Динамика восприятия болезни и саморегуляции у пациентов с морбидным ожирением через три месяца после бариатрической хирургии

Abstract

<p><strong>Background</strong>. Obesity has reached epidemic proportions throughout the world. Bariatric surgery (hereinafter - BS) is most effective in the treatment of morbid obesity (hereinafter - MO), however, it does not lead to the same results in all patients, since psychological factors play an important role in the outcome of treatment. The gap in scientific knowledge is the underestimation of the patient’s role in the treatment process, the lack of information about how he perceives medical treatment and manages the disease, how ideas about the disease change over time after surgery. <strong>Aim of the work</strong>: study of the dynamics of ideas about the disease and related parameters of self-regulation of the disease in patients with MO before surgery and three months after BS. <strong>Materials and methods.</strong> Sixty-three patients with MO were examined using a specially selected package of methods before BS and three months after it. The following methods were used in the study: brief illness perception questionnaire; Hospital anxiety and depression scale; Ways of coping questionnaire; Medication adherence report scale; Scales of psychological well-being.<strong> Results</strong>. Compared with the preoperative stage, three months after BS, patients perceived MO as a less life-threatening disease that has fewer negative consequences for their health and emotional well-being. Their controllability of the disease and the likelihood of curability of obesity after BS have increased. <strong>Conclusions</strong>. Three months after the operation, positive dynamics in the perception of MO and related parameters of self-regulation were revealed. The knowledge gained can be widely used in medical practice as targets for psychological interventions.</p>