Abstract:

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.

Key words: Obesity, Metabolic and Bariatric Surgery, Dietary Rehabilitation, Delphi Method, Surgical Nursing

摘要：

目的 构建减重代谢术后患者的饮食与营养康复方案,为临床护理工作提供参考依据。方法 检索国内外文献,拟订减重代谢术后患者饮食与营养康复方案初稿。2021年7月—9月,运用德尔菲法对15名专家进行2轮函询,征询专家意见,形成减重代谢术后饮食与营养管理方案终稿。结果 2轮专家函询有效问卷回收率均为100%,专家权威系数为0.854。肯德尔和谐系数分别为0.227和0.578（P<0.01）,最终形成的减重代谢术后患者饮食与营养管理方案包括一级指标5项、二级指标18项和三级指标37项。结论 该研究形成的减重代谢术后患者饮食与营养康复方案具有科学性和可行性,可为今后开展减重代谢手术患者术后护理实践提供借鉴。

关键词: 肥胖症, 减重代谢手术, 饮食康复, 德尔菲法, 外科护理学