Department of Surgery, Vrije Universiteit Medical Center, Amsterdam, the Netherlands.
Department of Surgery, Erasmus Medical Center, Amsterdam, the Netherlands.
Surg Obes Relat Dis. 2018 May;14(5):665-673. doi: 10.1016/j.soard.2018.01.029. Epub 2018 Jan 31.
The decision to undergo bariatric surgery is multifactorial and made both by patient and doctor. Information is of the utmost importance for this decision.
To investigate the bariatric surgery patient's preferences regarding information provision in bariatric surgery.
A teaching hospital, bariatric center of excellence in Amsterdam, the Netherlands.
All patients who underwent a primary laparoscopic Roux-en-Y gastric bypass or sleeve gastrectomy between September 2013 and September 2014 were approached by mail to participate. A questionnaire was used to elicit patient preferences for the content and format of information. Sociodemographic characteristics, clinicopathologic factors, and psychologic factors were explored as predictors for specific preferences.
Of the 356 eligible patients, 112 (31.5%) participated. The mean age was 49.2 (±10.7) years, and 91 (81.3%) patients were female. Patients deemed the opportunity to ask questions (96.4%) the most important feature of the consult, followed by a realistic view on expectations-for example, results of the procedure (95.5%) and information concerning the consequences of surgery for daily life (89.1%). Information about the risk of complications on the order of 10% was desired by 93% of patients; 48% desired information about lower risks (.1%). Only 25 patients (22.3%) desired detailed information concerning their weight loss after surgery.
Bariatric patients wished for information about the consequences of surgery on daily life, whereas the importance of information concerning complications decreased when their incidence lessened.
接受减重手术的决定是多方面的，由患者和医生共同做出。信息对于这一决策至关重要。
调查减重手术患者对减重手术中信息提供的偏好。
荷兰阿姆斯特丹一家教学医院的减重卓越中心。
通过邮件联系 2013 年 9 月至 2014 年 9 月期间接受初次腹腔镜 Roux-en-Y 胃旁路术或袖状胃切除术的所有患者，邀请他们参与研究。使用问卷来了解患者对信息内容和格式的偏好。探讨社会人口统计学特征、临床病理因素和心理因素对特定偏好的预测作用。
在 356 名符合条件的患者中，有 112 名（31.5%）参与了研究。患者的平均年龄为 49.2（±10.7）岁，91 名（81.3%）为女性。患者认为提问的机会（96.4%）是咨询中最重要的特征，其次是对预期的现实看法，例如手术结果（95.5%）和手术对日常生活影响的信息（89.1%）。93%的患者希望了解并发症风险的信息，约为 10%；48%的患者希望了解较低风险（.1%）的信息。只有 25 名患者（22.3%）希望详细了解手术后的体重减轻情况。
减重患者希望了解手术对日常生活的影响，但当并发症的发生率降低时，对并发症信息的重要性也会降低。
