Bariatric Surgical Patients' Satisfaction with Nutrition and Dietetic Services in Saudi Hospitals (P10-065-19)

Abstract Objectives The study was conducted to evaluate patient satisfaction and view quality of care and completed nutrition care services they received before and after bariatric surgery. Methods A survey was conducted using a self-completed questionnaire and was administered to bariatric patients. Survey assessed patients’ decision-making for bariatric surgery, patients’ view of their experience of the received nutrition care and the empowerment to follow the prescribed plan. Results Thirty-five patients (30 female and 4 males) completed the questionnaire. The majority of patients were Saudi national (88.6%, n = 31). More patients were holding a university degree (65.7%, n = 23). Bariatric surgery preferences was mostly selected by patients (88.6%, n = 31) with no shared decision-making with surgeons or family members. The decision to undergo bariatric surgery was more likely to be related to health risks issues (65.7%, n = 23) and not for beauty purposes. Patients (34.3%, n = 12) never be seen by a dietitian either before or after surgery, 20%, n = 7 were only seen before surgery or after surgery (17%, n = 6). Nutritional care plans were well explained by a dietitian (RD) to 77.8% of patients (n = 21),13% (n = 3) reported that RDs’ answers to their queries were confusing. Patients 85% (n = 23) find Rds as very cooperative and interactive when manage and plan their nutritional needs. Delivered information are clear and understandable by 87% of patients and all responded patients felt that they were treated with respect by dietitians. Nearly 61% (n = 17) reported that RDs’ involvement in their nutrition care was excellent and 57.1% had excellent overall experience. Twelve patients reported seeing a dietitian throughout their treatment. However, 6 of them saw the dietitian once every month and the rest used to see the dietitian once every 3 months. Conclusions The decision makers including and all Rds will benefit from the results of this study to improve the outcome measures of dietetics services in the scope of bariatric surgery. Funding Sources No Funding Body.

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POSTOPERATIVE COMPLIANCE OF BARIATRIC SURGERY PATIENTS REGARDING THE ASSESSMENT OF SERUM LEPTIN LEVELS AND INSULIN RESISTANCE

Medical Connections ◽

10.33311/medcon.2019.49.1.1 ◽

2019 ◽

Vol 49 (1/2019) ◽

Keyword(s):

Insulin Resistance ◽

Bariatric Surgery ◽

Serum Levels ◽

Medical Laboratory ◽

Leptin Resistance ◽

Obese Patients ◽

Laboratory Assessment ◽

Serum Leptin ◽

Before And After ◽

Bariatric Patients

Background and aims: Overweight and obese patients who undergo bariatric surgery require a rigorous clinical and paraclinical assessment both before and after the surgery at 3, 6, and 12 months.The present study aims the assessment of serum leptin levels and insulin resistance status in compliant bariatric patients to scheduled medical laboratory assessment at 6 months after surgery. Material and Method: The study included 109 eligible patients selected for bariatric surgery, 48 of whom attended the scheduled visit at 6 months after the surgery. Laboratory assessing regarded the insulin resistance by determining before meal the serum levels of leptin, glucose and insulin, as well as HOMA 1 and HOMA 2 indexes. Results: Patients who underwent bariatric treatment experienced a significant decrease in insulin resistance status. A higher percentage in the preoperative group was recorded in women, feature which was also recorded in the postoperative group that attended the scheduled visit at 6 months after surgery. Age is also an important factor that significantly influences the behavioral adherence to postoperative visits. Conclusions: Insulin resistance status improved significantly in 6 months after bariatric surgery among the fully compliant patients. The percentage of attendance at scheduled visits is higher among women, and decreases with age. Keywords: obesity surgery, leptin resistance, insulin resistance, HOMA index, compliance

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Clinicians’ consent law knowledge: The case for education

Focus on Health Professional Education A Multi-Professional Journal ◽

10.11157/fohpe.v21i3.394 ◽

2020 ◽

Vol 21 (3) ◽

pp. 65-77

Author(s):

Denise Patricia Craig ◽

Fintan Thompson

Keyword(s):

Decision Making ◽

Potential Benefit ◽

Legal Education ◽

Education Session ◽

Short Term ◽

Care Plans ◽

Patients Rights ◽

Before And After ◽

Advance Care ◽

Supported Education

Introduction: The short-term objectives of this study were to investigate clinicians’ confidence with, and knowledge of, consent laws, their behaviour regarding familiarisation with patients’ advance care plans and the potential benefit of brief education. Education covered patients’ rights to refuse treatment, including via advance directive, and the legislated hierarchy of decision-making authority.Methods: Throughout 2018, all clinicians at one Queensland Hospital and Health Service were invited to attend a 1-hour legal education session. The study used a crosssectional survey to measure clinicians’ knowledge before and after education. Responses from 316 pre- and 319 post-education questionnaires were analysed.Results: A 1-hour legal education session improved clinicians’ understanding of legislated consent hierarchy and patients’ rights. Pre education, 4.1% of participants correctly identified the lawful consent hierarchy, rising to 65.5% after education. Accuracy increased significantly after education; however, substantial errors persisted.Conclusions: The potential benefit of education to increase multidisciplinary clinicians’ legal knowledge was supported. Education can ensure that clinicians are made aware of patients’ rights and the potential complexity of lawful substitute decision making.

