Susehri School of Health Nursing Department, Sivas Cumhuriyet University, Sivas, Turkey.
Faculty of Health Sciences Fundamentals of Nursing Department, Sivas Cumhuriyet University, Sivas, Turkey.
Obes Surg. 2023 Oct;33(10):3212-3222. doi: 10.1007/s11695-023-06795-w. Epub 2023 Aug 24.
This study was conducted in order to determine the effects of web-based interactive nursing support program prepared in line with Health Promotion Model (HPM) on healthy lifestyle behaviors and self-efficacy of patients who regained weight following metabolic and bariatric surgery.
A total of 62 patients with a history of weight regain at least two years after metabolic and bariatric surgery were divided into intervention (n = 31) and control (n = 31) groups by stratified randomization. The intervention group was given a web-based interactive nurse support program based on HPM for 10 weeks and followed up by telephone 12 times (every two weeks) in 6 months. No attempt was made to the control group during the study. The data were collected a total of 3 times before the training, in the 12 week and in the 6 month.
In the last test after the web-based interactive nurse support program and telephone follow-up, the difference was found to be statistically significant in terms of BMI, healthy lifestyle behaviors, eating behaviors, and general self-efficacy mean scores of the patients in the intervention group (p < 0.05). In addition, after the study, it was determined that the physical activity, nutrition, spiritual development, emotional eating and the Dutch Eating Behavior scales total score averages and Self-Efficacy Scale total score averages of the intervention group changed positively compared to the control group, and this change was statistically significant (p < 0.05). There was no difference between the groups in the mean scores of health responsibility, interpersonal relationships, stress, restrictive eating, external eating and Healthy Lifestyle Behaviors-II Scale (p > 0.05).
It can be stated that the web-based interactive nurse support program based on HPM is applicable in patients who regain weight after metabolic and bariatric surgery, and it contributes positively to the healthy lifestyle behaviors, BMI, eating behaviors, and general self-efficacy of these patients. In order to ensure the continuity of post-operative patient follow-up, it is recommended to increase the importance of telephone counseling and to establish follow-up program based on the HPM.
本研究旨在确定基于健康促进模式（HPM）制定的网络互动护理支持计划对代谢和减肥手术后体重恢复的患者健康生活方式行为和自我效能的影响。
共有 62 名代谢和减肥手术后至少两年体重恢复的患者，通过分层随机分组分为干预组（n=31）和对照组（n=31）。干预组接受基于 HPM 的网络互动护士支持计划 10 周，并在 6 个月内通过电话随访 12 次（每两周一次）。研究期间对照组未进行任何尝试。数据共采集 3 次，分别在培训前、第 12 周和第 6 个月。
在基于网络的互动护士支持计划和电话随访后的最后一次测试中，干预组患者的 BMI、健康生活方式行为、饮食行为和一般自我效能平均分均有统计学意义（p<0.05）。此外，研究后发现，与对照组相比，干预组的身体活动、营养、精神发展、情绪性进食和荷兰饮食行为量表总分平均分和自我效能量表总分平均分均呈正向变化，且这种变化具有统计学意义（p<0.05）。干预组的健康责任、人际关系、压力、限制进食、外部进食和健康生活方式行为-II 量表平均分与对照组相比无差异（p>0.05）。
可以说，基于 HPM 的网络互动护士支持计划适用于代谢和减肥手术后体重恢复的患者，对这些患者的健康生活方式行为、BMI、饮食行为和一般自我效能有积极的影响。为了确保术后患者随访的连续性，建议增加电话咨询的重要性，并建立基于 HPM 的随访计划。
