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接受减肥手术的土著患者的经验和结果:混合方法范围审查
Marta Whyte1, Felicia Daeninck1, Janice Linton2
1Department of Surgery, Max Rady College of Medicine, University of Manitoba, Winnipeg, MB, Canada.
Obesity surgery
|February 24, 2024
概括
原住民患肥胖和2型糖尿病 (T2D) 的风险更高. 腹部外科手术显示类似的体重减轻,但在CANZUS国家的土著患者中出现的并发症更多.
科学领域:
- 公共卫生 公共卫生
- 外科手术的结果
- 原住民健康差异的差异
背景情况:
- 肥胖和2型糖尿病 (T2D) 构成了全球重大健康挑战.
- 原住民人口面临着不成比例地更高的肥胖和相关疾病的终身风险.
- 肥胖是T2D,心血管疾病和死亡率的主要风险因素.
研究的目的:
- 审查土著人民接受减肥手术的经验和结果.
- 分析来自加拿大,美国,澳大利亚和新西兰 (CANZUS) 的土著减肥手术患者的定量和定性数据.
主要方法:
- 对减肥手术率,临床出院率,减肥率和并发症率的定量分析.
- 对土著患者对其健康和生活质量的看法进行定性分析.
- 在CANZUS国家进行比较审查.
主要成果:
- 本土患者接受的减肥手术较少,临床出诊率较低.
- 在土著和非土著患者中,减肥的结果是相似的.
- 在土著患者中观察到略高的术后并发症率.
- 定性数据表明,土著患者强烈渴望改善健康和生活质量.
结论:
- 虽然减肥手术提供了有效的肥胖治疗方法,但土著人民的获取和结果存在差异.
- 解决护理和术后支持的障碍对于改善土著人口手术结果至关重要.
- 需要进一步的研究,以了解和减轻这个群体的术后并发症.
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