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关于肥胖与并发症治疗偏好的患者观点
Hilary C Craig1, Dalal Alsaeed2, Suzanne Norris3
1Diabetes Complications Research Centre UCD Conway Institute of Biomedical and Biomolecular Research School of Medicine University College Dublin Dublin Ireland.
Obesity science & practice
|January 24, 2024
概括
了解患者对肥胖治疗的偏好是改善患者坚持和结果的关键. 营养治疗是最受欢迎的选择,其次是减肥手术和药物治疗.
科学领域:
- 医学科学 医学科学 医学科学
- 公共卫生 公共卫生
- 行为科学 行为科学
背景情况:
- 肥胖及其并发症是严重的公共卫生问题.
- 目前的肥胖治疗包括营养治疗,生活方式改变,药物治疗和手术干预.
- 患者对这些治疗方法的偏好尚不清楚,这可能会影响患者的坚持和疗效.
研究的目的:
- 确定影响患者对肥胖治疗偏好的因素.
- 了解患者在各种肥胖管理策略中的选择.
- 通过与患者偏好保持一致来提高治疗的坚持和疗效.
主要方法:
- 与33名年龄在18-70岁的患者 (16名男性,17名女性) 进行的参与行动研究,BMI>35 kg/m2.
- 从非酒精性脂肪肝病,糖尿病,高血压和慢性病的专科医院招聘.
- 半结构面试 (Zoom/电话) 视频解释治疗选择后;使用反射主题分析分析数据.
主要成果:
- 出现了四个关键主题:结构因素,自主性,与正式护理的相互作用,以及肥胖的后果.
- 39%的参与者更喜欢提供专业支持的营养治疗.
- 减肥手术被27%的人选择,单独的药物治疗被24%的人选择,联合药物治疗/营养治疗被6%的人选择.
结论:
- 提高医疗保健专业知识和患者健康素养至关重要.
- 未来的研究应该专注于改善获得治疗途径的机会.
- 建议制定有针对性的健康素养和专业教育计划.
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