Univ. Lille, ULR 4072 - PSITEC - Psychologie : Interactions, Temps, Emotions, Cognition, F-59000, Lille, France.
Nutrition Department, Arras General Hospital, 3 Boulevard Georges Besnier, CS90006, 62022, Arras Cedex, France.
Obes Surg. 2021 Feb;31(2):763-772. doi: 10.1007/s11695-020-05069-z. Epub 2020 Nov 12.
Bariatric surgery (BS) is the most effective technique used to help patients with obesity achieve long-term weight loss. Although many patients report high levels of postoperative satisfaction after BS, some remain unsatisfied with their outcome. Studies of factors that predict postoperative satisfaction have yielded varying results. Weight loss has been identified as a predictor of satisfaction after BS, but debate remains concerning the impact of preoperative expectations and psychological variables. Furthermore, the relevance of attribution and perception of equity to postoperative satisfaction has not been evaluated in patients undergoing BS.
We assessed preoperative expectations and the levels of body dissatisfaction, anxiety, and depression in 80 patients undergoing BS. Satisfaction, attribution, feeling of equity, and psychological variables were evaluated 6 months, 1 year, and 2 years after BS.
Weight loss and equity were the two predictors of satisfaction 6 months after BS. Body dissatisfaction was the main factor predicting satisfaction 1 year after BS, with equity and anxiety having smaller influences. Weight loss and equity were the factors predicting satisfaction 2 years after BS.
Our findings support previous results concerning the influence of weight loss on satisfaction after BS. The identification of equity as a factor associated with postoperative satisfaction raises questions regarding the impact of the comparisons made by the patient with others and the consequences of the messages they receive about BS. Moreover, our results underscore the importance of considering the patient's personal experience after BS and not just their weight loss.
减重手术(BS)是帮助肥胖患者实现长期减肥的最有效技术。尽管许多患者报告 BS 后的术后满意度很高,但仍有一些患者对其结果不满意。预测术后满意度的因素研究得出了不同的结果。体重减轻已被确定为 BS 后满意度的预测因素,但关于术前期望和心理变量的影响仍存在争议。此外,归因和公平感对 BS 患者术后满意度的相关性尚未得到评估。
我们评估了 80 名接受 BS 的患者的术前期望和身体不满、焦虑和抑郁水平。在 BS 后 6 个月、1 年和 2 年评估满意度、归因、公平感和心理变量。
BS 后 6 个月,体重减轻和公平是满意度的两个预测因素。BS 后 1 年,身体不满是预测满意度的主要因素,公平和焦虑的影响较小。BS 后 2 年,体重减轻和公平是预测满意度的因素。
我们的研究结果支持了先前关于体重减轻对 BS 后满意度影响的研究结果。将公平确定为与术后满意度相关的因素提出了关于患者与他人进行比较的影响以及他们收到有关 BS 的信息的后果的问题。此外,我们的研究结果强调了在考虑患者 BS 后的个人体验而不仅仅是体重减轻的重要性。