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The Readiness to Change for Bariatric Surgery Assessment Tool: Validity, Factor Structure, and Reliability

Research and Theory for Nursing Practice ◽

10.1891/1541-6577.31.4.393 ◽

2017 ◽

Vol 31 (4) ◽

pp. 393-401

Author(s):

Susan M. S. Carlson

Keyword(s):

Bariatric Surgery ◽

Decision Making ◽

Clinical Decision Making ◽

Assessment Tool ◽

Readiness To Change ◽

Clinical Decision ◽

Obesity Research ◽

Bariatric Patients ◽

Diet And Lifestyle ◽

Decision Making Tool

Background and Purpose: Currently, there is no guideline or standard of practice for performing the psychiatric/psychological evaluation that is a requirement for approval for bariatric surgery. The Readiness to Change for Bariatric Surgery Assessment Tool (RCB-SAT) establishes a means for psychiatric evaluators to objectively assess the patient’s cognition, beliefs, and motivation around the bariatric diet and lifestyle changes. Development of a clinical decision-making tool for assessing readiness to change in bariatric patients will be useful regarding The Strategic Plan for NIH Obesity Research. The strategic plan outlines 6 overarching themes, with the last 3 centering around creation of such a clinical decision-making tool to assess a bariatric patient’s readiness to change: evaluate promising strategies for obesity prevention and treatment in real-world settings and diverse populations, harness technology and tools to advance obesity research and improve health care delivery, and facilitate integration of research results into community programs and medical practice (National Institutes of Health, 2011). Methods: The pilot tool was administered to 153 potential bariatric patients, with 61 patients completing the survey a second time. Face and content validity of the items were established through an expert review process. Results: Principle axis factoring by means of varimax rotation with Kaiser normalization identified 15 items loading on 3 factors associated with Prochaska and DiClemente’s transtheoretical model of health behavior change: precontemplation, contemplation, and action (DiClemente & Prochaska, 1998). Test–retest reliability was also established for the tool. Implications for Practice: The proposed RCB-SAT demonstrates potential for assessing a patient’s readiness to change regarding the bariatric diet and lifestyle.

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An Exploratory Study of Physician Referrals to Dietitians Before and After Distribution of Materials Promoting Nutrition Care Services

Journal of the American Dietetic Association ◽

10.1016/s0002-8223(98)00400-3 ◽

1998 ◽

Vol 98 (9) ◽

pp. A28 ◽

Cited By ~ 1

Author(s):

L.J. Dickson ◽

P. Bianchi

Keyword(s):

Exploratory Study ◽

Care Services ◽

Nutrition Care ◽

Before And After ◽

Physician Referrals

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“Food Meant Everything to Me, Now Food Is Something I Eat:” Managing Emotions, Perceptions, and Awareness of Food and Eating After Bariatric Surgery

Current Developments in Nutrition ◽

10.1093/cdn/nzaa059_073 ◽

2020 ◽

Vol 4 (Supplement_2) ◽

pp. 1356-1356

Author(s):

Deema Ujayli ◽

Isabella Quadrini ◽

Amanda Lynch

Keyword(s):

Bariatric Surgery ◽

Emotional Eating ◽

Beaumont Hospital ◽

Food Choices ◽

Theory Approach ◽

Structured Interviews ◽

Cognitive Changes ◽

Funding Sources ◽

Post Surgery ◽

Before And After

Abstract Objectives This study explores the cognitive changes made by bariatric surgery patients, focusing on their perceptions of food, the role of food in their lives, and what drives them to make their food choices. Comparing pre-surgery and post-surgery experiences provides insight into the dietary changes that occur as a result of bariatric surgery. Methods Thirty bariatric surgery patients (24 women, 6 men) completed dietary and behavior questionnaires and participated in semi-structured interviews pre-surgery, and at 6 and 12 months post-surgery. Interview questions covered participants’ weight histories, dietary behaviors, perceptions of food, and surgery experiences. Verbatim interview transcripts were coded and analyzed using a constructivist, grounded theory approach. Emergent themes were compared across time points and within each time point to identify patterns of change and common experiences. Results Relationship to food emerged as a multidimensional phenomenon that included emotional eating, beliefs about the function of food and nutrients, and positive or negative perceptions of food. The majority of participants reported emotional eating before surgery. Post-surgery, half of the participants no longer struggled with emotional eating. The four most common emotions that led to eating were stress, depression, boredom, and happiness. The primary theme relating to the function of food was a shift from “living to eat” to “eating to live.” With this shift came an increased awareness and appreciation of food, nutrients, and health. Participants’ perceptions of food and eating were either positive, encompassing feelings of enjoyment, happiness, and/or appreciation, or negative, expressed by feelings of frustration, anxiety, and fear. Perceptions of food were influenced by pre-surgery relationship to food, dieting history, and current contexts. Conclusions Bariatric surgery patients have strong and multifaceted connections to food before and after surgery. Relationship to food impacts food choices as well as the mental effort and energy put forth in making dietary decisions. Understanding these relationships may be an important aspect of post-surgical counseling, particularly for patients experiencing less than ideal weight loss outcomes. Funding Sources Oakland University and William Beaumont Hospital.

