同伴教育对减重术后病人心理、饮食依从性和生活质量的影响  

Effects of peer education on psychology, dietary compliance and quality-of-life in patients after bariatric surgery

作　　者：宋雅婷 杨宁琍 林士波 林睿 刘瑞萍 梁辉 Song Yating;Yang Ningli;Lin Shibo;Lin Rui;Liu Ruiping;Liang Hui(Department of Bariatric&Metabolic Surgery,First Affiliated Hospital,Nanjing Medical University,Jiangsu Nanjing 210029,China)

机构地区：[1]南京医科大学第一附属医院减重代谢外科,江苏南京210029

出　　处：《腹部外科》2022年第3期180-184,共5页Journal of Abdominal Surgery

基　　金：白求恩·爱惜康卓越外科基金(HZB-20190528-1)。

摘　　要：目的 探讨同伴教育对减重术后病人心理、饮食依从性和生活质量的影响。方法 选取2018年1月至2020年12月在南京医科大学第一附属医院减重代谢外科实施减重手术的124例病人,按随机数字表法分成对照组(61例)和观察组(63例),对照组实施常规教育,观察组采用同伴教育,干预时间为出院后至术后6个月。分别采用焦虑自评量表(SAS)、抑郁自评量表(SDS)、自制饮食依从性量表、SF-36健康调查量表,评估病人心理、术后饮食依从性和生活质量。结果 两组病人焦虑自评量表和抑郁自评量表的得分均较干预前下降,且观察组低于对照组,差异有统计学意义(P<0.05);饮食依从性观察组病人显著优于对照组,差异有统计学意义(P<0.05)。两组病人在生理健康各维度得分均较干预前提高,差异有统计学意义(P<0.05)。观察组病人经同伴教育干预后,心理健康中的活力、社会功能和精神健康这三个维度的得分明显优于对照组(P<0.05)。结论 实施同伴教育有利于改善减重术后病人焦虑、抑郁的负性心理,提高饮食依从性,提升生活质量。Objective To explore the effects of peer education on psychology, dietary compliance and quality-of-life in patients after bariatric surgery.Methods From January 2018 to December 2020, 124 patients undergoing bariatric surgery were recruited and randomized into two groups of control(n=61) and observation(n=63). Control group received routine education while observation group peer education. Intervention period started from hospital discharge to 6 months post-operation. Self-rating anxiety scale(SAS), self-rating depression scale(SDS), self-made dietary compliance scale and SF-36 health questionnaire were utilized for evaluating patient psychology, postoperative dietary compliance and quality-of-life.Results The scores of SAS/SDS declined in both groups after intervention and observation group was lower than control group(P<0.05). Dietary compliance of observation group was significantly better than that of control group(P<0.05). The scores of physical health improved in both groups as compared with those pre-intervention(P<0.05). In terms of mental health, the scores of vitality, social function and mental health were significantly higher in observation group than those in control group after peer education(P<0.05).Conclusion Peer education may facilitate reducing negative psychology of anxiety and depression, enhancing dietary compliance and boosting quality-of-life after bariatric surgery.

关 键 词：同伴教育 减重手术 生活质量 心理 饮食依从性 

分 类 号：R473.6[医药卫生—护理学]