首页|期刊导航|全科护理|健康中国背景下以食疗为核心的生活方式医学纳入护理学二级学科的战略思考

健康中国背景下以食疗为核心的生活方式医学纳入护理学二级学科的战略思考OA

Strategic considerations for diet therapy-centered lifestyle medicine included into secondary disciplines of nursing under the Healthy China initiative

中文摘要英文摘要

在"健康中国"战略推动护理学由以"疾病为中心"向以"健康维护与促进"为导向转型的背景下,本文从学科发展与知识体系建构的视角,系统论证以食疗为核心的生活方式医学作为护理学新兴二级学科发展方向进行构建的必要性与可行性.当前护理学二级学科体系主要依据"人群—问题—场景"维度划分,尚缺乏以健康干预机制为核心的知识整合维度,难以系统性承接生活方式干预这类方法论驱动的前沿领域.研究发现,生活方式医学聚焦行为改变与健康促进,其核心理念与护理学强调的连续性、情境化和教育性专业特征高度契合,但护理学在该领域的学科主体性与系统化知识建构尚需进一步强化.值得关注的是,护理学界已在此领域完成了从实践探索到理论建构的关键跨越.已有研究显示,基于"家庭护士食疗理论"及相关临床研究证据,以食疗为核心的生活方式护理干预已在理论框架、实践路径和效果评价等方面形成较完整的知识体系,能独立评价护理工作的成效,体现护理工作的独特性及护士的职业价值,具备发展为独立护理学二级学科的学术基础.将该方向提升至以健康干预机制为鲜明特征的二级学科层级,不仅有助于完善现有学科分类逻辑,也为护理学在健康中国实践中由传统疾病照护角色向健康干预与引领角色转型提供重要学科支撑.推动该方向的学科化与制度化发展,是拓展护理学在健康促进领域的专业边界、构建中国特色护理学学科体系的关键路径.

Against the backdrop of the"Healthy China"initiative,nursing science is undergoing a paradigm shift from a"disease-centered model"to one"oriented toward health maintenance and health promotion."From the perspectives of disciplinary development and knowledge system construction,this paper systematically analyzes the necessity and feasibility of developing diet therapy-centered lifestyle medicine as an emerging secondary discipline within nursing.The current structure of nursing secondary disciplines is primarily organized along the dimensions of"population-problem-care setting,"with limited incorporation of knowledge integration based on health intervention mechanisms,thereby constraining the systematic inclusion of methodologically driven frontier fields such as lifestyle interventions.This study demonstrates that lifestyle medicine,with its focus on behavior change and health promotion,is highly aligned with the core professional attributes of nursing,including continuity of care,contextualized practice,and patient education.However,the disciplinary subjectivity of nursing and the systematic construction of knowledge in this field remain insufficiently developed.Notably,the nursing discipline has already achieved a critical transition in this domain,shifting from exploratory practice to theoretical construction.Existing studies indicate that,grounded in"Family Nurse Diet Therapy"and supported by relevant clinical research evidence,diet therapy-centered lifestyle nursing interventions have established a relatively coherent knowledge system encompassing theoretical frameworks,practice pathways,and outcome evaluation,could independently assess the effectiveness of nursing practice,reflect the uniqueness of nursing practice and the professional value of nurses.These developments provide a solid academic foundation for its evolution into an independent secondary discipline of nursing.Elevating this direction to the level of a secondary discipline characterized by health intervention mechanisms would not only refine the existing logic of disciplinary classification but also offer essential academic support for nursing's transformation from a traditional role in disease care to a leading role in health intervention and guidance within the"Healthy China"initiative.Promoting the disciplinary institutionalization and systematic development of this field represents a critical pathway for expanding the professional boundaries of nursing in health promotion and for constructing a nursing disciplinary system with distinct Chinese characteristics.

范娜;赵奕雯;郭丹丹;张珺;卫转;韩世范

030001,山西医科大学护理学院山西医学期刊社有限责任公司030001,山西医科大学护理学院030001,山西医科大学护理学院030001,山西医科大学护理学院山西医科大学第一医院||山西医科大学食疗科技研究中心||030001,山西医科大学护理学院||山西省食疗和农产品处方产业技术创新战略联盟||山西省大健康产教融合重大平台载体与实训基地

健康中国家庭护士食疗理论食疗生活方式医学护理学二级学科

Healthy ChinaFamily Nurse Diet Therapydiet therapylifestyle medicinenursing sciencesecondary disciplines

《全科护理》 2026 (5)

793-799,7

教育部人文社会科学研究规划基金项目,编号:23YJA880011.

10.12104/j.issn.1674-4748.2026.05.001

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