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减肥手术后遵守生活方式变化的心理预测因素:系统性审查
Jade K Y Chan1, Lenny R Vartanian1
1School of Psychology UNSW Sydney Sydney New South Wales Australia.
Obesity science & practice
|February 26, 2024
概括
心理因素,如情绪障碍和患者的信念,影响了减肥手术后对生活方式的改变的坚持. 通过干预来解决这些因素可以改善术后的结果.
科学领域:
- 腹部外科手术的结果
- 健康中的心理因素.
- 生活方式 医学 医疗
背景情况:
- 坚持术后的生活方式变化对于成功的减肥手术结果至关重要.
- 患者经常在手术后维持推的生活方式修改方面面临挑战.
- 了解心理影响是改善患者坚持治疗的关键.
研究的目的:
- 系统地审查与生活方式改变的坚持相关的心理因素.
- 为了确定临床可修改的心理预测的坚持.
- 为支持患者长期成功的干预措施提供信息.
主要方法:
- 在PubMed,PsycInfo和Embase数据库中进行系统的文献搜索 (至2022年8月).
- 包括32项关于心理因素和减肥手术后坚持治疗的研究.
- 从检索和选的摘要中对发现的叙述综合 (n=891).
主要成果:
- 更高的自我效能预测了更好地遵守饮食和体育活动.
- 手术前的抑郁症状与较差的约会,饮食和活动遵守有关.
- 焦虑和其他精神疾病的研究结果显示不太一致.
结论:
- 心理因素,包括情绪障碍和患者的信念,显著影响着对腹部外科手术后的生活方式改变的坚持.
- 这些可修改的心理因素需要在减肥手术后的患者护理中加以考虑.
- 进一步的研究应侧重于心理预测因素,以指导持续改变生活方式的干预开发.
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