Individual model of psychological support bariatric surgery patients «12 targets»

Q3 Medicine Obesity and Metabolism Pub Date : 2024-01-23 DOI:10.14341/omet12936
A. Neimark, Shushanna A. Eganian
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Abstract

The relevance of developing an individual model of psychological support for patients with bariatric surgery «12 targets» in the framework of a multidisciplinary approach to the treatment of obesity is due to the fact that the effectiveness of surgical treatment is significantly influenced by the individual psychological characteristics of the patient. A comprehensive assessment of the psychological state of patients and the implementation of psychocorrective measures before and after bariatric surgery can improve the effectiveness of surgical treatment and prevent the risk of relapse. The individual model of the psychological support of the bariatric patient is built on the principle of a psycho-correction program, which is an integrative approach using psychotherapeutic tools from various areas of clinical psychology and psychotherapy. 12 universal targets of psycho-corrective influence in work with bariatric patients have been identified. The program is implemented in two stages: psychological preparation for bariatric surgery, psychological adaptation to physiological and psychological changes in the postoperative period. 20 bariatric patients took part in the program of individual psychological support, 11 of them (group 1) participated in all stages of psycho-corrective measures; 9 people (group 2) did not undergo psychological preparation for surgery, they were already included in the second stage of work on psychological adaptation to physiological and psychological changes in the postoperative period. Intermediate results of evaluating the effectiveness of psychological support for patients, which are based on the percentage of BMI reduction, show the achievement of stability in reducing overweight in the process of psychological interventions in both groups. The described model of psychological work will allow clinical psychologists working in a multidisciplinary team in bariatrics to focus on the universal targets of the problem field of a bariatric patient.
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减肥手术患者 "12个目标 "心理支持个体模式
在治疗肥胖症的多学科方法框架内,为减肥手术 "12 个目标 "患者制定个体心理支持模式具有现实意义,因为手术治疗的效果在很大程度上受到患者个体心理特征的影响。在减肥手术前后对患者的心理状态进行全面评估并实施心理矫正措施,可以提高手术治疗的效果并预防复发风险。减肥患者心理支持的个体模式建立在心理矫正方案的原则之上,这是一种综合方法,使用了临床心理学和心理治疗各个领域的心理治疗工具。在对减肥患者的工作中,已经确定了 12 个普遍的心理矫正影响目标。该计划分两个阶段实施:减肥手术前的心理准备、术后生理和心理变化的心理适应。20 名减肥患者参加了个人心理支持计划,其中 11 人(第一组)参加了所有阶段的心理矫正措施;9 人(第二组)没有进行手术前的心理准备,他们已被纳入术后生理和心理变化心理适应工作的第二阶段。根据体重指数(BMI)降低的百分比对患者心理支持效果进行评估的中间结果显示,两组患者在心理干预过程中都实现了稳定地降低超重。所描述的心理工作模式将使在肥胖症多学科团队中工作的临床心理学家能够关注肥胖症患者问题领域的普遍目标。
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来源期刊
Obesity and Metabolism
Obesity and Metabolism Medicine-Internal Medicine
CiteScore
1.30
自引率
0.00%
发文量
39
期刊介绍: Journal "Obesity and Metabolism" is a multidisciplinary forum for clinical and applied research in the field of biochemistry, physiology, pathophysiology, genetics, nutrition, as well as molecular, metabolic, psychological and epidemiological aspects of obesity and metabolism. The main subject "Metabolism" reviewed in the journal, includes fat, carbohydrate, protein, bone, fluid and electrolyte and other types of metabolism in the spectrum of pathology of the endocrine system. The priority direction of Journal "Obesity and Metabolism" is publishing modern high-quality original research on the effectiveness of new and existing treatments in any aspect of metabolic and endocrine diseases. Pre-clinical pharmacology, pharmacokinetics studies, meta-analyzes, addressed to drug safety and tolerance are also welcome for publication in the journal "Obesity and metabolism." Journal "Obesity and Metabolism" announces review articles that are balanced, clear and offer the reader a modern and critical analysis of the literature on the subject of the magazine. Case reports, and lecture materials are also published for highlighting for practitioners new approaches to diagnosis and treatment of patients with metabolic disorders and obesity.
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