Center for Advanced Surgical and Interventional Technology (CASIT), University of California, Los Angeles, California; Department of Surgery, University of California, Los Angeles (UCLA), Los Angeles, California.
Department of Medicine, University of California, Los Angeles (UCLA), Los Angeles, California.
Surg Obes Relat Dis. 2018 Sep;14(9):1246-1253. doi: 10.1016/j.soard.2018.05.019. Epub 2018 Jun 1.
Metabolic surgery remains underutilized despite its efficacy and safety. Poor perception of surgery has been cited as one of the major reasons.
Evaluate current patient perceptions about metabolic surgery and measure the impact a video-based education program has on changing the perceptions of patients diagnosed with obesity and type 2 diabetes.
A university hospital in the United States.
A prospective interventional study was performed at an endocrinology clinic. Patients were asked to complete surveys evaluating their perception of metabolic surgery before and after watching a short educational video.
A total of 51 patients were recruited; almost all patients (98%) attempted weight loss in the past, and approximately 90.1% voiced dissatisfaction with their current weight. The video-based education program was effective in improving the patient's perception of the efficacy and safety with regard to surgery. In addition, the proportion of patients with overall positive impression toward metabolic surgery increased from 22.5% to 53.1% (P < .01) and those willing to undergo surgical consultation increased from 41.7% to 51.0% (P < .01). Among those that remained unwilling, fear of surgery in general was the most commonly voiced reason (31.4%), with safety (27.5%) and cost of metabolic surgery (27.5%) being equally concerning.
Most patients with obesity and type 2 diabetes held negative impressions of metabolic surgery due to its perceived risk profile. A video-based educational intervention may improve patients' perception and increase their willingness for surgical referral. Future trials with a broader sample and longer follow-up could provide answers to its efficacy in increasing metabolic surgery accessibility.
尽管代谢手术具有疗效和安全性，但仍未得到充分利用。对手术的不良认知被认为是主要原因之一。
评估当前患者对代谢手术的看法，并衡量基于视频的教育计划在改变肥胖和 2 型糖尿病患者看法方面的效果。
美国一家大学医院。
在内分泌科诊所进行前瞻性干预研究。患者在观看简短的教育视频前后需完成评估其对代谢手术看法的调查问卷。
共招募了 51 名患者；几乎所有患者（98%）都曾尝试过减肥，约 90.1%对当前体重不满意。基于视频的教育计划有效改善了患者对手术疗效和安全性的认知。此外，对代谢手术有总体积极印象的患者比例从 22.5%增加到 53.1%（P <.01），愿意接受手术咨询的患者比例从 41.7%增加到 51.0%（P <.01）。在那些仍然不愿意接受手术的患者中，普遍对手术的恐惧是最常提到的原因（31.4%），其次是安全性（27.5%）和代谢手术的费用（27.5%）。
大多数肥胖和 2 型糖尿病患者对代谢手术持有负面看法，因为他们认为手术风险较高。基于视频的教育干预可能会改善患者的认知，并增加他们接受手术转诊的意愿。未来的试验如果有更广泛的样本和更长的随访，可以提供关于其增加代谢手术可及性的效果的答案。
