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减肥手术后的饮食态度、身体意象感知和患者生活质量。

Eating attitudes, perceptions of body image and patient quality of life before and after bariatric surgery.

机构信息

Department of Surgery, Ankara Provincial Health, Ankara, Turkey.

Department of Nursing, Health Sciences Faculty Bartın University, Bartın, Turkey.

出版信息

Appl Nurs Res. 2020 Jun;53:151270. doi: 10.1016/j.apnr.2020.151270. Epub 2020 Apr 18.

DOI:10.1016/j.apnr.2020.151270
PMID:32451007
Abstract

AIM

This study examined eating attitudes, perceptions of body image and quality of life of patients before and after bariatric surgery.

METHODS

This prospective, descriptive study was conducted with fifty patients between April 23, 2018 and November 05, 2018. The data were collected by a survey form, the Three-Factor Eating Questionnaire, the Body Image Perception Questionnaire and SF-36 Quality of Life Questionnaire. The data collection instruments were applied before the surgery and at 1, 3 and 6 months following the surgery.

RESULTS

The mean age of the patients was 36.34 ± 10.89 years, 78% were females, 44% were university graduates, 80% were married, 78% had a child, 70% were employed, 80% were morbidly obese before the surgery, and 36% were morbidly obese at the first month following the surgery. It was also determined that there was no morbid obesity among the patients, and 84% of the patients were obese at the third month following the surgery. At the sixth postoperative month, 24% of the patients were found to be obese, and 8% had normal weight. It was determined that the patients' eating attitudes and behaviours changed significantly after the surgery in comparison to their pre-surgery values (p = 0.001). The body image perceptions and quality of life of the patients during the postoperative period were found to be significantly higher in comparison to their preoperative values (p = 0.001).

CONCLUSION

This study showed that multidimensional evaluation of patients and implementation of nursing interventions contributed positively to individuals undergoing bariatric surgery based on healthy lifestyle behaviours.

摘要

目的

本研究旨在探讨减重手术后患者的饮食态度、体像感知和生活质量。

方法

这是一项前瞻性描述性研究,纳入了 2018 年 4 月 23 日至 2018 年 11 月 5 日期间的 50 名患者。通过问卷调查、三因素饮食问卷、体像感知问卷和 SF-36 生活质量问卷收集数据。数据收集工具在手术前以及手术后 1、3 和 6 个月时使用。

结果

患者的平均年龄为 36.34±10.89 岁,78%为女性,44%为大学毕业,80%已婚,78%有孩子,70%有工作,80%在手术前为病态肥胖,36%在手术后第一个月为病态肥胖。此外,手术后患者中没有病态肥胖,84%的患者在手术后第三个月为肥胖,第六个月时,24%的患者为肥胖,8%的患者体重正常。与术前相比,术后患者的饮食态度和行为发生了显著变化(p=0.001)。与术前相比,患者术后的体像感知和生活质量显著提高(p=0.001)。

结论

本研究表明,对患者进行多维评估并实施护理干预有助于促进接受减重手术的个体养成健康的生活方式行为。

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