个体化专业减重管理模式在肥胖与代谢病外科质量控制中的应用价值  

Application value of individualized professional weight management mode in quality control of metabolic surgery

作　　者：杨宁琍[1] 梁辉[1] 管蔚[1] 汤娟[1] 林睿[1] 

机构地区：[1]南京医科大学第一附属医院普外科,南京210029

出　　处：《中华肥胖与代谢病电子杂志》2016年第2期114-118,共5页Chinese Journal Of Obesity and Metabolic Diseases：Electronic Edition

摘　　要：目的探讨个体化专业减重管理模式在肥胖与代谢病外科质量控制中的应用价值。方法回顾性分析2011年1月至2012年12月在南京医科大学第一附属医院减重中心接受减肥手术治疗的110例肥胖症患者的临床资料。所有患者均签署知情同意书,符合医学伦理学规定。根据是否对患者进行全程专业化的减重管理,将患者分为个体化专业减重管理组（研究组）和传统减重管理组（对照组）。其中研究组68例,男29例,女39例;年龄（46±10）岁。对照组42例,男14例,女28例;年龄（42±8）岁。专业减重管理的内容包括对患者和家属提供全程多元化、全方位的康复指导、心理指导和床边护理等服务;传统减重管理的内容仅包括胃肠外科的常规围手术期护理措施和没有严格质量保障的知识宣传和医患交流。比较两组患者的术后住院天数、住院总费用、医疗服务满意率和术后并发症的发生率。两组患者术后住院天数和住院总费用的比较采用t检验;医疗服务满意率和术后并发症发生率的比较采用χ~2检验。结果所有患者均成功完成减肥手术治疗,研究组患者的术后住院天数为（2.4±1.5）d,明显低于对照组的（4.9±1.3）d（t=4.617,P〈0.05）;研究组患者对医疗服务的满意率为100%（68/68）,明显高于对照组的75%（36/48）（χ~2=18.962,P〈0.05）;研究组患者营养并发症的发生率为5.9%（4/68）,明显低于对照组的26.2%（11/42）（χ~2=9.457,P〈0.05）;研究组患者的住院总费用和胃肠道并发症发生率与对照组比较差异无统计学意义（P〉0.05）。结论个体化专业减重管理模式能适应代谢外科多学科综合治疗的需要,能提升临床照护品质,较传统减重管理模式有明显优势。{Abstract}： Objective To investigate the application value of individualized professional weight management mode in quality control of metabolic surgery.Methods Clinical data of 110 obese patients undergoing bariatric surgery in the First Affiliated Hospital of Nanjing Medical University from January 2011 to December 2012 were analyzed retrospectively. The informed consents of all patients were obtained and the local ethical committee approval had been received. All the patients were divided into the individualized professional weight management group （the study group） and the traditional weight management group （control group） according to whether professional weight management was implemented or not. Six-eight patients were included into the study group, of whom 29 were males and 39 were females with an average age of （46±10） years old. Forty-two patients were included into the control group, of whom 14 were males and 28 were females with an average age of （42±8） years old. The contents of professional weight management included the diverse and comprehensive recovery guidance, mental guidance and bedside care services offered to patients; the traditional weight management just included routine perioperative care services in gastrointestinal surgery, knowledge publicity and communication between＆amp;nbsp;doctors and patients without quality assurance. The postoperative hospital stay, total hospitalization expenditure, satisfaction rate of medical service and complications incidence were compared between the two groups. The comparison of postoperative hospital stay and total hospitalization expenditure between the two groups were conducted usingt test,and the comparison of satisfaction rate of medical service and complications incidence were conducted usingχ2 test.Results All the patients received bariatric surgery successfully. The postoperative hospital stay of the study group was （2.4±1.5） d, which was significantly lower than （4.9±1.3） d of the control group （t=4.617,P〈0.0

关 键 词：肥胖症 减重管理模式 质量控制 

分 类 号：R473.6[医药卫生—护理学]