肥胖成人的腹部外科手术决策:一个有基础的理论研究研究
Yihong Xu1, Wen Li2, Liping Zhu1
1Department of Nursing, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, 3 East Qingchun Road, Shangcheng District, Hangzhou, Zhejiang Province, China.
BMC public health
|August 12, 2025
概括
了解减肥手术 (BS) 决策是改善患者保留的关键. 这项研究确定了五个阶段和一个认知理论,提供了对BS动机和保留障碍的见解.
科学领域:
- 肥胖研究的研究.
- 手术决策的制定过程
- 健康心理学健康心理学
背景情况:
- 腹腔外科手术 (BS) 的保留率是一个重大问题.
- 在肥胖个体中,BS的决策过程尚未得到充分理解.
研究的目的:
- 确定BS决策过程中的关键阶段.
- 阐明影响肥胖个体BS决策的核心机制.
主要方法:
- 使用深入采访 (一对一和重点小组) 进行定性研究.
- 在中国进行的半结构面试 (2022年9月 - 2023年2月).
- 对于代分析的斯特劳斯斯基基定理论 (SGT) 方法.
主要成果:
- 采访了21名接受BS的肥胖个体.
- 制定了五个阶段的决策模型:初始注意,主动搜索信息,决策过程,最终的外科决定,准备阶段和放弃.
- 为减肥手术建立了认知权衡理论 (CTT-BS),包括五个认知因素和外部影响,如社会压力和支持.
结论:
- 识别的阶段和CTT-BS澄清了影响BS动机和保留的因素.
- 调查结果为提高BS保留率的策略提供了基础.
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