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

Amaç: Günümüzde obezitenin tedavisinde cerrahi yöntemler giderek yaygınlaşmakta, cerrahi sonrası bireyin yeniyaşam tarzına uyum sağlayabilmesi için desteklenmesi önem kazanmaktadır. Bu çalışmanın amacı, kapsamlı eğitimdanışmanlık hizmeti ve standart bakım alan Sleeve Gastrektomi uygulanan iki hasta grubunun yeme özellikleri, fizikselaktivite 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 vedanışmanlık hizmeti aldı. Yeme özellikleri Yeme Bozukluğunu Değerlendirme Ölçeği, fiziksel aktivite düzeyiUluslararası 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 YemeBozukluğu Değerlendirme Ölçeği toplam, yeme endişeleri, beden endişeleri ve kilo endişeleri alt boyut puanortancalarındaki değişim yüzdesinin kontrol grubuna göre anlamlı düzeyde yüksek olduğu belirlendi (p

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

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

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