Hildebrandt S E
Pacific Bariatric Surgical Medical Group, Inc., San Diego, California, USA.
Obes Surg. 1998 Oct;8(5):535-42. doi: 10.1381/096089298765554115.
Support group is a service provided by Pacific Bariatric Surgical Medical Group to its gastric bypass patients before and after surgery. It has already been well established that group therapy helps breast cancer patients survive longer.
102 patients answered self-report questionnaires that were mailed out in the spring 1998 newsletter. The questionnaire was designed to investigate weight loss, mood, postsurgical problems, and the reasons patients chose not to attend the support group meetings.
The mean preoperative weight was 303.65 lb (137.73 kg), with a mean weight loss of 95.79 lb (43.45 kg). The mean desired goal weight was 152.47 lb (69.16 kg), and there was a 63.3% loss of excess weight. The mean elapsed time since surgery was 15.2 months. After surgery, 25.5% of patients reported seeing a mental health professional. There was no difference in mood between group meeting attenders and nonattenders. There was a statistical trend for more weight loss (P = .08) in group attenders than in nonattenders. For group attenders, the more often patients attended group meetings, the more weight they lost (P < .05). Patients with reported emotional, psychosocial, dietary, and lifestyle problems were no more likely to attend group than nonattenders.
The mean weight loss was as good as or better than reported in the literature. Patients who attended group meetings regularly tended to lose more weight, and increased frequency of attendance was associated with greater weight loss. The implications are discussed.
支持小组是太平洋减肥外科医疗集团为接受胃旁路手术的患者在术前及术后提供的一项服务。已有充分证据表明，团体治疗有助于乳腺癌患者延长生存期。
102名患者回答了1998年春季通讯中邮寄出的自我报告问卷。该问卷旨在调查体重减轻情况、情绪、术后问题以及患者选择不参加支持小组会议的原因。
术前平均体重为303.65磅（137.73千克），平均体重减轻了95.79磅（43.45千克）。平均期望目标体重为152.47磅（69.16千克），超重部分减轻了63.3%。自手术以来的平均时间为15.2个月。术后，25.5%的患者报告曾咨询过心理健康专家。参加小组会议者与未参加者在情绪方面没有差异。参加小组会议者的体重减轻幅度在统计学上有比未参加者更大的趋势（P = 0.08）。对于参加小组会议者而言，患者参加会议越频繁，体重减轻得越多（P < 0.05）。报告有情绪、心理社会、饮食和生活方式问题的患者参加小组会议的可能性并不比未参加者更高。
平均体重减轻情况与文献报道的一样好或更好。定期参加小组会议的患者往往体重减轻得更多，出席频率增加与体重减轻幅度增大相关。文中对其意义进行了讨论。
