在接受减肥手术的患者中进行心理评估
Neal Ferrin1, Alain Elian2,3, Kayla Flewelling1
1Department of Surgery, Western Michigan University Homer Stryker MD School of Medicine, Kalamazoo, MI, USA.
Surgical endoscopy
|February 8, 2024
概括
心理清除水平 (PCL) 在减肥手术后不会显著影响减肥. 然而,PCL与较少的医学并发症和精神病诊断有关,影响了对代谢和减肥手术的准备.
科学领域:
- 腹部外科手术的结果
- 医学中的心理评估.
背景情况:
- 心理清除水平 (PCL) 对于成功的代谢和减肥手术 (MBS) 是至关重要的.
- 评估MBS患者的心理健康和术后结果之间的联系至关重要.
研究的目的:
- 评估接受MBS的患者心理健康水平和术后结果之间的关系.
- 确定PCL是否影响总体体重减轻 (%TWL) 和MBS后的BMI变化.
主要方法:
- 对1411名接受MBS (LSG和LRYGB) 的患者进行了回顾性分析,随访2年.
- 根据心理准备,患者被分为四组 (PCL-0到PCL-3),根据心理准备情况进行分类.
- 主要结局:TWL%和绝对BMI变化;次要结局:错过的访问和遵守.
主要成果:
- 在PCL组之间%TWL没有显著差异 (p=0.118).
- 在PCL-1和PCL-3组之间观察到BMI变化的一小部分差异.
- PCL与精神病诊断 (r=-0.41) 和医疗并发症 (r=-0.20) 相反相关.
结论:
- 在MBS后两年,PCL不会影响%TWL.
- 医学并发症和精神病诊断显著影响患者的PCL.
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