Bariatrik Cerrahide Uygulanan Kapsamlı Eğitim ve Danışmanlık Hizmeti: Yeme Özellikleri ve Fiziksel Aktivite Düzeyine Etkisi

Year 2020, Volume: 10 Issue: 3, 310 - 318, 21.09.2020

Esra Usta , Dilek Aygin

https://doi.org/10.33631/duzcesbed.621996

Abstract

Amaç: Günümüzde obezitenin tedavisinde cerrahi yöntemler giderek yaygınlaşmakta, cerrahi sonrası bireyin yeni yaşam tarzına uyum sağlayabilmesi için desteklenmesi önem kazanmaktadır. Bu çalışmanın amacı, kapsamlı eğitim danışmanlık hizmeti ve standart bakım alan Sleeve Gastrektomi uygulanan iki hasta grubunun yeme özellikleri, fiziksel aktivite düzeyleri yönünden prospektif olarak değerlendirilmesidir.
Gereç ve Yöntemler: Randomize kontrollü ön test-son test, tekrarlayan ölçümlü, deneysel model kullanılan çalışma, Mart 2017 - Mayıs 2018 tarihleri arasında yapıldı. Laparoskopik Sleeve Gastrektomi yapılan 26 hasta (kontrol grubu) standart bakım, 25 hasta (girişim grubu) ameliyat öncesinde başlayıp ameliyat sonrası altı ay süren kapsamlı eğitim ve danışmanlık hizmeti aldı. Yeme özellikleri Yeme Bozukluğunu Değerlendirme Ölçeği, fiziksel aktivite düzeyi Uluslararası Fiziksel Aktivite Anketi Kısa Formu ile değerlendirildi.
Bulgular: Yaş ortancası 37 [17] olan hastaların %78,4’ü kadın ve %68,6’sı evlidir. Girişim grubunun Yeme Bozukluğu Değerlendirme Ölçeği toplam, yeme endişeleri, beden endişeleri ve kilo endişeleri alt boyut puan ortancalarındaki değişim yüzdesinin kontrol grubuna göre anlamlı düzeyde yüksek olduğu belirlendi (p<0,05). Ameliyat sonrası 6. ay izleminde girişim grubunun kontrol grubuna göre daha aktif bir yaşam sürdüğü, orta şiddetli ve yürüme alanlarında görülen değişimin kontrol grubuna göre anlamlı olduğu görüldü (p<0,05). Girişim grubunun ameliyat öncesi 42,34 [6,1] olan beden kitle indeksi ameliyattan altı ay sonra 30,59 [5,66]’a, kontrol grubunun ise 44,75 [9,66]’ten 33,66 [8,08]’ya düştü (p<0,05).
Sonuç: Çalışma sonuçları bariatrik cerrahi hastalarına uygulanan kapsamlı eğitim ve danışmanlık programının yeme özellikleri ve fiziksel aktivite düzeyini olumlu yönde desteklediğini gösterdi.

Keywords

danışmanlık, Şişmanlık cerrahisi, hastaların eğitimi, yeme alışkanlığı, fiziksel zindelik

Supporting Institution

Sakarya Üniversitesi Bilimsel Araştırma Projeleri Koordinatörlüğü

Project Number

2016-40-02-009

Thanks

Bu .çalışmaya maddi destek veren Sakarya Üniversitesi Bilimsel Araştırma Projeleri Koordinatörlüğü'ne teşekkür ederim.

Extensive Training and Counseling Service Applied in Bariatric Surgery: Effects on Eating Characteristics and Physical Activity Levels

Abstract

Aim: Today, surgical methods are gradually becoming widespread in the treatment of obesity and it is becoming important that individuals be adapted to their new life style and be supported following surgery. The study aims to prospectively assess two patient groups receiving standard care and extensive training and counseling, in which Sleeve Gastrectomy was implemented, in terms of eating characteristics, physical activity levels.
Material and Methods: This pretest-posttest, repeated measures, randomized control prospective study was carried out between March 2017 and May 2018 using an experimental design. Of the participants who underwent laparoscopic Sleeve Gastrectomy, 26 patients (control) received standard care, while 25 patients (intervention) received extensive training and counseling service starting before the operation and lasting for 6 months following it. Eating characteristics were evaluated using the Eating Disorder Examination Questionnaire, and physical activity levels were evaluated using the International Physical Activity Questionnaire Short Form.
Results: The median age of the patients was 37 [17], and 78.4% of them were females and 68.6% were married. It was determined that the percentage of change in the median of the Eating Disorder Examination Questionnaire total, eating concern, shape concern and weight concern subscale score of the intervention group was significantly higher than the control group (p<0.05). At the postoperative 6th month follow-up, it was observed that the intervention group had a more active life compared to the control group, and the changes seen in walking and moderate intensity activities were significant compared to the control group (p<0.05). The body mass index of the intervention group, which was 42.34 [6.1] before the operation, dropped to 30.59 [5.66] and the body mass index of the control group dropped from 44.75 [9.66] to 33.66 [8.08] in 6 months (p<0.05).
Conclusion: The results of the study supported that the extensive training and counseling program given to bariatric surgery patients was a positively effective program in terms of eating characteristics and physical activity levels.

Keywords

bariatric surgery, counseling, education of patients, eating behavior, physical fitness

Project Number

2016-40-02-009

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