好以跨学科的方式进行构思,并让护理团队参与其中。
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引用次数: 0
[Anorexia nervosa and music therapy]. [神经性厌食症与音乐疗法]。
Q4 Nursing Pub Date : 2023-12-01 Epub Date: 2023-11-27 DOI: 10.1016/j.soin.2023.10.012
Stéphane Scotto Di Rinaldi, Jean-Luc Sudres, Amélie Rousseau, Jean-Pierre Bouchard

Supporting people suffering from anorexia nervosa remains a challenge. While traditional treatment focuses more on speech and its emergence for the patient and family, non-medicinal and non-verbal therapies are used more systematically, sometimes as a last resort. Yet, as a non-verbal mediated therapy, music therapy can find a legitimate place and complement all the psychiatric, psychotherapeutic, somatic, dietetic and nursing areas where speech already circulates.

为神经性厌食症患者提供支持仍然是一项挑战。传统治疗更注重语言及其对患者和家人的影响,而非药物和非语言疗法的使用则更加系统化,有时甚至作为最后的手段。然而,作为一种以非语言为媒介的疗法,音乐疗法可以找到一个合法的位置,并与所有语言已经流通的精神、心理治疗、躯体、饮食和护理领域相辅相成。
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引用次数: 0
Deployment of advanced nursing practice in Île-de-France. 在法兰西岛部署高级护理实践。
Q4 Nursing Pub Date : 2023-12-01 Epub Date: 2023-11-25 DOI: 10.1016/j.soin.2023.10.015
Lisa Duconget, Carolina De Rosis, Ljiljana Jovic, Aurélie Bourmaud, Agnès Dumas

Advanced practice nurses (APNs) are finding it difficult to establish themselves once they have completed their training. Nearly half (49%) of graduates interviewed in a survey said they were not working as APNs, which raises real questions about the future of new graduates and their establishment in local areas. Under such conditions, the future of IPAs sometimes seems compromised, especially those in private practice.

高级实习护士 (APN) 发现自己在完成培训后很难立足。在一项调查中,近一半(49%)的受访毕业生表示,他们没有从事高级实习护士的工作,这让人对新毕业生的未来及其在当地的发展产生了真正的疑问。在这种情况下,投资促进机构的前途有时似乎受到影响,特别是那些私人执业的投资促进机构。
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引用次数: 0
Traversées d’anorexies : ponctuations cliniques. 厌食症的穿越:临床点滴。
Q4 Nursing Pub Date : 2023-12-01 Epub Date: 2023-11-25 DOI: 10.1016/j.soin.2023.10.013
Jean-Luc Sudres
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引用次数: 0
[Unconditional self-acceptance and self-compassion: another clinic for anorexia nervosa?] [无条件的自我接纳和自我同情:神经性厌食症的另一种治疗方法?]
Q4 Nursing Pub Date : 2023-12-01 Epub Date: 2023-11-25 DOI: 10.1016/j.soin.2023.10.011
Océane Muroni, Jean-Luc Sudres

People suffering from anorexia have a particular emotional and cognitive profile (altered body and self-perception, emotional dysregulation, perfectionism, obsessive traits), which the disorder can compensate for through emotional distancing strategies. Self-compassion and unconditional self-acceptance have been shown to have therapeutic effects on the barriers to recovery associated with this profile.

厌食症患者有一种特殊的情绪和认知特征(身体和自我认知改变、情绪失调、完美主义、强迫症特征),这种障碍可以通过情绪疏远策略得到补偿。事实证明,自我同情和无条件的自我接纳对克服与这种特征相关的康复障碍具有治疗效果。
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引用次数: 0
[Closed-loop insulin therapy in type 1 diabetes after age 60]. [60岁后1型糖尿病患者的胰岛素闭环疗法]。
Q4 Nursing Pub Date : 2023-12-01 Epub Date: 2023-11-27 DOI: 10.1016/j.soin.2023.10.002
Diane Bargain, Catherine Campinos

The closed-loop insulin therapy system has become an indispensable tool in the management of type 1 diabetes. This technological feat improves glycemic control while reducing the mental burden on patients. In an exploratory study, we sought to determine whether older patients, who may be less familiar with new technologies, derive the same benefits as others. Is a lack of digital skills an obstacle to improving patients' daily lives?

闭环胰岛素治疗系统已成为治疗 1 型糖尿病不可或缺的工具。这一技术壮举在改善血糖控制的同时,也减轻了患者的精神负担。在一项探索性研究中,我们试图确定对新技术不太熟悉的老年患者是否能获得与其他患者同样的益处。缺乏数字技能是否是改善患者日常生活的障碍?
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引用次数: 0
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Soins; la revue de reference infirmiere
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