Indiana University Health North Hospital, Carmel, Indiana, USA.
Department of Surgery, Division of Bariatric and Minimally Invasive Surgery, Indiana University School of Medicine, Indianapolis, Indiana, USA.
Clin Obes. 2021 Feb;11(1):e12419. doi: 10.1111/cob.12419. Epub 2020 Oct 6.
Social support is important to optimize bariatric surgery outcomes, but limited tools exist for brief and effective assessment preoperatively. The aims of the study were to determine the extent to which two ratings of social support can predict bariatric surgery outcomes, and to examine any associations between these two methods.In this retrospective study, patients were included for whom the Cleveland clinic behavioral rating system (CCBRS) and Flanagan quality of life scale (FQoLS) scores were obtained as part of their preoperative psychosocial evaluation. They were followed up for 6 to 24 months after bariatric surgery. Linear and logistic regressions were performed with patients' CCBRS and FQoLS scores as independent variables, and percent excess weight loss (%EWL), length of stay (LOS), complications, readmissions and loss to follow-up as dependent variables. The prediction of CCBRS ratings from FQoLS social support items was also evaluated. A total of 415 patients were included in the analysis. There were significant associations between the CCBRS and three of the four relevant FQoLS self-ratings. As CCBRS and FQoLS scores increased, complications decreased significantly. The CCBRS alone additionally predicted decreased length of hospital stay and approached significance for predicting decreased readmission rates. There were no associations between %EWL and behavior ratings. The degree of patients' social support is associated with important bariatric surgery outcomes. It is possible to obtain this valuable information via the administration of brief assessments prior to bariatric surgery.
社会支持对于优化减重手术效果很重要，但目前术前评估的有效工具非常有限。本研究旨在确定两种社会支持评分在多大程度上可以预测减重手术的效果，并探讨这两种方法之间的任何关联。
在这项回顾性研究中，纳入了术前心理社会评估中获得克利夫兰诊所行为评分系统（CCBRS）和 Flanagan 生活质量量表（FQoLS）评分的患者。对这些患者进行了 6 至 24 个月的随访。将患者的 CCBRS 和 FQoLS 评分作为自变量，以术后体重减轻百分比（%EWL）、住院时间（LOS）、并发症、再入院和失访率作为因变量，进行线性和逻辑回归分析。还评估了 FQoLS 社会支持项目对 CCBRS 评分的预测能力。
共纳入 415 例患者进行分析。CCBRS 与四个相关的 FQoLS 自评量表中的三个有显著相关性。随着 CCBRS 和 FQoLS 评分的增加，并发症显著减少。CCBRS 单独还预测了住院时间缩短和再入院率降低，有统计学意义。%EWL 与行为评分之间无相关性。患者的社会支持程度与重要的减重手术效果相关。通过在减重手术前进行简短的评估，可以获得这些有价值的信息。
