Department of Human Sciences, Human Development and Family Science Program, College of Education and Human Ecology, The Ohio State University, 130-B Campbell Hall, 1787 Neil Avenue, Columbus, OH, USA.
Department of Surgery, The Ohio State Wexner Medical Center, Columbus, OH, 43210, USA.
Obes Surg. 2021 Aug;31(8):3598-3605. doi: 10.1007/s11695-021-05448-0. Epub 2021 May 1.
Prior cross-sectional research details the high rate of impaired family functioning, a measure of the overall family environment, among adult bariatric surgery patients; however, family functioning has not been explored in relation to adult patient's postoperative outcomes. The objective of this study was to determine how family functioning affects postoperative patient outcomes including readmission rates, early complications, and 6- and 12-month percent total weight loss (%TWL).
An observational design at a single-academic medical center was employed. The sample comprised 98 patients, living with ≥1 family member, who enrolled in one of two concurrent studies at the Center. Patients were followed from their surgical intake through 12 months postsurgery; family functioning was assessed within 2 months of their date of surgery. Chi-square and independent t tests determined significant associations between family functioning with readmission and complication rates. Average family functioning was an independent variable in multivariate linear regression models to determine significant correlates of %TWL at 6 and 12 months postsurgery. Patient age, race, and insurance status were included as covariates.
Patients with higher impaired family functioning had significantly less %TWL at 6 (p=.004) and 12 months (p=.030). Black patients also had significantly lower %TWL at 6 (p=.003) and 12 months (p=.009).
Family functioning and patient race were both correlates of weight loss at 6 months and 12 months. Future research should explore additional family factors as correlates of patient outcomes following bariatric surgery.
先前的横断面研究详细描述了成人减肥手术患者中家庭功能受损的高比率，家庭功能是整体家庭环境的一个衡量标准；然而，尚未探讨家庭功能与成年患者术后结果的关系。本研究的目的是确定家庭功能如何影响术后患者的结果，包括再入院率、早期并发症以及 6 个月和 12 个月的总体重减轻百分比（%TWL）。
采用单家医疗机构的观察性设计。样本包括 98 名患者，他们与≥1 名家庭成员一起居住，并参加了中心的两项同时进行的研究之一。患者从手术摄入开始随访至术后 12 个月；在手术日期后 2 个月内评估家庭功能。卡方检验和独立 t 检验确定了家庭功能与再入院率和并发症率之间的显著关联。平均家庭功能是多元线性回归模型中的自变量，用于确定术后 6 个月和 12 个月%TWL 的显著相关因素。患者年龄、种族和保险状况被作为协变量纳入。
家庭功能受损较高的患者在术后 6 个月（p=.004）和 12 个月（p=.030）的%TWL 显著较低。黑人患者在术后 6 个月（p=.003）和 12 个月（p=.009）的%TWL 也显著较低。
家庭功能和患者种族都是 6 个月和 12 个月时体重减轻的相关因素。未来的研究应该探讨家庭因素作为减肥手术后患者结果的相关因素。
