Mayers I, Charland-Verville V, De Roover A, Haumann A, Kohnen L, De Flines J, Adam E
Service de Psychologie clinique et d'Action sociale,Service de Chirurgie abdominale, sénologique, endocrine et de Transplantation, CHU Liège, Belgique.
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Rev Med Liege. 2020 Nov;75(11):738-741.
Obesity is a chronic disease that has become a major public health problem with a prevalence that has doubled in the past two decades in most industrialized and developing countries. Currently, bariatric surgery represents the most effective treatment for extreme or severe overweight (BMI ? 40 kg/m² or ? 35 kg/m2 with weight-related comorbidities). Pre-operative bariatric surgery psychiatric and psychological assessment is essential for various reasons. In addition to the selection of candidates for the operation, its objectives are to prepare patients for future postoperative changes as well as to optimize their psychological and psychiatric care. This article describes a standardized tool, the BIPASS (Bariatric Interprofessional Psychosocial Assessment Suitability Scale), which allows a quality assessment in the field.
肥胖是一种慢性疾病,已成为一个主要的公共卫生问题,在大多数工业化国家和发展中国家,其患病率在过去二十年中翻了一番。目前,减肥手术是治疗极度超重(体重指数≥40kg/m²或≥35kg/m²且伴有与体重相关的合并症)最有效的方法。出于多种原因,减肥手术术前的精神和心理评估至关重要。除了筛选手术候选人外,其目的还在于让患者为术后的变化做好准备,并优化他们的心理和精神护理。本文介绍了一种标准化工具——BIPASS(减肥跨专业心理社会评估适宜性量表),该量表可用于该领域的质量评估。