Sierżantowicz Regina, Ładny Jerzy R, Lewko Jolanta, Hady Hady Razak
Department of Surgical Nursing, Medical University of Bialystok, Bialystok, Poland.
Department of General and Endocrine Surgery, Medical University of Bialystok, Bialystok, Poland.
Wideochir Inne Tech Maloinwazyjne. 2020 Mar;15(1):157-165. doi: 10.5114/wiitm.2019.88649. Epub 2019 Oct 17.
As a result of the growing number of people with obesity, the popularity of bariatric surgery has been systematically increasing. It has not yet been explored whether individual education of the patient can contribute to long-term success in weight reduction after bariatric treatment.
To implement and compare the effects of different education methods, versus receiving one-time written information in the form of a guidebook, on patient involvement in abiding by lifestyle recommendations after laparoscopic sleeve gastrectomy (LSG) bariatric treatment.
The study included 160 patients with morbid obesity. The education session study participants were 100 patients after sleeve gastrectomy, with whom three education sessions were planned, and who were enrolled in the study. The control group consisted of 60 patients who underwent sleeve gastrectomy, and before discharge from the department, they received one-time written recommendations in the form of a guidebook.
We confirmed that the three education sessions we conducted with the study group after LSG had a significant impact on weight loss. The control group, which received only written information, achieved weight loss and abided by the written recommendations, although to a lesser extent than the study group. The differences were evident particularly in motivation to adhere to recommendations and check-ups, which was significantly lower (p < 0.001) after a year of observation in the control group.
This study results should encourage the establishment of education as a permanent element of the LSG procedure.
由于肥胖人群数量不断增加，减肥手术的受欢迎程度一直在系统性上升。目前尚未探讨对患者进行个体化教育是否有助于减肥治疗后长期成功减重。
实施并比较不同教育方法与以指南手册形式提供一次性书面信息相比，对腹腔镜袖状胃切除术（LSG）减肥治疗后患者遵守生活方式建议的参与度的影响。
该研究纳入了160例病态肥胖患者。教育课程研究参与者为100例接受袖状胃切除术后的患者，计划为他们安排三次教育课程，这些患者被纳入研究。对照组由60例接受袖状胃切除术的患者组成，在科室出院前，他们收到了以指南手册形式提供的一次性书面建议。
我们证实，我们在LSG术后对研究组进行的三次教育课程对体重减轻有显著影响。仅接受书面信息的对照组实现了体重减轻并遵守了书面建议，尽管程度低于研究组。差异尤其在遵守建议和检查的积极性方面明显，在对照组观察一年后，这一积极性显著较低（p < 0.001）。
本研究结果应促使将教育确立为LSG手术的一个永久性要素。
