Predictors of physical and mental health in persons with morbid obesity attending a patient education course – a two-year follow-up study

Health and Quality of Life Outcomes

Research

Caryl L. Gay¹  May Solveig Fagermoen²  Anners Lerdal³  Tore Bonsaksen⁴ 

[1] Department for Patient Safety and Research, Lovisenberg Diakonale Hospital, P.O. Box 04970, Nydalen, N-0440, Oslo, Norway;Department of Family Health Care Nursing, University of California at San Francisco, 2 Koret Way, 94143, San Francisco, CA, USA;Department of Nursing Science, University of Oslo, Faculty of Medicine, Institute of Health and Society, P.O. Box. 1130, Blindern, N-0318, Oslo, Norway;Department of Nursing Science, University of Oslo, Faculty of Medicine, Institute of Health and Society, P.O. Box. 1130, Blindern, N-0318, Oslo, Norway;Department for Patient Safety and Research, Lovisenberg Diakonale Hospital, P.O. Box 04970, Nydalen, N-0440, Oslo, Norway;Department of Occupational Therapy, Prosthetics and Orthotics, Oslo and Akershus University College of Applied Sciences, Faculty of Health Sciences, P.O. Box 4, St. Olavs Plass, N-0130, Oslo, Norway;VID Specialized University, Faculty of Health Studies, Vågsgaten 40, 4306, Sandnes, Norway;

关键词: Obesity;    Health-related quality of life;    Personal factors;    Coping;    Self-esteem;    Self-efficacy;    Patient education;   

DOI  :  10.1186/s12955-017-0675-z

 received in 2016-10-29, accepted in 2017-05-04,  发布年份 2017

来源: Springer

【 摘 要 】

BackgroundPeople with morbid obesity (body mass index ≥40) may experience changes in their health after participating in a tailored patient education course. The aims of this study were to assess the changes in physical and mental health in persons with morbid obesity during the 2 years following an educational course and to explore possible socio-demographic, treatment, and personal predictors of physical and mental health outcomes.MethodsIn this prospective longitudinal cohort study, self-report questionnaire data were collected from people with morbid obesity at the beginning of mandatory educational courses while on a waiting list for gastric surgery and at two-year follow-up. Of the 185 who attended the courses, 142 (77%) volunteered to participate in the study, and the 59 with complete data at the two-year follow-up were included in the analysis. Physical and mental health were measured with the physical and mental component summary scores from the Short Form 12v2. Self-esteem was measured by the Rosenberg Self-Esteem Scale, and self-efficacy by the General Self-Efficacy Scale.ResultsThe participants reported better physical health at two-year follow-up than at baseline. Mental health did not change significantly over time. Receiving surgical treatment during the study period predicted better physical health at two-year follow-up, even after controlling for physical health at baseline. Mental health at baseline was the only significant baseline predictor of mental health at follow-up. However, increasing self-esteem and self-efficacy over the two-year study period independently predicted better mental health at follow up after controlling for mental health at baseline.ConclusionOur study showed that people with morbid obesity on a waiting list for bariatric surgery improved their physical health during the 2 years after attending a tailored patient educational course. Improving self-esteem and self-efficacy may be important personal factors for maintaining mental health during this period.Trial RegistrationNCT01336725. Registered 14 April 2011.

【 授权许可】

CC BY   
© The Author(s). 2017