California Institute of Behavioral Neurosciences and Psychology, California-USA.
J Ayub Med Coll Abbottabad. 2024 Apr-Jun;36(2):417-426. doi: 10.55519/JAMC-02-12599.
With the global rise in obesity rates, bariatric surgery has emerged as an effective intervention for weight management and obesity-related comorbidities. Bariatric surgery offers transformative potential but demands lifelong adherence to multifaceted care, including nutritional supplementation and vigilant follow-up. Nutritional deficiencies affect 30% to 70% of patients, encompassing vital elements like vitamins (B12, D, folate), minerals (iron, zinc, calcium), and proteins, necessitating continuous monitoring to prevent complications. This comprehensive review explores the multifaceted challenges in post-bariatric surgery patient care, focusing on adherence to nutritional supplementation, follow-up care, and the prevalence of nutritional deficiencies.
A systematic synthesis of relevant literature was conducted, encompassing studies examining post-operative care practices, adherence to prescribed multivitamin supplements (MVS), rates of follow-up, and nutritional deficiencies in bariatric surgery patients. Nine key studies were analyzed and synthesized to extract critical insights.
Findings revealed a complex landscape of post-bariatric surgery care, marked by both promise and pitfalls. Adherence to MVS regimens emerged as a significant challenge, influenced by factors such as forgetfulness, gastrointestinal side effects, cost concerns, and poor follow-up rate. Lost-to-follow-up rates varied across studies, raising concerns about the continuity of care. Nutritional deficiencies were prevalent, underscoring the importance of long-term monitoring. It highlights the need for tailored patient education, improved doctor-patient communication, and shared decision-making processes to enhance adherence and follow-up care.
This review underscores the intricate nature of post-bariatric surgery patient care, emphasizing the critical role of adherence, follow-up, and nutritional monitoring. Disparities in care among different regions of the world with varying healthcare systems are acknowledged as a significant challenge; addressing these challenges necessitates a collaborative effort among healthcare providers, patients, and policymakers to optimize the long-term well-being of individuals who undergo bariatric surgery.
随着全球肥胖率的上升，减重手术已成为管理体重和肥胖相关合并症的有效干预手段。减重手术具有变革性的潜力，但需要终身坚持多方面的护理，包括营养补充和密切随访。营养缺乏影响 30%至 70%的患者，包括重要的营养元素，如维生素（B12、D、叶酸）、矿物质（铁、锌、钙）和蛋白质，需要持续监测以预防并发症。本综述全面探讨了减重手术后患者护理中面临的多方面挑战，重点关注营养补充、随访护理以及营养缺乏的流行情况。
对相关文献进行了系统综述，包括检查术后护理实践、遵医嘱服用多种维生素补充剂（MVS）、随访率以及减重手术患者营养缺乏情况的研究。分析并综合了九项关键研究以提取关键信息。
研究结果揭示了减重手术后护理的复杂情况，既有希望也有挑战。MVS 方案的依从性是一个重大挑战，受到遗忘、胃肠道副作用、费用问题和随访率低等因素的影响。不同研究的失访率存在差异，这引发了对护理连续性的关注。营养缺乏很普遍，突出了长期监测的重要性。它强调了需要为患者提供量身定制的教育、改善医患沟通以及共享决策过程，以提高依从性和随访护理。
本综述强调了减重手术后患者护理的复杂性，突出了依从性、随访和营养监测的关键作用。认识到不同地区的医疗保健系统存在差异，这是一个重大挑战；解决这些挑战需要医疗保健提供者、患者和政策制定者之间的协作努力，以优化接受减重手术的个体的长期健康状况。
