在综合医院环境中护理患有饮食失调症的医学上受损青少年的护士经验:范围界定综述》。

Inuri Gamlath, Sally Buchanan-Hagen, Louise Alexander, Adam Searby
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引用次数: 0

摘要

饮食失调症包括一系列心理健康问题,其特征是对饮食、运动、体重或体型的过分关注。饮食失调症的发展轨迹可能会导致因并发症而住院治疗,如电解质失衡、体重极轻和其他需要住院治疗的紧急医疗问题。通常情况下,对患有饮食失调症的青少年的护理都是在普通医疗机构中进行的,大多数护理工作都是由护士提供的,而护士可能受过培训,也可能没有经验为这种复杂的心理健康问题提供高质量的护理。本范围综述旨在研究有关护士护理入住普通内科病房(非精神卫生机构)的患有医学损害性进食障碍的青少年的经验的文献。我们采用 Arksey 和 O'Malley(2005 年)的五步范围界定综述流程来进行此次综述。通过对文献进行系统检索,我们找到了 476 篇相关论文,经过筛选,最终有 10 篇论文被纳入最终综述。大多数被纳入的论文都采用了定性方法,其中一篇采用了混合方法设计。本次范围界定综述所研究的论文发现,在内科病房(非精神健康环境)中为患有饮食失调症的青少年提供护理的护士有一个共同的主题:缺乏护理饮食失调症患者的准备、提供护理的护士在情绪和心理上付出了高昂的代价,以及对患有饮食失调症的青少年存在一定程度的污名化,包括认为饮食失调症是一种 "选择"。本研究表明,要为入住普通内科病房的患有饮食失调症的青少年提供优质安全的护理,护士需要接受专门的培训。此外,对患有饮食失调症的青少年的护理还需要训练有素的心理健康护士的支持,尤其是在普通内科病房的护士是新手或接受过有限的心理健康培训的情况下。我们建议进一步研究支持结构,以防止在为饮食失调患者提供护理时普遍存在的职业倦怠和人员流动。
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Nurse Experiences of Caring for Medically Compromised Adolescents With Eating Disorders in General Hospital Environments: A Scoping Review.

Eating disorders encompass a spectrum of mental health conditions that are characterised by a preoccupation with eating, exercise, body weight or shape. The trajectory of eating disorders can result in hospitalisation for medical complications, such as electrolyte imbalance, extremely low weight and other medical issues that require urgent inpatient attention. Typically, care for adolescents with medically compromised eating disorders occurs in general medical settings, with most care provided by nurses who may or may not have the training and experience to provide quality care for this complex mental health condition. The aim of this scoping review is to examine literature surrounding the experience of nurses caring for adolescents admitted to general medical wards (non-mental health settings) with medically compromised eating disorders. We used Arksey and O'Malley's (2005) five-step scoping review process to conduct this review. A systematic search of the literature located 476 relevant papers, and after screening, 10 were included in the final review. Most included papers were qualitative in methodology, with one using a mixed-methods design. The papers examined in this scoping review found common themes among nurses who were providing care for adolescents with medically compromised eating disorders being cared for in medical wards (non-mental health settings): a lack of preparation to care for individuals with eating disorders, a high emotional and psychological toll on nurses providing care and a degree of stigma towards adolescents with eating disorders, including a belief that eating disorders were a 'choice.' This review indicates that to provide quality and safe care for adolescents with eating disorders admitted to general medical wards, nurses require specialised training. In addition, the care of adolescents with medically compromised eating disorders requires the support of trained mental health nurses, especially where nurses on general medical wards are novice or have limited mental health training. We recommend further research into support structures to prevent burnout and turnover that is prevalent when providing care to individuals with eating disorders.

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