它是多么合适的? 一个多学科的手术前后代谢性减肥手术支持计划的过程评估:患者的观点
Nadia Botros1,2, Melina T Czymoniewicz-Klippel3, Vera van de Scheur1
1Vitalys Obesity Clinic, Part of Rijnstate Hospital, Arnhem, The Netherlands.
Clinical obesity
|April 21, 2025
概括
多学科支持有助于在代谢和减肥手术 (MBS) 后恢复. 患者发现手术前的支持是有用的,但由于不同的需求和交付方法,术后小组会议的适合性较低.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 行为医学是一种行为医学.
- 手术患者支持手术患者支持
背景情况:
- 多学科的支持对于改善患者的健康和适应后代谢和减肥手术 (MBS) 的改善至关重要.
- 在MBS支持计划中,特定干预组件,交付方法和强度的有效性仍然不清楚.
研究的目的:
- 进行15个会议前后MBS多学科计划的过程评估.
- 检查程序组件和交付的适当性 (相关性,适合性,可行性) 和可接受性 (满意度).
主要方法:
- 定性访谈 (n=11) 和重点小组 (n=2) 与21名患者在不同的计划阶段进行.
- 使用来自1396名患者的出席数据对计划忠实性的定量评估.
- 评估的重点是患者对相关性,适合性,可行性和满意度的看法.
主要成果:
- 手术前的会议,特别是那些涉及推和社会组成部分的实践,被认为是有益的.
- 手术后的会议显示,由于分组交付,会议间隔和患者需求 (性别,年龄,手术类型) 的多样性,患者感知适合程度较低.
- 与手术前相比,手术后的出席率下降了;患者希望更长的会议间隔和更长的程序持续时间.
结论:
- 患者对支持强度和类型的需求在MBS后有很大差异.
- 通过根据个体需求量身定制干预措施,提供灵活性,将持续时间延长到第一年以后,并解决负面经历,炼和应对策略,可以增强计划的适应性.
- 为优化MBS支持计划,建议更多地关注长期的行为维护和多样化的患者需求.
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