María de Los Ángeles Maqueda-Martínez, Manuel Ferrer-Márquez, Manuel García-Redondo, Francisco Rubio-Gil, Ángel Reina-Duarte, José Granero-Molina, Matías Correa-Casado, Anabel Chica-Pérez
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引用次数: 0
Abstract
Background/objectives: Obesity is a growing public health challenge due to its high prevalence and associated comorbidities. Bariatric surgery is the most effective treatment for achieving sustained weight reduction when more conservative treatments have failed. This study evaluates the impact of a nurse-led telecare follow-up programme in the immediate postoperative period for patients who have undergone bariatric surgery.
Methods: A quasi-experimental study was carried out in two hospitals in southern Spain. We included 161 patients who met the inclusion criteria: a body mass index (BMI) ≥ 40 kg/m2 or a BMI ≥ 35 kg/m2 with associated comorbidities, and the failure of non-surgical treatments. Patients were divided into two groups: the intervention group (IG), which received follow-up telephone calls from a specialised nurse during the first 30 days post-surgery, and the control group (CG), which received standard care. The nurse, who was available 24 h a day, answered questions and dealt with queries over the phone or referred patients to the emergency department if necessary. Several variables were recorded, including the number of telephone consultations, reasons for consultation, number of emergency visits, readmissions, and surgical reinterventions.
Results and conclusions: The IG showed a significant reduction in ED visits (4.9% vs. 30% in CG), and consultations were mainly related to diet and drainage. The nurse telecare intervention significantly improved postoperative recovery by reducing complications and optimising the safety and quality of postoperative care. These results reinforce the importance of personalised follow-up in improving clinical outcomes in bariatric patients.
背景/目的:肥胖由于其高患病率和相关的合并症,是一个日益严峻的公共卫生挑战。减肥手术是实现持续减肥最有效的治疗方法,当更多的保守治疗失败。本研究评估了护士主导的远程随访计划对接受减肥手术的患者术后的直接影响。方法:在西班牙南部两家医院进行准实验研究。我们纳入了161例符合纳入标准的患者:体重指数(BMI)≥40 kg/m2或BMI≥35 kg/m2伴有相关合并症,且非手术治疗失败。患者被分为两组:干预组(IG),在手术后的前30天内接受专业护士的随访电话,对照组(CG)接受标准护理。这名护士全天24小时待命,回答问题并通过电话处理疑问,必要时还可以将病人转到急诊室。记录了几个变量,包括电话咨询次数、咨询原因、急诊次数、再入院和手术再干预。结果和结论:IG组急诊科就诊显著减少(4.9% vs. CG组30%),就诊主要与饮食和引流有关。远程护理干预通过减少并发症和优化术后护理的安全性和质量,显著提高了术后恢复。这些结果强化了个性化随访对改善肥胖患者临床结果的重要性。
期刊介绍:
Healthcare (ISSN 2227-9032) is an international, peer-reviewed, open access journal (free for readers), which publishes original theoretical and empirical work in the interdisciplinary area of all aspects of medicine and health care research. Healthcare publishes Original Research Articles, Reviews, Case Reports, Research Notes and Short Communications. We encourage researchers to publish their experimental and theoretical results in as much detail as possible. For theoretical papers, full details of proofs must be provided so that the results can be checked; for experimental papers, full experimental details must be provided so that the results can be reproduced. Additionally, electronic files or software regarding the full details of the calculations, experimental procedure, etc., can be deposited along with the publication as “Supplementary Material”.