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被遗忘的病人:关于实施减肥手术指南的心理视角
Lynne Johnston1,2,3,4, Kacey Jackson5, Charlotte Hilton4,6,7,8
1Halley Johnston Associated Ltd Whitley Bay UK.
Obesity science & practice
|October 9, 2023
概括
英国减肥手术的临床指南可能会让患者感到"被遗忘". 本次审查强调了指导方针实施方面的问题,这些问题影响了那些被认为不适合进行手术的人,并阻碍了他们的健康之旅.
科学领域:
- 临床心理学 临床心理学
- 腹部外科 腹部外科
- 医疗保健政策 医疗保健政策
背景情况:
- 减肥手术显著影响减肥和并发症的改善.
- 英国的指导方针存在,用于评估减肥手术的适用性.
- 心理学家的观点显示,在实施这些指导方针方面存在挑战.
研究的目的:
- 检查实施英国减肥外科手术指南的临床现实.
- 讨论指南实施对患者生物心理社会资料的影响.
- 发现体重管理服务的缺陷,并提出改进建议.
主要方法:
- 文献审查支持临床现实.
- 包括练习心理学家的观点.
- 查与基于配方的评估方法的分析.
主要成果:
- 实施指导方针可能会产生不适合进行手术的"被遗忘的患者".
- 对生物医学模型的过度强调和潜在的无意识偏见影响了调试.
- 患者面临无效的能量平衡方法,而没有解决心理因素.
结论:
- 目前的指导方针实施导致缺乏清晰的途径,未被选中用于减肥手术的患者.
- 这导致持续的痛苦,生活质量差,以及肥胖的未解决的心理原因.
- 需要提出实际建议,以减轻意外后果,并改善体重管理服务的提供.
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