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PERAN PETUGAS GIZI DALAM MEMBERIKAN PELAYANAN ASUHAN GIZI PADA PASIEN RAWAT INAP

Unnes Journal of Public Health ◽

10.15294/ujph.v6i2.13776 ◽

2017 ◽

Vol 6 (2) ◽

pp. 75 ◽

Cited By ~ 1

Author(s):

Anggara Dwi Sulistiyanto ◽

Oktia Woro Kasmini Handayani ◽

Eunike R Rustiana

Keyword(s):

Health Professionals ◽

Service System ◽

Care Service ◽

Nutritional Therapy ◽

Purposive Sampling ◽

Care Services ◽

Nutrition Care ◽

Nutritional Needs ◽

Therapy Team

Abstrak Pelayanan gizi rumah sakit merupakan bagian yang sangat vital dari sistem pelayanan paripurna terhadap pasien di rumah sakit.Pelayanan gizi diberikan agar pasien mencapai kondisi yang optimal dalam memenuhi kebutuhan giziataupun mengoreksi kelainan metabolisme. Penelitian ini mengenai bagaimana peran petugas gizi dalam memberikan pelayanan asuhan gizi kepada pasien rawat inap di RSUD dr. R. Soetrasno Kabupaten Rembang. Jenis penelitian adalah penelitian observasional dengan pendekatan kualitatif yang mendekripsikan objek dengan mengamati, melakukan wawancara serta mencatat bagaimana petugas gizi memberikan pelayanan asuhan gizi. Data sampel diambil secara purposive sampling dengan jumlah responden 7 orang. Petugas gizi sudah melaksanakan dengan baik sesuai dengan perannya yaitu melakukan monitoring dan evaluasi pasien terhadap dampak asuhan giziserta melaporkan hasil asuhan gizi kepada dokter atau tenaga kesehatan lain. Perlu pembentukan tim terapi gizi tersandart dengan melibatkan tenaga kesehatan lain agar pelayanan gizi rumah sakit lebih optimal. Abstract The hospital nutrition care service is a vital part of the plenary service system to the patients in the hospital. Nutrition care services given to patients in order to achieve optimal conditions in fulfillment of nutritional needs or correcting metabolic abnormalities.This study was conducted to answer whether the role of nutritionists in providing nutrition care services to inpatients in dr. R. Soetrasno hospital, is in accordance with hospital nutrition care service or not.This study was an observational study using qualitative approach, that described object by observing, interviewing and making notes about how is the role of nutritionists. Data was taken using purposive sampling with 7 respondances.Nutritionists already performed their duties properly by doing evaluation to the inpatients and report the results of nutrition care services to the doctor or other health professionals. Hospitals need to create a qualified nutritional therapy team, involving other health professionals.

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Nutrition Assessment of Athletes: A Mode for Integrating Nutrition and Physical Performance Indicators

International Journal of Sport Nutrition ◽

10.1123/ijsn.1.2.192 ◽

1991 ◽

Vol 1 (2) ◽

pp. 192-204 ◽

Cited By ~ 8

Author(s):

Jean Storlie

Keyword(s):

Performance Indicators ◽

Eating Habits ◽

Intervention Strategies ◽

Nutrition Status ◽

Physical Conditioning ◽

Restrictive Eating ◽

Care Plans ◽

Nutrition Care ◽

Nutritional Needs ◽

Status Level

Athletes, like all people, have special nutritional needs based on their age, lifestyle, health status, level of physical activity, physical conditioning, and type of sport. The diets of many athletes are inadequate due to overly restrictive eating habits, nutrition misinformation, dietary fads, and/or obsession with weight and food. There is a growing need for sports nutrition counseling and education to help athletes improve their eating habits. However, before attempting to develop intervention strategies, sports nutritionists should assess the metabolic changes that take place during exercise and how these changes affect nutrition status. In addition, it is important to consider how psychosocial factors may influence an athlete's eating habits and his/her ability to make positive changes. A two-pronged model is introduced that can be used as a guide for the practitioner in interpreting relevant data and integrating physiological and psychological considerations for the design of individualized nutrition care plans for athletes.

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