Mahawar Kamal K, Clare Ken, O'Kane Mary, Graham Yitka, Callejas-Diaz Lindes, Carr William R J
Bariatric Unit, Sunderland Royal Hospital, Sunderland, SR4 7TP, UK.
Faculty of Health Sciences and Wellbeing, University of Sunderland, Sunderland, SR1 3SD, UK.
Obes Surg. 2019 May;29(5):1551-1556. doi: 10.1007/s11695-019-03711-z.
Adherence to post-bariatric surgery nutritional supplements can be poor and is associated with higher micronutrient deficiency rates. There is currently no available study specifically seeking patients' perspectives on the reasons behind poor adherence and how to address it.
Bariatric surgery patients living in the UK were invited to take part in an anonymous survey on SurveyMonkey®.
A total of 529 patients (92.61% females, mean age 47.7 years) took part. Most of these patients had undergone either a Roux-en-Y gastric bypass (63.0%) or sleeve gastrectomy (24.0%). Most of the patients were in full-time (49.0%, n = 260/529) or part-time (15.7%, n = 83/529) employment. Approximately 54.0% (n = 287/529) of the respondents reported having trouble taking all their supplements. Males were significantly more likely to report complete compliance. The most important reported reason for poor compliance was difficulty in remembering (45.6%), followed by too many tablets (16.4%), side effects (14.3%), cost (11.5%), non-prescribing by GP (10.8%), bad taste (10.1%), and not feeling the need to take (9.4%). Patients suggested reducing the number of tablets (41.8%), patient education (25.7%), GP education (24.0%), reducing the cost (18.5%), and more information from a healthcare provider (12.5%) or a pharmacist (5.2%) to improve the compliance.
This study is the first attempt to understand patient perspectives on poor adherence to post-bariatric surgery nutritional recommendation. Patients offered a number of explanations and also provided with suggestions on how to improve it.
减肥手术后对营养补充剂的依从性可能较差，且与较高的微量营养素缺乏率相关。目前尚无专门研究患者对依从性差的原因及解决方法的看法的研究。
邀请居住在英国的减肥手术患者参加在SurveyMonkey®上进行的匿名调查。
共有529名患者（92.61%为女性，平均年龄47.7岁）参与。这些患者中大多数接受了Roux-en-Y胃旁路手术（63.0%）或袖状胃切除术（24.0%）。大多数患者为全职（49.0%，n = 260/529）或兼职（15.7%，n = 83/529）工作。约54.0%（n = 287/529）的受访者表示在服用所有补充剂方面有困难。男性报告完全依从的可能性显著更高。报告的依从性差的最重要原因是难以记住（45.6%），其次是药片太多（16.4%）、副作用（14.3%）、费用（11.5%）、全科医生未开处方（10.8%）、味道不好（10.1%）以及感觉无需服用（9.4%）。患者建议减少药片数量（41.8%）、患者教育（25.7%）、全科医生教育（24.0%）、降低费用（18.5%）以及从医疗保健提供者（12.5%）或药剂师（5.2%）处获取更多信息以提高依从性。
本研究首次尝试了解患者对减肥手术后营养建议依从性差的看法。患者给出了一些解释，并就如何改善依从性提出了建议。
