在澳大利亚公共资助的专家肥胖服务中持续参加的预测者
Louise Brightman1,2, Hsin-Chia Carol Huang2,3, Ekavi Georgousopoulou4
1Obesity Management Sevice Canberra Health Services (CHS) Canberra Australian Capital Territory (ACT) Australia.
Obesity science & practice
|November 1, 2024
概括
患有较高并发症负担的患者,特别是阻塞性睡眠呼吸暂停 (OSA),更有可能参加专业肥胖服务. 焦虑并没有显著影响出勤率,这表明它可能不是护理的障碍.
科学领域:
- 肥胖药物 肥胖药物 肥胖药物
- 公共卫生 公共卫生
- 临床研究是临床研究.
背景情况:
- 在澳大利亚,公共资助的专业肥胖服务面临着患者出勤的挑战,影响健康结果.
- 了解影响患者持续参与的因素对于服务的有效性至关重要.
研究的目的:
- 确定患者特异性因素,预测在专业肥胖管理服务中持续的面对面出席.
- 为改善患者在肥胖治疗计划中的留住率制定策略.
主要方法:
- 从两个审查期 (2016-2019) 来对396名患者的回顾性数据分析.
- 利用预测建模来评估人口统计,人体统计和并发症对出席率的影响.
- 统计分析包括后勤回归和调整模型.
主要成果:
- 人口统计和人类计量没有预测持续的出席率.
- 较高的并发症负担 (p < 0.001) 和阻塞性睡眠呼吸暂停 (OSA) (4.9倍更有可能,p < 0.001) 是持续出席的强有力的预测因素.
- 高血压最初具有预测性 (p = 0.005),但在调整后的模型中没有;抑郁症/焦虑症诊断不是显著的预测因素.
结论:
- 这些发现与现有的文献相一致,该文献将OSA与更好地参加肥胖服务联系起来.
- 进一步研究高血压的作用是有必要的.
- 焦虑对出席的潜在影响需要进一步调查,以优化早期肥胖管理策略.
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