The impact of preoperative counseling on postoperative treatment adherence in bariatric surgery patients: A randomized controlled trial
The impact of preoperative counseling on postoperative treatment adherence in bariatric surgery patients: A randomized controlled trial
复制标题
DOI：
10.1016/j.pec.2011.09.014
复制
发表时间：
2012-06-01
影响因子：
3.5
通讯作者：
Tangen, Tone
中科院分区：
文献类型：
--
作者：
Lier, Haldis O.;Biringer, Eva;Tangen, Tone
目的：评估参加术前咨询计划是否能改善减肥手术患者的体重减轻或遵守治疗指南。方法：141名患者纳入研究。69%的人选择参加咨询小组。他们被随机分为治疗组和对照组。31%的人选择不参加咨询。结果：减肥手术一年后，88%的患者体重下降了50%，37%的患者每天体力活动时间超过30min，74%的患者每天进食5~7餐，87%的患者服用推荐维生素。术后一年，治疗组、对照组和对照组在减肥、饮食习惯、体育锻炼等方面均无差异。结论：术前团体咨询并没有提高治疗对推荐生活方式改变的依从性。实践启示：根据本研究的发现，为所有接受减肥手术的患者提供一个术前咨询方案是不合理的。进一步的研究应侧重于制定和评估术后随访计划，并确定需要更全面治疗计划的患者。(C)2011爱思唯尔爱尔兰有限公司。保留所有权利。
Objective: To assess if attendance to a preoperative counseling program improved weight loss or adherence to treatment guidelines in patients who underwent bariatric surgery.Methods: One-hundred-forty-one patients were included in the study. Sixty-nine percent chose to participate in the counseling groups. They were randomized to a Treatment group and a Control group. Thirty-one percent chose not to participate in the counseling. However, they gave their consent to assessment before and after surgery (Reference group).Results: One year after bariatric surgery, 88% had a weight loss of >= 50% EWL, 37% reported more than 30 min of physical activity daily, 74% had 5-7 meals daily, and 87% took recommended vitamins. There were no differences in weight loss, eating habits, or physical exercise between the Treatment group, the Control group and the Reference group one year after surgery.Conclusion: Preoperative group counseling did not increase treatment adherence to recommended life-style changes.Practice implications: In accordance with findings in the present study, it is not reasonable to offer a preoperative counseling program for all patients undergoing bariatric surgery. Further research should focus on developing and evaluating programs for postsurgical follow-up, and identifying patients that are in need for more comprehensive treatment programs. (C) 2011 Elsevier Ireland Ltd. All rights reserved.