Applying the Principles of Trauma-Informed Care to the Evaluation and Management of Patients Who Undergo Metabolic and Bariatric Surgery.

IF 2.9 3区 医学 Q1 SURGERY
David B Sarwer, Krista Schroeder, Sarah R Fischbach, Sophia M Atwood, Leslie J Heinberg
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引用次数: 0

Abstract

Evaluation of relevant psychosocial variables is an important aspect of comprehensive, high-quality metabolic and bariatric surgery (MBS) care. Given the high rates of adverse childhood experience (ACEs) and other forms of trauma experienced later in life reported by individuals with class III obesity, it is time to apply the principles of trauma-informed care to the multidisciplinary care of MBS patients. This narrative review begins with a summary of the literature on the psychosocial functioning of individuals who present for MBS. Emphasis is placed upon the relationship between ACEs, class III obesity, and MBS. Trauma-informed care is defined, and its principles are applied to the MBS care continuum. The paper ends with a recommendation on how the field of MBS can integrate trauma-informed care into clinical practice and future research.

将创伤知情护理原则应用于代谢和减肥手术患者的评估和管理。
评估相关的社会心理变量是全面、优质的代谢与减肥手术(MBS)护理的一个重要方面。鉴于 III 级肥胖症患者的童年不良经历(ACE)及其他形式的心理创伤发生率较高,现在是时候将心理创伤知情护理原则应用于 MBS 患者的多学科护理中了。这篇叙述性综述首先总结了有关因肥胖症就诊的患者社会心理功能的文献。重点放在 ACE、III 级肥胖和 MBS 之间的关系上。本文对创伤知情护理进行了定义,并将其原则应用于流质BS 护理的连续性。最后,本文就心理健康教育领域如何将创伤知情护理融入临床实践和未来研究提出了建议。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Obesity Surgery
Obesity Surgery 医学-外科
CiteScore
5.80
自引率
24.10%
发文量
567
审稿时长
3-6 weeks
期刊介绍: Obesity Surgery is the official journal of the International Federation for the Surgery of Obesity and metabolic disorders (IFSO). A journal for bariatric/metabolic surgeons, Obesity Surgery provides an international, interdisciplinary forum for communicating the latest research, surgical and laparoscopic techniques, for treatment of massive obesity and metabolic disorders. Topics covered include original research, clinical reports, current status, guidelines, historical notes, invited commentaries, letters to the editor, medicolegal issues, meeting abstracts, modern surgery/technical innovations, new concepts, reviews, scholarly presentations and opinions. Obesity Surgery benefits surgeons performing obesity/metabolic surgery, general surgeons and surgical residents, endoscopists, anesthetists, support staff, nurses, dietitians, psychiatrists, psychologists, plastic surgeons, internists including endocrinologists and diabetologists, nutritional scientists, and those dealing with eating disorders.
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