Study on dietary adherence and influencing factors after bariatric and metabolic surgery in obese of patients
10.3760/cma.j.cn211501-20250116-00159
- VernacularTitle:减重代谢术后患者饮食行为的依从性及其影响因素分析
- Author:
Fangxi TIAN
1
;
Damalijiang PAIREZATI·
;
Jiaqi CHEN
;
Dandan JIANG
;
Jiaxuan LIN
;
Huayang LIN
Author Information
1. 福建医科大学附属协和医院胃外科护理病房，福州 350001
- Publication Type:Journal Article
- Keywords:
Obesity;
Bariatric surgery;
Feeding behavior;
Adherence;
Root cause analysis
- From:
Chinese Journal of Practical Nursing
2025;41(26):2018-2023
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate and analyze the current status of dietary behavior compliance among patients following bariatric metabolic surgery, as well as its associated influencing factors.Methods:A convenience sampling approach was employed to select 149 discharged patients who underwent bariatric metabolic surgery at the Gastric Surgery Department of a tertiary hospital in Fuzhou between August 2021 and February 2024. A WeChat communication group was established for survey participants, and a questionnaire survey was conducted via the mobile app "Wenjuanxing." Patients′ data were collected using the General Information Questionnaire and the Dietary Behavior Compliance Scale for Patients After Bariatric Metabolic Surgery. Multiple stepwise linear regression analysis was used to evaluate the influencing factors of dietary behavior compliance in postoperative patients.Results:A total of 165 questionnaires were distributed, with 149 valid responses retrieved. Among the 149 post-bariatric surgery patients, 37 were males and 112 were females, with an average age of (31.10 ± 7.26) years. The overall level of dietary behavior compliance was (56.91 ± 9.70). Significant differences in dietary behavior compliance were observed among patients of different genders, educational levels, drinking habits, and postoperative durations ( t = 2.17, 1.93, F = 4.27, 3.50, all P<0.05). Specifically, postoperative duration emerged as the primary factor influencing dietary behavior compliance following bariatric metabolic surgery ( t = -2.22, P<0.05). Conclusions:Female patients, those with a college degree or higher, and individuals within 0 to 6 months post-surgery demonstrated better dietary behavior compliance. Medical staff should comprehensively consider patient individual differences, develop, and implement personalized health education plans to enhance patient dietary behavior compliance.
