Kılınç Tülay, Yayla Ayşegül, Karaman Özlü Zeynep, Balaban Duygu
Faculty of Nursing, Department of Surgical Nursing, Atatürk University, Erzurum, Turkey.
Faculty of Nursing, Department of Surgical Nursing, Atatürk University, Erzurum, Turkey.
Surg Obes Relat Dis. 2025 Jan;21(1):41-51. doi: 10.1016/j.soard.2024.08.030. Epub 2024 Sep 5.
Laparoscopic sleeve gastrectomy (SG) is one of the effective methods of weight loss. It is essential to determine patients' regret and predictive factors to improve their quality of life and comfort. No study has investigated decision regret and affecting factors in patients undergoing SG in Turkey.
The study aimed to determine the relationship of decision regret with quality of life and comfort level in patients undergoing SG.
The research was carried out with patients who had undergone SG in a private hospital in the west of Turkey.
The research was conducted as a descriptive, correlational, and cross-sectional study. Data were collected between March and May 2023, and the study was completed with 286 patients. Data were collected using the Personal Information Form, Decision Regret Scale (DRS), Quality of Life Following Obesity Surgery Scale (QoL-OS), and Comfort Scale.
Patients' mean score on the DRS was 5.27 ± 13.41 (0-100), the total mean score on the QoL-OS-Biopsychosocial dimension was 79.57 ± 9.35 (18-90), the mean score on the QoL-OS-Complications dimension was 17.17 ± 4.60 (7-35), and the environmental comfort score average was 8.87 ± 2.23 (0-10). Patients' decision regret was significantly affected by the QoL-OS-Biopsychosocial Area dimension in the first place (Beta = -.516; P < .001), social comfort in the second place (Beta = -.278; P < .001), postoperative weight gain in the third place (Beta = .221; P < .001), and complication development in the fourth place (Beta = .163; P < .001).
The study revealed that patients' decision regret levels were very low up to 3 years after surgery and found that low postoperative quality of life and social comfort level, postoperative weight gain, and complications affected decision regret.
腹腔镜袖状胃切除术(SG)是有效的减肥方法之一。确定患者的后悔情绪及预测因素对于改善其生活质量和舒适度至关重要。在土耳其,尚无研究调查接受SG手术患者的决策后悔及影响因素。
本研究旨在确定接受SG手术患者的决策后悔与生活质量及舒适度之间的关系。
研究在土耳其西部一家私立医院中接受SG手术的患者中进行。
本研究为描述性、相关性横断面研究。于2023年3月至5月收集数据,共纳入286例患者完成研究。使用个人信息表、决策后悔量表(DRS)、肥胖手术后生活质量量表(QoL-OS)和舒适度量表收集数据。
患者DRS平均得分为5.27±13.41(0-100),QoL-OS生物心理社会维度总平均得分为79.57±9.35(18-90),QoL-OS并发症维度平均得分为17.17±4.60(7-35),环境舒适度平均得分为8.87±2.23(0-10)。患者的决策后悔首先受QoL-OS生物心理社会领域维度的显著影响(β=-0.516;P<.001),其次是社会舒适度(β=-0.278;P<.001),第三是术后体重增加(β=0.221;P<.001),第四是并发症发生情况(β=0.163;P<.001)。
该研究表明,术后3年内患者的决策后悔水平非常低,并发现术后生活质量和社会舒适度低、术后体重增加及并发症会影响决策后悔。