Department of Sport Sciences, West Virginia University, Morgantown, West Virginia 26505, USA.
Surg Obes Relat Dis. 2012 Nov-Dec;8(6):777-83. doi: 10.1016/j.soard.2011.11.015. Epub 2011 Dec 8.
Bariatric surgery continues to grow in popularity as a treatment of obesity; however, weight regain and noncompliance with behavioral recommendations remain an issue. Little is known about the type and frequency of services completed by bariatric patients and their satisfaction with these services. However, preliminary research has shown that the use of behavioral and psychological services is less common after surgery. We assessed the behavioral and psychological services completed by bariatric patients before and after surgery, patient satisfaction with the surgery and services, and the relationship between the completed services and the outcomes. The participants were solicited for participation using an on-line support Web site dedicated to obesity and bariatrics.
A convenience sample of 380 subjects were included in the present study. They completed an Internet-based survey that assessed the psychological, dietary, exercise, and lifestyle services completed before and after surgery, their satisfaction with these services, and their weight loss outcomes.
Overall, the participants reported completing more services before surgery. After surgery, the most frequently reported services completed were support groups and dietary consultation. More than one half of the participants did not meet with either a mental health professional or an exercise professional after surgery. The participants expressed high satisfaction with their surgery and services, with exercise services receiving the lowest satisfaction rating. A statistically significant relationship was found between the total number of postoperative psychological and behavioral services completed and a greater percentage of excess weight lost. The t tests showed that participants who completed group exercise sessions and nutritional consultation after surgery lost more weight than did those who did not complete these services.
The participants in the present sample reported completing few behavioral and psychological services after surgery. However, our findings showed that these services could promote greater weight loss and maintenance. Thus, it is recommended that bariatric facilities and insurance providers consider requiring patients to complete postoperative behavioral modification programs that target improvement in diet and physical activity behaviors.
减重手术作为肥胖症的治疗方法越来越受欢迎；然而，体重反弹和行为建议不遵守仍然是一个问题。人们对减重患者完成的服务类型和频率及其对这些服务的满意度知之甚少。然而，初步研究表明，手术后使用行为和心理服务的情况较少。我们评估了减重患者手术前后完成的行为和心理服务、患者对手术和服务的满意度，以及完成的服务与结果之间的关系。通过一个专门针对肥胖和减重的在线支持网站，邀请参与者参与研究。
本研究纳入了 380 名方便样本的受试者。他们完成了一项基于互联网的调查，评估了手术前后完成的心理、饮食、运动和生活方式服务、对这些服务的满意度以及体重减轻的结果。
总体而言，参与者报告在手术前完成了更多的服务。手术后，报告完成最多的服务是支持小组和饮食咨询。超过一半的参与者手术后没有与心理健康专业人员或运动专业人员会面。参与者对手术和服务表示高度满意，运动服务的满意度评分最低。术后完成的心理和行为服务总数与超重减轻百分比之间存在统计学显著关系。t 检验显示，完成团体运动课程和营养咨询的参与者比未完成这些服务的参与者减轻了更多的体重。
本研究样本中的参与者报告手术后完成的行为和心理服务很少。然而，我们的研究结果表明，这些服务可以促进更大程度的体重减轻和维持。因此，建议减重设施和保险公司考虑要求患者完成针对改善饮食和体育锻炼行为的术后行为矫正计划。
