BARİATRİK CERRAHİDE UYGULANAN KAPSAMLI EĞİTİM VE DANIŞMANLIK HİZMETİ: YEME ÖZELLİKLERİ VE FİZİKSEL AKTİVİTE DÜZEYİNE ETKİSİ

Aim: Today, surgical methods are gradually becoming widespread in the treatment of obesity and it is becoming important that individuals be adapted to their new life style and be supported following surgery. The study aims to prospectively assess two patient groups receiving standard care and extensive training and counseling, in which Sleeve Gastrectomy was implemented, in terms of eating characteristics, physical activity levels. Material and Methods: This pretest-posttest, repeated measures, randomized control prospective study was carried out between March 2017 and May 2018 using an experimental design. Of the participants who underwent laparoscopic Sleeve Gastrectomy, 26 patients (control) received standard care, while 25 patients (intervention) received extensive training and counseling service starting before the operation and lasting for 6 months following it. Eating characteristics were evaluated using the Eating Disorder Examination Questionnaire, and physical activity levels were evaluated using the International Physical Activity Questionnaire Short Form. Results: The median age of the patients was 37 [17], and 78.4% of them were females and 68.6% were married. It was determined that the percentage of change in the median of the Eating Disorder Examination Questionnaire total, eating concern, shape concern and weight concern subscale score of the intervention group was significantly higher than the control group (p<0.05). At the postoperative 6th month follow-up, it was observed that the intervention group had a more active life compared to the control group, and the changes seen in walking and moderate intensity activities were significant compared to the control group (p<0.05). The body mass index of the intervention group, which was 42.34 [6.1] before the operation, dropped to 30.59 [5.66] and the body mass index of the control group dropped from 44.75 [9.66] to 33.66 [8.08] in 6 months (p<0.05). Conclusion: The results of the study supported that the extensive training and counseling program given to bariatric surgery patients was a positively effective program in terms of eating characteristics and physical activity levels.