Manejo psicológico del paciente sometido a cirugía bariátrica. Consenso Núcleo de Psicólogos de Cirugía de la Obesidad de Chile / Chilean consensus on the psychological management of patients undergoing bariatric surgery
Rev. méd. Chile
;
148(4): 518-527, abr. 2020. tab, graf
Artigo
em Espanhol
| LILACS
| ID: biblio-1127092
RESUMEN
Background Bariatric Surgery is the most effective alternative for weight reduction. However, weight regain is a serious problem. Therefore, pre and post-operative psychological management becomes relevant for these patients. Aim To unify criteria about the psychological management patients undergoing bariatric surgery. Material and Methods A questionnaire about psychological practice in bariatric surgery was sent to 50 national expert psychologists, members of the Chilean Bariatric and Metabolic Society. When no agreement among them was achieved, the Delphi methodology was applied. Scores of 86% or greater were used to reach consensus. Results The specialized clinical assessment is crucial for a good preoperative evaluation and to obtain and adequate compliance after surgery. Psychological interventions evolved towards a preparation process to achieve behavioral changes aiming to maintain good long term weight reduction results. Conclusions The indications and recommendations emanating from this consensus generated a document that establishes minimum criteria and quality care standards, which should reduce mental health risks of bariatric surgery and enhance lifestyle changes.
Texto completo:
DisponíveL
Índice:
LILACS (Américas)
Assunto principal:
Obesidade Mórbida
/
Cirurgia Bariátrica
Tipo de estudo:
Guia de Prática Clínica
Limite:
Humanos
País/Região como assunto:
América do Sul
/
Chile
Idioma:
Espanhol
Revista:
Rev. méd. Chile
Assunto da revista:
Medicina
Ano de publicação:
2020
Tipo de documento:
Artigo
País de afiliação:
Chile
Instituição/País de afiliação:
Clínica Alemana/CL
/
Clínica Ciudad del Mar/CL
/
Clínica Las Condes/CL
/
Clínica Santa María/CL
/
Red de Salud UC Christus/CL
/
Universidad de Chile/CL
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