患者对腹治疗结果的期望,基线和长期评估
Lindsy van der Laan1,2, Ellen A M Kuipers3,4, Josien G Timmerman5
1Center for Obesity Northern-Netherlands (CON), Department of Metabolic Bariatric Surgery, Medical Center Leeuwarden, Leeuwarden, Netherlands. l.van.der.laan@umcg.nl.
Obesity surgery
|July 4, 2025
概括
接受代谢性减肥手术 (MBS) 的患者优先考虑改善移动性和健康,并准确预期体重减轻和疾病缓解. 关于并发症的信息并没有阻止他们决定继续使用MBS.
科学领域:
- 腹部外科 腹部外科
- 患者的期望患者的期望
- 肥胖管理 肥胖管理
背景情况:
- 调查患者对代谢性减肥手术 (MBS) 的预期.
- 专注于在物理,社会和心理领域预期的挑战和影响.
- 强调了解患者观点在手术决策中的重要性.
研究的目的:
- 探索患者接受MBS的动机.
- 评估关于减肥和减肥相关疾病的缓解的期望.
- 了解并发症信息对手术决策的影响.
主要方法:
- 在等待初级MBS的成年患者中进行了前性,横截面的多中心调查.
- 调查问卷涵盖了手术的原因,减肥期望,疾病缓解预测,以及关于并发症的重要性/焦虑.
- 评估预期的手术后的身体,社会和心理变化.
主要成果:
- 242名患者完成了调查;流动性和健康是MBS的主要动机.
- 患者预计会显著减肥 (总体32%,超重81%) 和疾病缓解率高.
- 意识到并发症并没有引起焦虑,也没有影响接受MBS的决定.
- 预期的身体变化包括改善移动性和减少疼痛;社会/心理期望侧重于自我形象和幸福感.
结论:
- 改善移动性和健康是代谢性减肥手术的关键驱动因素.
- 减肥和疾病缓解的预期通常与现实的结果保持一致.
- 患者重视有关手术风险的信息,但仍然致力于MBS.
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