不同减肥教育方式对腹腔镜袖状胃切除减肥术后患者的影响

Comparison of effects of different weight loss education modes in postoperative patients with laparoscopic sleeve gastrectomy

目的比较分析个体化与集体化减肥教育对行腹腔镜袖状胃切除术减肥患者术后体质量指数(BMI)、血脂及遵医行为的影响。方法选取2013年4月至2015年9月在重庆医科大学附属第一医院行腹腔镜袖状胃切除术减肥的患者54例。按手术先后次序,将其随机分为个体化教育组(28例)和集体化教育组(26例),观察教育前、教育后6个月两组患者体质量指标、血脂及遵医行为的变化并分析原因。结果两组患者教育后6个月BMI、腰围(WC)、血脂明显低于教育前,而教育后6个月个体化教育组以上3项指标较集体化教育组降低更明显,差异均有统计学意义(P<0.05)。在患者遵医行为方面,教育后6个月,两组患者较教育前遵医行为效果更好,个体化教育组患者教育后6个月遵医行为优于集体化教育组,差异均有统计学意义(P<0.05)。结论对行腹腔镜袖状胃切除减肥术患者术后实施个体化教育能有效地控制患者体质量及血脂水平,提高遵医行为,较传统的集体化教育模式更具有优越性。

Objective To study the effect of individualized and collectivization weight loss education on postoperative body mass index（BMI）,blood lipid and compliance behavior in the patients undergoing laparoscopic sleeve gastrectomy. Methods Fifty-four cases of laparoscopic sleeve gastrectomy for conducting weight loss in the First Affiliated Hospital of Chongqing Medical University from April 2013 to September 2015 were chosen and divided into the individualized education group（28 cases）and collectivization education group（26 cases） according to the operation order. BMI,blood lipid and compliance behavior before education and at 6 months after education were observed in the two groups and the causes were analyzed. Results BMI,waist circumference（WC） and blood lipid levels in the two groups were significantly lower than those before education,but the decrease of these 3 indexes in the individualize group were more significantly than that in the collectivization education group with statisti cal difference（P〈0.05）. In the aspect of compliance behavior,the compliance behavior effect after education in the two groups was better than that before education, but the compliance behavior after 6-month education in the individualized education group was superior to the collectivization education group,the difference was statistically significant（P〈0.05）. Conclusion Implementing the individualized education in the postoperative patients after laparoscopic sleeve gastrectomy can effectively control the body weight level and blood lipid level,increases the compliance behavior and has more superiority than the traditional collectivization education model.