寻求和接受肥胖手术的患者相关预测因素
Sonja Elisabeth Sauerbrey1, Ricarda Schmidt2, Haiko Schlögl3,4
1Integrated Research and Treatment Center Adiposity Diseases, Behavioral Medicine Research Unit, Department of Psychosomatic Medicine and Psychotherapy, University of Leipzig Medical Center, Leipzig, Germany, Sonja.Sauerbrey@medizin.uni-leipzig.de.
Obesity facts
|June 4, 2023
概括
在行为减肥治疗 (BWLT) 后,患者对肥胖手术 (OS) 的偏好显著增加. 这种偏好受到健康因素的影响,预测了手术接收,突出了患者选择在肥胖管理中的重要性.
科学领域:
- 腹部外科 腹部外科
- 肥胖医学 肥胖医学
- 行为治疗是一种行为疗法.
背景情况:
- 患者偏好是肥胖手术 (OS) 复杂决策过程中的关键驱动因素.
- 了解偏好在治疗期间如何演变对于个性化肥胖管理至关重要.
研究的目的:
- 调查患者在行为减肥治疗 (BWLT) 之前和之后对OS偏好的变化.
- 确定与OS偏好相关的患者特征及其在接受BWLT后手术中的预测作用.
- 在偏好-手术关系中探索潜在的调解者,如体重指数和体重减轻.
主要方法:
- 对431名患有肥胖症的成年人进行1年例行护理BWLT的数据分析.
- 患者采访在BWLT前后进行,以评估OS偏好.
- 收集人体测量,医学和心理数据.
主要成果:
- 观察到OS偏好显著增加,从BWLT前的11.6%上升到BWLT后的27.4%.
- 患有持续或新兴偏好OS的患者表现出不太有利的健康状况 (人体测量,心理,医学).
- 在BWLT前对OS的偏好是BWLT后接受OS的重要预测因素,以更高的BMI为媒介,但不是%TBWL.
结论:
- 患者对OS的偏好在BWLT后显著增加,并预测了随后的手术接收.
- 虽然BMI调解了偏好和手术之间的联系,但%TBWL似乎不是调解者.
- 需要进一步研究详细的纵向评估,才能充分理解OS偏好转变的动态.
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