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The translation and validation of Bariatric Surgery Self-management Questionnaire
QIN Jingjing, XIAO Rijiao, LI Xueting, MA Shuang, PAN Yingli
Chinese Journal of Nursing    2023, 58 (10): 1275-1281.   DOI: 10.3761/j.issn.0254-1769.2023.10.019
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Objective To translate Bariatric Surgery Self-management Questionnaire(BSSQ) into Chinese,and to test its reliability and validity. Methods After obtaining the authorization of the author of the original questionnaire,the original questionnaire was first forward translated,synthesized and translated back,and then the Chinese version of the BSSQ was formed after the cultural adjustment(2 rounds of expert consultations and the pre-test). From May to August 2022,a convenience sample of 227 patients undergoing metabolic bariatric surgery who were followed up in the outpatient department of metabolic bariatric surgery of a tertiary A general hospital in Shenyang as the study subjects were investigated,and 30 patients were conveniently selected for retest after 14 days to evaluate the reliability and validity of the questionnaire. Results The Chinese version of BSSQ includes 9 dimensions with a total of 32 items. The content validity index of each item is between 0.833 and 1,and the content validity index of the total scale is 0.970. Exploratory factor analysis resulted in a 9-factor structure,explaining 60.314% of the total variance. The score of Chinese version of BSSQ was positively correlated with GSES score(r=0.329,P<0.001) and negatively correlated with PHQ-9 score(r=-0.141,P=0.034). The Cronbach’s α coefficient for the total BSSQ score was 0.867,and 0.420~0.813 for each factor. The retest reliability for the total BSSQ score was 0.885,and 0.766~0.982 for each factor. Conclusion The Chinese version of BSSQ has good reliability and validity,and it can be used as a tool to evaluate self-management ability of patients undergoing metabolic bariatric surgery in China.

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The construction of a diet and nutrition management program for patients after metabolic and bariatric surgery
LI Zhiwen, PAN Yingli, QIN Jingjing, ZHANG Yingchun, NI Cuiping
Chinese Journal of Nursing    2022, 57 (4): 455-462.   DOI: 10.3761/j.issn.0254-1769.2022.04.011
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Objective To construct a diet and nutrition rehabilitation program for patients after weight loss and metabolism,and to provide references for clinical nursing work. Methods The first draft of diet and nutrition rehabilitation program after weight-loss metabolism was prepared by retrieving domestic and foreign literature. From July to September 2021,15 experts were consulted by Delphi method for 2 rounds of correspondence to seek their opinions,and the final draft was formed. Results The recovery rate of the 2 rounds of expert inquiries was 100%(15/15) and the expert authority factor was 0.854. Kendall’s Coordination Coefficient was 0.227 and 0.578(P<0.01),and the final program consisted of 5 primary indicators,18 secondary indicators and 37 tertiary indicators. Conclusion The diet and nutrition rehabilitation program after metabolic and bariatric surgery developed in this study is scientific and reliable,which can provide references for postoperative nursing practice in the future.

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A qualitative systematic review of dietary experiences among patients after metabolic bariatric surgery
LI Zhiwen, LI Wenya, LEI Xuejiao, XIAO Rijiao, NI Cuiping, PAN Yingli
Chinese Journal of Nursing    2021, 56 (10): 1567-1575.   DOI: 10.3761/j.issn.0254-1769.2021.10.021
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Objective To systematically evaluate the diet experience of patients with obesity after metabolic bariatric surgery(MBS),and comprehensively understand the diet problems and management needs,so as to provide bases for better clinical medical work. Methods Cochrane Library,JBI library,PubMed,Embase,Web of science,CINAHL,PsychINFO,CNKI,CBM were searched by computer. Qualitative research on diet experience of patients after metabolism bariatric surgery was retrieved and collected. The retrieval period was from the establishment of the databases to January 2021. The quality of the literature was evaluated by the quality evaluation standard of JBI evidence-based health care center in Australia,and the results were integrated by the method of aggregation. Results 18 studies were included. Researchers distilled 39 results into 7 sub-themes,which were combined into 4 themes,namely ①changes in the eating state after metabolic bariatric surgery:changes in dietary patterns in patients,changes in postoperative diet management stage;②positive eating strategies after metabolic bariatric surgery;③negative eating experience and bad eating behavior after metabolic bariatric surgery:negative eating experience,bad eating behavior and reasons;④after metabolic bariatric surgery,patients seek multi-faceted diet management support:support from health care providers, support from family and friends,and support from social organizations. Conclusion Medical staff should pay attention to the patients’ diet problems after metabolic bariatric surgery,provide targeted support and help according to the causes of the problems,guide the patients to establish positive diet behavior,achieve and maintain the best weight loss effect,and improve the quality of life.

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