Psychosocial intervention for improving health in patients with bariatric surgery:a Meta-analysis
10.3761/j.issn.0254-1769.2023.23.015
- VernacularTitle:社会心理干预对减重手术患者健康状况影响的系统评价
- Author:
Xiaoqing ZHAN
1
;
Xilan ZHENG
;
Jiwei WANG
;
Nian YANG
;
Jiumei CAI
;
Minmin REN
;
Ming XIE
Author Information
1. 563000 遵义市 遵义医科大学附属医院消化病医院普外科
- Keywords:
Psychological Intervention;
Bariatric Surgery;
Health Status;
Meta-Analysis;
Evidence-Based Nursing
- From:
Chinese Journal of Nursing
2023;58(23):2920-2928
- CountryChina
- Language:Chinese
-
Abstract:
Objective To systematically evaluate the intervention effect of social psychological intervention on the health status of patients with bariatric surgery(BS).Methods 8 databases,including PubMed,PsycInfo,and Embase and Clinic Trials,were retrieved to recruit randomized controlled trials with computer from database establishing time to Sep.2022.Independent quality evaluation was conducted by 2 researchers,and Meta-analysis was performed by the RevMan5.3 software.Results Totally 23 RCTs were included.The meta-analysis showed that psychosocial interventions in BS patients improve emotional eating and binge eating behavior[SMD=-0.44,95％CI(-0.78,-0.09),P=0.010;MD=-5.88,95％CI(-8.65,-3.11),P＜0.001],promote better quality of life[SMD=0.30,95％CI(0.02,0.59),P=0.040]and physical mobility,alleviates anxiety and depression[SMD=-0.37,95％CI(-0.67,-0.08),P=0.010;SMD=-0.59,95％CI(-0.84,-0.33),P＜0.001].However,the effect on improving eating disorders[MD=-0.01,95％CI(-0.19,0.18),P=0.950]is not significant,and subgroup analysis results of different intervention measures and follow-up times showed that there was no statistically significant difference in weight changes between the social psychological intervention group and the control group.Conclusion Psychosocial intervention can effectively improve the mental state and eating behavior of the bariatric surgery patients,improve the quality of life and increase physical activity of patients.However,the effect of intervention on eating disorder and weight change is still unclear.More high-quality clinical studies need to be carried out for further verification.
