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减肥手术后患者关系满意度的变化:肥胖症患者及其在减重手术前和手术后 1 年的关系满意度研究结果。

Changes in Patients' Relationship Satisfaction After Weight Loss Surgery: Results of a Study of Persons with Morbid Obesity and Their Relationship Satisfaction Before and 1 Year After Bariatric Surgery.

机构信息

Department of General, Visceral, and Bariatric Surgery, Herzogin Elisabeth Hospital, Leipziger Str. 24, 38124, Braunschweig, Germany.

Department of Psychology, University of Hildesheim, Hildesheim, Germany.

出版信息

Obes Surg. 2021 Apr;31(4):1431-1437. doi: 10.1007/s11695-020-05147-2. Epub 2021 Jan 5.

Abstract

OBJECTIVE

Bariatric surgery is a life-changing treatment, but knowledge of its influence on changes in relationship satisfaction (RS) is still limited. The present study examines whether a patient's RS changes after having bariatric surgery, in response to the surgery-induced weight loss. The predictive value of further variables such as age and sex are also investigated.

METHODS

A total of 145 participants scheduled for bariatric surgery were recruited between September 2015 and June 2018. RS was assessed with a reliable and valid short form of a standardized self-report measure, which was completed before, 6 months and 12 months after surgery.

RESULTS

Loss of excess weight at 6 and 12 months post-surgery was 49% and 66.3%, respectively. The repeated measures ANOVA for the factor "PFB-K" revealed a statistically significant effect, with F (2, 288) = 7.40, p = .001, and η2 = .05, and for the factor "BMI" with F (2, 288) = 505.99, p < .001, and η2 = .78. The highest mean RS score was observed 6 months post-surgery. Sex showed a statistical trend of influence on RS: F (1, 143) = 3.24, p = .074, and η2 = .022. At all three measurement points, men showed higher mean RS scores than women.

CONCLUSION

Bariatric surgery leads to significant weight loss and indicates an increase in RS. While a correlation with the amount of weight lost remains unclear, a trend was seen towards higher RS in subjects with higher weight loss. Men in particular reported higher RS.

摘要

目的

减重手术是一种改变生活的治疗方法,但人们对其对关系满意度(RS)变化的影响知之甚少。本研究旨在探讨患者在接受减重手术后的 RS 是否会发生变化,以响应手术引起的体重减轻。还研究了年龄和性别等其他变量的预测价值。

方法

2015 年 9 月至 2018 年 6 月期间共招募了 145 名计划接受减重手术的患者。使用可靠有效的标准化自评量表的简短形式评估 RS,在手术前、手术后 6 个月和 12 个月完成。

结果

术后 6 个月和 12 个月的多余体重减轻分别为 49%和 66.3%。重复测量方差分析(ANOVA)的因子“PFB-K”显示出具有统计学意义的效果,F(2,288)=7.40,p=0.001,η2=0.05,因子“BMI”的 F(2,288)=505.99,p<0.001,η2=0.78。RS 的最高平均评分出现在术后 6 个月。性别对 RS 有统计学趋势的影响:F(1,143)=3.24,p=0.074,η2=0.022。在所有三个测量点,男性的 RS 评分均高于女性。

结论

减重手术可显著减轻体重,并表明 RS 增加。虽然与体重减轻量之间的相关性尚不清楚,但有一个趋势表明,体重减轻量较高的患者 RS 更高。尤其是男性报告的 RS 更高。

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