Chicoski Allyson S
Allyson S. Chicoski, MSN, RN, Adjunct Instructor, Kent State and Youngstown State Universities; Staff Nurse, Endoscopy Department, Cleveland Clinic Akron General Medical Center.
Orthop Nurs. 2018 Mar/Apr;37(2):106-112. doi: 10.1097/NOR.0000000000000430.
Bariatric surgery is performed on the gastrointestinal tract as a solution to obesity, and prevalence of these surgical procedures continues to rise. Bariatric surgery creates restrictive and/or malabsorptive properties, causing nutritional deficits from the physiological changes in absorption and a hypoacidic environment. Although surgery induces sustained weight loss, decreases mortality, and provides resolution or improvement to comorbidities of obesity, it can also come with complications. Common long-term complications of bariatric surgery include malnutrition, anemia, impaired wound healing, and impaired bone health. It is essential that nurses and the healthcare team caring for orthopaedic individuals with a history of bariatric surgery be aware of the special needs of these individuals, especially in the promotion of bone health. Using a multidisciplinary approach for the advancement of the orthopaedic patient's health will help promote quality patient care.
减肥手术是在胃肠道进行的，作为肥胖问题的一种解决方案，这些手术的普及率持续上升。减肥手术会产生限制性和/或吸收不良的特性，导致因吸收方面的生理变化和胃酸过少的环境而出现营养缺乏。尽管手术能带来持续的体重减轻、降低死亡率，并解决或改善肥胖的合并症，但它也可能伴有并发症。减肥手术常见的长期并发症包括营养不良、贫血、伤口愈合受损和骨骼健康受损。对于护理有减肥手术史的骨科患者的护士和医疗团队而言，了解这些患者的特殊需求至关重要，尤其是在促进骨骼健康方面。采用多学科方法来促进骨科患者的健康将有助于提升患者护理质量。
