初级保健医生和患者对减肥手术后护理的看法:定性研究的元综合。

IF 8 2区 医学 Q1 ENDOCRINOLOGY & METABOLISM Obesity Reviews Pub Date : 2024-09-19 DOI:10.1111/obr.13829
Sally Badorrek,Janet Franklin,Kate A McBride,Laura Conway,Kathryn Williams
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引用次数: 0

摘要

初级保健是减肥手术后持续保健的核心,患者表示更愿意接受初级保健医生(PCP)提供的后续支持。本综述调查了初级保健医生和患者对初级保健医生提供的减肥手术后护理的看法。其目的是综合定性研究的主题,为基层医疗机构的减肥术后临床护理提出改进建议。通过对 Scopus、Medline、EMBASE、PsycINFO、Cochrane Library 和 Google Scholar 进行系统检索,最终有 8 篇论文被纳入元综合研究。我们使用批判性评估技能程序(CASP)对论文进行了点评,并在 Quirkos Cloud 中进行了主题编码。通过作者共识达成了七个主题,包括污名化和评判;临床医生的障碍和促进因素;患者相关的支持需求;沟通考虑因素;患者背景或决定因素;医疗环境;以及适应术后生活。初级保健医生报告的障碍包括:来自减肥手术中心的沟通和指导不畅、减肥患者护理方面的知识和培训有限,以及患者可能有不切实际的结果和健康知识贫乏。患者寻求初级保健医生的全面护理,然而,妨碍提供这种护理的障碍包括不良的手术结果、与初级保健医生的关系不佳以及初级保健医生提供的有限和短期的后续护理。本荟萃综述为初级保健医生和减肥手术中心提供了可行的建议,以便立即加强对患者的护理。
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Primary care practitioner and patient perspectives on care following bariatric surgery: A meta-synthesis of qualitative research.
Primary care is central to ongoing health care following bariatric surgery and patients indicate a preference for receiving follow-up support by their primary care practitioner (PCP). This meta-synthesis investigates the perspectives of both PCPs and patients in post-bariatric surgery care provided by PCPs. The aim was to synthesize themes from qualitative research to recommend improvements in post-bariatric surgery clinical care in primary care settings. Systematic searches of Scopus, Medline, EMBASE, PsycINFO, the Cochrane Library, and Google Scholar resulted in the inclusion of eight papers in the meta-synthesis. Papers were critiqued using the Critical Appraisal Skills Program (CASP) and thematically coded in Quirkos Cloud. Seven themes were reached by author consensus including stigma and judgment; clinician barriers and facilitators; patient-related support needs; communication considerations; patient context or determinants; health care setting; and adapting to life after surgery. PCPs reported barriers including poor communication and guidance from bariatric surgery centers, limited knowledge and training in bariatric patient care, and patients who may have unrealistic outcomes and poor health literacy. Patients seek comprehensive care from their PCP, however, barriers hindering the provision of this care include adverse surgical outcomes, a poor relationship with their PCP, and limited and short-term follow-up care from the PCP. Insights from this meta-synthesis offer actionable recommendations for PCPs and bariatric surgery centers to enhance patient care immediately.
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来源期刊
Obesity Reviews
Obesity Reviews 医学-内分泌学与代谢
CiteScore
19.30
自引率
1.10%
发文量
130
审稿时长
1 months
期刊介绍: Obesity Reviews is a monthly journal publishing reviews on all disciplines related to obesity and its comorbidities. This includes basic and behavioral sciences, clinical treatment and outcomes, epidemiology, prevention and public health. The journal should, therefore, appeal to all professionals with an interest in obesity and its comorbidities. Review types may include systematic narrative reviews, quantitative meta-analyses and narrative reviews but all must offer new insights, critical or novel perspectives that will enhance the state of knowledge in the field. The editorial policy is to publish high quality peer-reviewed manuscripts that provide needed new insight into all aspects of obesity and its related comorbidities while minimizing the period between submission and publication.
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