注意差距!注意差距!注意差距! 预测减肥手术进展的因素表明,可能需要更多的心理治疗
Lynne Johnston1,2,3,4,5, Kacey Jackson4,6, Charlotte Hilton7,8,9
1Clinical Health Psychology, Golden Jubilee University National Hospital, Clydebank, UK.
Clinical obesity
|December 7, 2023
概括
许多寻求减肥手术的成年人没有进展,通常是由于缺乏心理支持. 这突出了对需要专门治疗的肥胖患者的关怀的关键差距.
科学领域:
- 医学科学 医学科学 医学科学
- 心理学 心理学 心理学
- 公共卫生 公共卫生
背景情况:
- 肥胖在英国是一个日益严重的公共卫生问题,重症手术作为严重病例的治疗选择.
- 指导方针建议心理支持减肥手术患者由于复杂的精神病理.
- 有限的研究存在于患者进行手术的进展和预测因素.
研究的目的:
- 为了确定预测减肥手术进展的因素.
- 检查那些接受和不接受手术的患者的特征.
- 突出这一患者群体在心理护理方面的潜在未满足需求.
主要方法:
- 分析了来自英国NHS区域服务的例行患者数据.
- 包括704名接受减肥手术评估的患者 (17-76岁).
- 二元物流回归被用来确定外科进展的预测因素.
主要成果:
- 进入手术的患者年龄较大,BMI较低,并发病率较低,物质使用,自我伤害和自杀倾向较低.
- 三分之二的评估患者没有进行手术.
- 没有进展的患者往往由于服务调试而无法获得心理治疗.
结论:
- 减肥手术候选人存在显著的身体和心理健康复杂性.
- 服务的局限性,特别是心理服务的局限性,可能导致患者的需求未得到满足.
- 确保获得心理支持对于被考虑做低体重手术的患者来说至关重要.
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