代谢异常型肥胖患者对肥胖和减重手术的认知调查研究  

A survey study on the perception of obesity and bariatric surgery in metabolically unhealthy patients with obesity

作　　者：孙琴[1] 梁钿苑 张源 任亦星[2] Sun Qin;Liang Dianyuan;Zhang Yuan;Ren Yixing(North Sichuan Medical College,Nanchong 637000,China;Affiliated Hospital of North Sichuan Medical College,Nanchong 637000,China)

机构地区：[1]川北医学院,四川省南充市637000 [2]川北医学院附属医院,四川省南充市637000

出　　处：《中华肥胖与代谢病电子杂志》2024年第4期295-299,共5页Chinese Journal Of Obesity and Metabolic Diseases:Electronic Edition

基　　金：国家自然科学基金(82370601);南充市社会科学界联合会基金(NC24B214)

摘　　要：目的调查代谢异常型肥胖患者对肥胖和减重手术的认知情况,分析影响减重手术接受度的因素。方法对2021年2月至2023年12月在川北医学院附属医院接受体检的肥胖人群及同期在该院减重门诊就诊的代谢异常型肥胖患者共348例开展问卷调查,其中愿意接受减重手术130例,不愿意接受169例。采用多因素Logistic回归对数据进行定量分析。结果代谢异常型肥胖患者对减重手术的接受度主要受到年龄、教育水平和专业背景等因素的影响。对肥胖与疾病关联的认知、医生建议以及减肥需求也显著影响手术意愿。结论加强健康教育、完善健康传播途径、进一步增强医患沟通、提供社会政策支持等可以有效推广减重手术,提高患者对减重手术的接受度。Objective To investigate the cognition of obesity and bariatric surgery in patients with metabolic unhealth and to analyze the factors affecting the acceptance of bariatric surgery.Methods A questionnaire survey was conducted among a total of 348 individuals with obesity who underwent physical examinations at the Affiliated Hospital of North Sichuan Medical College from February 2021 to December 2023,as well as those who visited the hospital's weight loss clinic during the same period for metabolic unhealthy obesity.Among them,130 were willing to undergo bariatric surgery,while 169 were unwilling.Multivariate logistic regression was used for quantitative data analysis.Results The acceptance of bariatric surgery in metabolically unhealthy patients with obesity is mainly affected by factors such as age,education level,and professional background.Perceptions of obesity and disease associations,physician advice,and the need for weight loss also significantly influenced the willingness to undergo surgery.Conclusions Strengthening health education,improving health communication channels,enhancing doctorpatient communication,and providing social policy support can effectively promote bariatric surgery and improve patients'acceptance of bariatric surgery.

关 键 词：代谢异常型肥胖患者 肥胖 减重手术 认知 

分 类 号：R589.2[医药卫生—内分泌]