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首页> 外文期刊>Journal of Nursing Education and Practice >What factors lead to self disclosure of bulimic women?
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What factors lead to self disclosure of bulimic women?

机译：哪些因素导致暴食女性自我暴露？

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摘要

Bulimia Nervosa (BN) is on the rise in almost every continent. Early identification and treatment is vital to improving health outcomes but recognition of women with bulimia by APNs is suboptimal. A major reason cited in the literature is the lack of disclosure associated with bulimic women. The purpose of this research is to describe factors that led or posed barriers to self-disclosure of BN. A descriptive, qualitative study was used with a convenience sample of fifteen women ages 20-62 who had disclosed their BN. Krippendorff’s method was used for content analysis. Factors facilitating disclosure included: possessing a “safety net” related to a relative, friend or HCP; feeling an intrinsic obligation to oneself to disclose; revealing BN as a result of provider “pull” on the patient; yearning to feel well; and relating to someone with a similar experience. Barriers included: shame, embarrassment, guilt and concern related to other’s perceptions. Some respondents had not disclosed to a HCP citing exposure might result in feeling forced to stop this behavior. Purging was described as personal and secretive where the seduction of the act itself far outweighed the risks associated with BN. This has important implications for APNs not only in recognizing the reasons underlying disclosure but in understanding how the act itself impacts on earlier detection.
机译：贪食症（Blimia Nervosa）（BN）在几乎每个大陆都在上升。早期识别和治疗对于改善健康状况至关重要，但通过APNs识别患有贪食症的女性并不理想。文献中引用的主要原因是缺乏与暴食妇女相关的披露。这项研究的目的是描述导致或导致BN自我披露障碍的因素。描述性，定性研究与便利样本一起使用，该样本来自15位年龄在20-62岁的女性中，这些女性披露了自己的BN。 Krippendorff的方法用于内容分析。促进公开的因素包括：拥有与亲戚，朋友或HCP有关的“安全网”;感到自己有内在的披露义务;由于提供者“拉”病人而泄露BN;渴望感觉良好;并与具有类似经历的人有关。障碍包括：与他人看法有关的羞耻，尴尬，内和担忧。一些受访者没有向HCP透露，因为暴露可能会导致人们被迫停止这种行为。清洗被描述为个人和秘密的，诱使该行为本身远远超过了与国阵有关的风险。这不仅对APN产生了重要影响，不仅认识到了披露的根本原因，而且对了解行为本身如何影响早期发现也具有重要意义。

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