当保险不是障碍时:心理因素可以预测腹症候选人是否接受手术
Fawn A Walter1, Tim Hoyt1, Tegan M Michl1
1Madigan Army Medical Center, Tacoma, Washington.
概括
通过明尼苏达多相人格清单-2重组形式 (MMPI-2-RF) 测量的心理因素与减肥手术未完成有关. 这些差异,不一定是精神病理,影响患者对手术的决定.
科学领域:
- 腹部外科 腹部外科
- 心理评估 心理评估
- 医疗保健服务研究 医疗服务研究
背景情况:
- 尽管有效性已被证明,但腹腔外科手术的利用率仍然很低.
- 之前关于手术未完成预测因素的研究使用了MMPI-2-RF.
- 医疗保险是众所周知的障碍;这项研究考察了一个拥有全民医疗保健的人口.
研究的目的:
- 为了确定明尼苏达州多相人格清单-2重组形式 (MMPI-2-RF) 秤是否与未能接受减肥手术有关.
- 在符合条件的减肥手术候选人中调查心理预测因素.
主要方法:
- 分析了279名患者的档案数据,这些患者在心理上接受了减肥手术查.
- 评估是在2017年1月至2019年12月期间在军事医院进行的.
- 使用T测试,奇方测试和MMPI-2-RF概况分析来比较手术和非手术组.
主要成果:
- 30.8%的符合条件的候选人没有接受减肥手术.
- 两组之间在性别,年龄,就业和关节炎方面发现了显著的差异.
- 具体的MMPI-2-RF尺度,包括体质投诉,愤世嫉俗和无助感,在接受手术的人和没有接受手术的人之间有所不同.
结论:
- MMPI-2-RF尺度与减肥手术未完成有关.
- 心理和心理社会因素,而不仅仅是精神病理,似乎影响了继续进行手术的决定.
- 研究结果表明,在减肥手术候选人中需要考虑更广泛的心理形状.
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