摘要
目的探索接受袖状胃切除术患者体质量内在化歧视对其情绪性进食的影响。方法采用便利抽样法抽取220例接受手术治疗的肥胖症患者,在术前进行一般社会人口学量表、体质量内在化歧视量表、自尊自评量表、焦虑自评量表、抑郁自评量表以及三因素饮食量表(情绪性进食部分)调查。结果肥胖症患者情绪性进食得分14.13±4.90,体质量内在化歧视得分52.31±11.51。情绪性进食与体质量内在化歧视呈显著正相关(P<0.05)。结构方程模型显示,体质量内在化歧视可直接影响自尊、抑郁或焦虑,体质量内在化歧视可通过自尊和抑郁情绪的链式中介间接影响情绪性进食行为的发生(均P<0.05)。结论接受手术治疗的肥胖症患者情绪性进食水平较高,存在多种心理健康问题,体质量内在化歧视通过心理问题影响情绪性进食。临床护理人员应引起重视,制定针对性干预措施,以改善患者的不良情绪,从而纠正不良饮食行为、控制肥胖。
Objective To explore the effect of weight bias internalization on emotional eating in patients to undergo sleeve gastrectomy.Methods A total of 220 obese patients were conveniently selected for preoperative questionnaire survey,and the study instruments included the general sociodemographic inventory,the Weight Bias Internalization Scale(WBIS),the Self-Esteem Scale(SES),the Self-rating Depression Scale(SDS),and the Three-Factor Eating Questionnaire-R21C(TFEQ-R21).Results The emotional eating score averaged 14.13±4.90,and the weight bias internalization score averaged 52.31±11.51,with the two variables positively correlated(P<0.01).The results of structural equation modelling showed that,internalized weight bias directly affected self-esteem,depression or anxiety;it indirectly affected emotional eating behavior through the chain mediation of self-esteem and depressive emotions(all P<0.05).Conclusion Obese patients had higher rate of emotional eating and multiple mental health problems,through which,internalized weight bias indirectly affected emotional eating behavior.Medical staff should pay more attention to the psychological problems of patients,and actively formulate appropriate personalized psychological interventions for patients,in order to improve patients′bad moods and correct their poor eating behavior.
作者
刘旭
张文静
岳雯雯
孙超男
李卫华
Liu Xu;Zhang Wenjing;Yue Wenwen;Sun Chaonan;Li Weihua(Operating Room,Qilu Hospital of Shandong University,Jinan 250012,China)
出处
《护理学杂志》
CSCD
北大核心
2023年第11期84-87,共4页
Journal of Nursing Science
基金
山东大学横向课题(21330012002202)。
关键词
肥胖症
体质量内在化歧视
情绪性进食
自尊
焦虑
抑郁
obesity
weight bias internalization
emotional eating
self-esteem
anxiety
depression
