Orth Whitney S, Madan Atul K, Taddeucci Raymond J, Coday Mace, Tichansky David S
Section of Minimally Invasive Surgery, Department of Surgery, University of Tennessee Health Science Center, Memphis, TN, USA.
Obes Surg. 2008 Apr;18(4):391-4. doi: 10.1007/s11695-008-9444-8. Epub 2008 Feb 20.
Support group meetings (SGM) are assumed to be an integral part of success after bariatric surgery. This investigation studies the effect of SGM on weight loss as well as factors associated with attendance of SGM. It is our hypothesis that patients who attend SGM (ASGM) lose more weight than those patients who do not attend SGM (NASGM).
Postoperative bariatric patients completed a questionnaire regarding their opinions of SGM. Change in body mass index (BMI) was computed for each patient. The patients were then divided into two groups: ASGM and NASGM for data comparison.
There were 46 patients in the investigation. Patients in the NASGM group tended to feel that SGM are not needed after bariatric surgery compared to the ASGM group (5.29 vs. 7.06; p = 0.07). Patients in the NASGM group tended to feel that they would lose the same amount of weight with or without attending SGM compared to the ASGM group (5.67 vs. 7.38; p = 0.07). There were no differences in distance to clinic nor in time to clinic between both groups. Gastric bypass patients in the ASGM group had a statistically significantly higher percent decrease in BMI than the patients in the NASGM group (42% vs. 32%; p < 0.03).
Patients in the ASGM group lose more weight than patients in the NASGM group. The importance of attending SGM should be incorporated in preoperative patient counseling and encouraged during postoperative follow-up visits.
支持小组会议(SGM)被认为是减肥手术后成功的一个重要组成部分。本研究旨在探讨支持小组会议对体重减轻的影响以及与参加支持小组会议相关的因素。我们的假设是,参加支持小组会议的患者(ASGM)比未参加支持小组会议的患者(NASGM)减重更多。
肥胖症手术后的患者完成了一份关于他们对支持小组会议看法的问卷。计算每位患者的体重指数(BMI)变化。然后将患者分为两组:ASGM组和NASGM组进行数据比较。
本研究共有46例患者。与ASGM组相比,NASGM组的患者倾向于认为减肥手术后不需要支持小组会议(5.29对7.06;p = 0.07)。与ASGM组相比,NASGM组的患者倾向于认为参加或不参加支持小组会议体重减轻量相同(5.67对7.38;p = 0.07)。两组到诊所的距离和到达诊所的时间没有差异。ASGM组的胃旁路手术患者BMI下降百分比在统计学上显著高于NASGM组(42%对32%;p < 0.03)。
ASGM组的患者比NASGM组的患者减重更多。参加支持小组会议的重要性应纳入术前患者咨询,并在术后随访中予以鼓励。