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减肥手术后患者接近随访护理:这是否重要?
Russell Herberg1, Brandon Smith1, Andrew Edsall1
1Department of Surgery, Gundersen Health System, La Crosse, WI, USA.
American journal of surgery
|July 18, 2024
概括
与减肥手术中心的地理距离并没有妨碍长期减肥. 住得更远的患者表现出类似甚至更好的体重减轻结果,尽管营养和行为健康预约较少.
科学领域:
- 腹部外科手术的结果
- 肥胖问题研究研究
- 医疗保健服务研究 医疗服务研究
背景情况:
- 减肥手术后的患者随访遵守和长期减肥可能会受到手术中心的地理距离的影响.
- 了解这种关系对于优化术后护理和患者支持至关重要.
研究的目的:
- 评估患者家园和Gundersen健康系统 (GHS) 设施之间的距离是否预测了随访预约遵守和长期减肥.
- 根据患者的近距离,识别成功减肥手术结果的潜在障碍或促进者.
主要方法:
- 在2013年10月至2022年12月期间,在GHS接受了减肥手术的1336名患者的回顾性审查.
- 患者根据距离GHS (<30英里,30-60英里,>60英里) 的距离进行分组.
- 随着时间的推移,对随访预约的遵守 (手术,营养,行为健康) 和百分比多余体重减轻 (%EWL) 的分析.
主要成果:
- 根据距离 (p=0.10),遵守推的手术后续预约没有显著差异.
- 距离增加与营养减少相关 (p=0.046) 和行为健康预约 (p=0.040).
- 百分比多余体重减轻 (%EWL) 根据距离 (p<0.001) 有显著差异,患者>60英里显示18.8%更高的%EWL在5年与<60英里相比.
结论:
- 虽然较远的距离导致营养和行为健康访问减少,但它们没有对长期减肥结果产生负面影响,并且矛盾地改善了长期减肥结果.
- 较大的地理距离从减肥手术中心不是实现有利的减肥结果的障碍.
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