Lau Teresa, Schild Sandra, Klos Bea, Schraml Jessica, Archid Rami, Stengel Andreas, Nieß Andreas, Erz Gunnar, Zipfel Stephan, Mack Isabelle
Department of Psychosomatic Medicine and Psychotherapy, University Hospital Tübingen, Tübingen, Germany,
Department of Psychosomatic Medicine and Psychotherapy, University Hospital Tübingen, Tübingen, Germany.
Obes Facts. 2024;17(6):553-569. doi: 10.1159/000539797. Epub 2024 Jul 17.
Short educational programs prior to metabolic and bariatric surgery (MBS) provide information to prepare patients adequately for surgery and subsequent changes. Our knowledge of the beneficial effects of these programs on stabilizing and improving mental health of patients with obesity awaiting surgery is incomplete. The objective of this study was to assess the effects of a group-based educational program before MBS on three key factors: (i) patients' mental health, (ii) the program's perceived helpfulness from the patients' perspective, and (iii) the effectiveness of delivering the program online via videoconferencing.
Validated questionnaires for anxiety, depression, stress, and quality of life before and after the program were assessed. Additionally, participants' perspectives of benefits were assessed. Two subgroups, one participating in face-to-face classes, the other participating online via videoconferencing, were compared.
Three hundred five patients with obesity waiting for MBS participated in the program. The dropout rate was 3%. On mean average, symptoms of anxiety (-1.1 units [SD 4.6], p < 0.001), depression (-0.9 units [SD 4.6], p < 0.001), and stress (-4.6 units [SD 15.6], p < 0.001) improved, while physical quality of life (+1.7 units [SD 9.7], p = 0.016) and body weight (-0.3 kg [SD 8.7], p = 0.57) remained stable. Patients perceived the program as very beneficial. The results were similar between delivery methods (face-to-face vs. videoconferencing).
The educational program proved to be effective in bridging the gap in preoperative preparation while also stabilizing participants' mental health. In addition, participants perceived the program as supportive. Online participation via video conferencing can be offered as an equivalent option to face-to-face classes.
代谢和减重手术（MBS）前的短期教育项目可为患者提供信息，使其为手术及后续变化做好充分准备。我们对这些项目对等待手术的肥胖患者心理健康的稳定和改善作用的了解并不完整。本研究的目的是评估MBS前基于小组的教育项目对三个关键因素的影响：（i）患者的心理健康；（ii）从患者角度看该项目的感知帮助程度；（iii）通过视频会议在线提供该项目的有效性。
评估项目前后焦虑、抑郁、压力和生活质量的有效问卷。此外，评估参与者对益处的看法。比较两个亚组，一个参加面对面课程，另一个通过视频会议在线参加。
305名等待MBS的肥胖患者参加了该项目。辍学率为3%。平均而言，焦虑症状（-1.1个单位[标准差4.6]，p<0.001）、抑郁症状（-0.9个单位[标准差4.6]，p<0.001）和压力症状（-4.6个单位[标准差15.6]，p<0.001）有所改善，而身体生活质量（+1.7个单位[标准差9.7]，p = 0.016）和体重（-0.3千克[标准差8.7]，p = 0.57）保持稳定。患者认为该项目非常有益。两种授课方式（面对面与视频会议）的结果相似。
该教育项目被证明在弥合术前准备差距的同时，还能稳定参与者的心理健康。此外，参与者认为该项目具有支持性。通过视频会议进行在线参与可作为面对面课程的等效选择。
