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减肥手术对肥胖患者生活质量的影响。

The Impact of Bariatric Surgery on Quality of Life in Patients with Obesity.

作者信息

Soroceanu Radu Petru, Timofte Daniel Vasile, Danila Radu, Timofeiov Sergiu, Livadariu Roxana, Miler Ancuta Andreea, Ciuntu Bogdan Mihnea, Drugus Daniela, Checherita Laura Elisabeta, Drochioi Ilie Cristian, Ciofu Mihai Liviu, Azoicai Doina

机构信息

Department of Surgery, "Grigore T. Popa" University of Medicine and Pharmacy, 700115 Iasi, Romania.

Department of Surgery, "St. Spiridon" County Clinical Emergency Hospital, 700111 Iasi, Romania.

出版信息

J Clin Med. 2023 Jun 23;12(13):4225. doi: 10.3390/jcm12134225.

Abstract

UNLABELLED

Obesity has become a widespread health problem influencing people's health, general well-being, and healthcare costs. It also represents an important risk factor for multiple comorbidities and malignancies.

OBJECTIVES

the primary objective of this study was to provide notable insights to healthcare professionals regarding the management of patients with obesity, to highlight the effectiveness of bariatric surgical methods in losing excess weight, and to establish the relationship between weight loss and changes in quality of life (QoL).

MATERIAL AND METHODS

our study evaluated the QoL of 76 patients following bariatric surgery at different postoperative stages using the 36-Item Short Form Survey (SF-36) and The World Health Organization Quality of Life-BREF (WHOQOL-BREF) questionnaires.

RESULTS

regarding the type of bariatric procedure performed, out of the 76 respondents, 39.47% underwent gastric bypass surgery (RYGB), 56.57% underwent sleeve gastrectomy (LSG), and only 3.94% underwent single anastomosis duodeno-ileal switch (SADI-S). Pertaining to the SF-36 questionnaire, the lowest average scores were found in the energy/fatigue subscales and in the limitations due to mental health, which remained consistent across surgery types with a significant decrease in the SADI-S group. Concerning the WHOQOL-BREF questionnaire, the lowest mean scores were found in the environment (15.03 ± 2.37) and social relations (16.08 ± 2.22) subscales, whilst the highest average scores were in physical health (16.30 ± 2.03) and mental health (16.57 ± 2.16).

CONCLUSIONS

the findings revealed that whilst bariatric surgery significantly improved physical health, it resulted in a decrease in mental health scores. Consequently, the study emphasizes the importance of adopting a holistic approach to managing obesity that considers improving both physical and mental health outcomes.

摘要

未标注

肥胖已成为一个广泛存在的健康问题,影响着人们的健康、总体幸福感和医疗成本。它也是多种合并症和恶性肿瘤的重要危险因素。

目的

本研究的主要目的是为医疗保健专业人员提供有关肥胖患者管理的重要见解,突出减肥手术方法在减轻超重方面的有效性,并确定体重减轻与生活质量(QoL)变化之间的关系。

材料与方法

我们的研究使用36项简短调查问卷(SF-36)和世界卫生组织生活质量简表(WHOQOL-BREF)问卷,评估了76例患者在减肥手术后不同阶段的生活质量。

结果

关于所进行的减肥手术类型,在76名受访者中,39.47%接受了胃旁路手术(RYGB),56.57%接受了袖状胃切除术(LSG),只有3.94%接受了单吻合十二指肠回肠转位术(SADI-S)。就SF-36问卷而言,能量/疲劳分量表和心理健康导致的限制方面的平均得分最低,在不同手术类型中保持一致,SADI-S组显著下降。关于WHOQOL-BREF问卷,环境(15.03±2.37)和社会关系(16.08±2.22)分量表的平均得分最低,而身体健康(16.30±2.03)和心理健康(16.57±2.16)的平均得分最高。

结论

研究结果表明,虽然减肥手术显著改善了身体健康,但导致心理健康得分下降。因此,该研究强调了采取整体方法管理肥胖的重要性,这种方法应考虑改善身体和心理健康结果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ec13/10342241/4c058492181e/jcm-12-04225-g001.jpg

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