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Patients' Experiences, Post-operative Psychosocial and Behavioral Factors Related to Weight Change among Patients Who Have Undergone Sleeve Gastrectomy in China
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| 자료유형 | 학위논문 |
|---|---|
| 서명/저자사항 | Patients' Experiences, Post-operative Psychosocial and Behavioral Factors Related to Weight Change among Patients Who Have Undergone Sleeve Gastrectomy in China. |
| 개인저자 | Yu, Yang. |
| 단체저자명 | University of Pittsburgh. School of Nursing. |
| 발행사항 | [S.l.]: University of Pittsburgh., 2019. |
| 발행사항 | Ann Arbor: ProQuest Dissertations & Theses, 2019. |
| 형태사항 | 173 p. |
| 기본자료 저록 | Dissertations Abstracts International 81-04B. Dissertation Abstract International |
| ISBN | 9781687961785 |
| 학위논문주기 | Thesis (Ph.D.)--University of Pittsburgh, 2019. |
| 일반주기 |
Source: Dissertations Abstracts International, Volume: 81-04, Section: B.
Advisor: Burke, Lora E. |
| 이용제한사항 | This item must not be sold to any third party vendors. |
| 요약 | Background: Sleeve gastrectomy (SG) is the most widely used surgical treatment for morbid obesity. Post-operative weight loss is highly variable, and there has been limited research conducted to examine the various factors that contribute to weight loss outcomes following the SG procedure. Objectives: To describe the psychosocial status and to explore factors that may contribute to weight loss variability among post-SG adults in China, including patient experiences with post-surgical lifestyle change, post-operative psychosocial (disordered eating, depression, self-efficacy, and social problem solving) and behavioral factors (diet and physical activity). Methods: This study included two phases. First, semi-structured interviews were conducted with 15 post-SG adults in Shanghai Huashan Hospital, China. Interviews explored patient experiences of post-surgical lifestyle changes and their perceived barriers and facilitators to make the required changes. Second, in addition to the 15 participants, we further recruited 52 adults for cross-sectional measurements. Standardized questionnaires were used to measure disordered eating behaviors, depression, self-efficacy, social problem solving and physical activity. One day paper diary was used to assess dietary behavior. Weight was based on self-report. Results: Qualitative findings revealed that SG imposed a drastic lifestyle change on participants, they viewed the changes positively and were able to use some of the core behavior change techniques (e.g., self-monitoring) to make appropriate adjustments. Both individual- and community-level barriers existed for patients to meet the required lifestyle changes. Participants reported significant post-surgical weight loss with a mean body mass index change of 12.52짹6.12 kg/m2 in the quantitative phase. They demonstrated high level of self-efficacy (112.42짹40.60) without obvious disordered eating disorders (43.60짹25.61) and depressive symptoms (14.22짹11.00). The level of social problem solving skills (89.5짹12.87) was relatively low. Reported PA was far from recommended level, and the quality of dietary data was low. Self-efficacy and the subscale of disordered eating behaviors (body dissatisfaction) significantly correlated with weight loss outcome. Conclusion: Findings suggest that participants had good psychosocial status after SG and were able to use accurate strategies for making post-surgical lifestyle adjustments. Larger longitudinal studies incorporating pre-surgical assessments were needed to further understand the psychosocial and behavioral mechanism in weight loss effect among SG population. |
| 일반주제명 | Nursing. |
| 언어 | 영어 |
| 바로가기 | 
: 이 자료의 원문은 한국교육학술정보원에서 제공합니다. |
