Hameed Saira, Salem Victoria, Tan Tricia M, Collins Alma, Shah Krishna, Scholtz Samantha, Ahmed Ahmed R, Chahal Harvinder
Imperial Weight Centre, Imperial College Healthcare NHS Trust, St Mary's Hospital, Praed Street, London W2 1NY, UK.
Section of Investigative Medicine, Division of Diabetes, Endocrinology and Metabolism, Imperial College London, Hammersmith Campus, Hammersmith Hospital, 6th Floor Commonwealth Building, Du Cane Road, London W12 0NN, UK.
J Obes. 2018 Feb 14;2018:8419120. doi: 10.1155/2018/8419120. eCollection 2018.
There are limited resources for long-term specialist follow-up after bariatric surgery. In selected centres, patients can access a postoperative support group, but there is no clear evidence to guide their delivery.
A retrospective study of bariatric surgery patients ( = 152) who had been discharged from specialist follow-up (mean time since surgery 5.5 years), covering weight history, physical and psychosocial comorbidities, and the need for a postoperative bariatric support group.
Fifty-eight percent wanted a postbariatric surgery patient support group. This was not associated with operation type or the amount of weight lost or regained. However, those who wanted a support group were significantly more likely to be struggling to keep the weight off, to be unhappy with the way they look, or to be experiencing difficulties returning to work.
These data point to an unmet patient requirement for a postoperative support group that is independent of weight loss success. More research is required to ascertain how such a group should be delivered, but our data would suggest that supporting patients with weight loss maintenance, body image, and return to work is an important part of postoperative care, and these needs extend well beyond the immediate period of specialist follow-up.
减肥手术后长期专科随访的资源有限。在部分选定的中心，患者可以加入术后支持小组，但目前尚无明确证据指导此类小组的运作。
对已结束专科随访（术后平均时间5.5年）的减肥手术患者（n = 152）进行回顾性研究，内容涵盖体重史、身体及心理社会合并症，以及对术后减肥支持小组的需求。
58%的患者希望有一个减肥手术后的患者支持小组。这与手术类型、体重减轻或反弹的幅度无关。然而，那些希望有支持小组的患者更有可能在努力维持体重、对自己的外貌不满意或在重返工作岗位方面遇到困难。
这些数据表明患者对独立于减肥成功与否的术后支持小组存在未得到满足的需求。需要更多研究来确定如何运作这样的小组，但我们的数据表明，支持患者维持体重、改善身体形象和重返工作岗位是术后护理的重要组成部分，而且这些需求远远超出了专科随访的直接阶段。
