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减重手术对患者心理和社会结局的作用:一项系统综述。

Role of bariatric surgery on psychological and social outcomes of patients: A systematic review.

作者信息

Al-Kadi Azzam, Al-Sulaim Lamees

机构信息

Departments Of Surgery, Unaizah College of Medicine and Medical Sciences, Qassim University, Unaizah, Kingdom of Saudi Arabia, Department Of Surgery3, Dr. Sulaiman Al-Habib Medical Group, Riyadh, Kingdom of Saudi Arabia.

Departments Of Surgery, Unaizah College of Medicine and Medical Sciences, Qassim University, Unaizah, Kingdom of Saudi Arabia.

出版信息

Pol Przegl Chir. 2022 Nov 28;95(4):1-5. doi: 10.5604/01.3001.0016.1104.

Abstract

We aim to systematically review the psychological and social outcomes of patients post-bariatric surgery. The comprehensive search using keywords yielded 1224 records utilizing search engines PubMed and Scopus. After a careful analysis, 90 articles were found to be eligible for complete screening that collectively reported the use of 11 different BS procedures reported among 22 countries. This review is unique in that we collectively presented the result of various psychological and social outcome parameters (depression and anxiety, self-confidence, self-esteem, marital relationship, and personality traits) after BS. Regardless of the BS procedures performed, most studies over months to years presented a positive outcome of the parameters considered, while few presented contrasting unsatisfactory results. Thus, the surgery was not a cessation factor for these results to be permanent and thus suggested psychological interventions and long-term monitoring for assessing the psychological effects after BS. Additionally, the patient's endurance to check weight and eating habits after surgery is ultimately necessary.

摘要

我们旨在系统地综述减肥手术后患者的心理和社会结局。使用关键词进行全面检索,通过搜索引擎PubMed和Scopus共获得1224条记录。经过仔细分析,发现90篇文章符合全面筛选的条件,这些文章共同报道了22个国家中使用的11种不同减肥手术程序。本综述的独特之处在于,我们汇总呈现了减肥手术后各种心理和社会结局参数(抑郁和焦虑、自信心、自尊、婚姻关系和人格特质)的结果。无论实施何种减肥手术程序,大多数长达数月至数年的研究显示,所考虑的参数呈现出积极结果,而少数研究呈现出相反的不理想结果。因此,手术并非这些结果持久不变的终止因素,故而建议进行心理干预和长期监测,以评估减肥手术后的心理影响。此外,患者术后坚持监测体重和饮食习惯最终是必要的。

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