参加患者教育课程的病态肥胖者身心健康的预测因素——一项为期两年的随访研究。
Predictors of physical and mental health in persons with morbid obesity attending a patient education course - a two-year follow-up study.
作者信息
Lerdal Anners, Gay Caryl L, Bonsaksen Tore, Fagermoen May Solveig
机构信息
Department of Nursing Science, University of Oslo, Faculty of Medicine, Institute of Health and Society, P.O. Box. 1130, Blindern, N-0318, Oslo, Norway.
Department for Patient Safety and Research, Lovisenberg Diakonale Hospital, P.O. Box 04970, Nydalen, N-0440, Oslo, Norway.
出版信息
Health Qual Life Outcomes. 2017 May 15;15(1):103. doi: 10.1186/s12955-017-0675-z.
BACKGROUND
People with morbid obesity (body mass index ≥40) may experience changes in their health after participating in a tailored patient education course. The aims of this study were to assess the changes in physical and mental health in persons with morbid obesity during the 2 years following an educational course and to explore possible socio-demographic, treatment, and personal predictors of physical and mental health outcomes.
METHODS
In this prospective longitudinal cohort study, self-report questionnaire data were collected from people with morbid obesity at the beginning of mandatory educational courses while on a waiting list for gastric surgery and at two-year follow-up. Of the 185 who attended the courses, 142 (77%) volunteered to participate in the study, and the 59 with complete data at the two-year follow-up were included in the analysis. Physical and mental health were measured with the physical and mental component summary scores from the Short Form 12v2. Self-esteem was measured by the Rosenberg Self-Esteem Scale, and self-efficacy by the General Self-Efficacy Scale.
RESULTS
The participants reported better physical health at two-year follow-up than at baseline. Mental health did not change significantly over time. Receiving surgical treatment during the study period predicted better physical health at two-year follow-up, even after controlling for physical health at baseline. Mental health at baseline was the only significant baseline predictor of mental health at follow-up. However, increasing self-esteem and self-efficacy over the two-year study period independently predicted better mental health at follow up after controlling for mental health at baseline.
CONCLUSION
Our study showed that people with morbid obesity on a waiting list for bariatric surgery improved their physical health during the 2 years after attending a tailored patient educational course. Improving self-esteem and self-efficacy may be important personal factors for maintaining mental health during this period.
TRIAL REGISTRATION
NCT01336725 . Registered 14 April 2011.
背景
病态肥胖（体重指数≥40）患者参加量身定制的患者教育课程后，其健康状况可能会发生变化。本研究的目的是评估教育课程结束后两年内病态肥胖患者的身心健康变化，并探讨身心健康结果可能的社会人口学、治疗及个人预测因素。
方法
在这项前瞻性纵向队列研究中，在强制性教育课程开始时（当时在等待胃手术的候补名单上）以及两年随访时，收集了病态肥胖患者的自我报告问卷数据。参加课程的185人中，142人（77%）自愿参与研究，两年随访时有完整数据的59人纳入分析。身心健康通过简短健康调查问卷12v2的生理和心理成分汇总得分来衡量。自尊通过罗森伯格自尊量表测量，自我效能通过一般自我效能量表测量。
结果
参与者报告两年随访时的身体健康状况比基线时更好。心理健康随时间没有显著变化。在研究期间接受手术治疗可预测两年随访时更好的身体健康状况，即使在控制了基线时的身体健康状况之后。基线时的心理健康是随访时心理健康的唯一显著基线预测因素。然而，在控制了基线时的心理健康状况后，在两年研究期间自尊和自我效能的提高独立预测了随访时更好的心理健康状况。
结论
我们的研究表明，等待减肥手术的病态肥胖患者在参加量身定制的患者教育课程后的两年内，其身体健康状况有所改善。提高自尊和自我效能可能是在此期间维持心理健康的重要个人因素。
试验注册
NCT01336725。2011年4月14日注册。
Zotero 插件