Design and Development of a Nurse-led Program for the Management of Bariatric Surgery Patients - The NURLIFE Program
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Bariatric Surgery Candidate
- Sponsor
- University of Évora
- Enrollment
- 80
- Primary Endpoint
- cholesterol in mg/dl
- Status
- Not yet recruiting
- Last Updated
- 2 years ago
Overview
Brief Summary
to analyze the influence of the new intervention in the perioperative period and impact on several clinical and humanistic endpoints. In the evaluation phase, an experimental, controlled, and randomized study (RCT) will be developed, with an intervention group (IG) and a control group (CG). The CG will receive the usual care and the IG, will receive the intervention for an expected period of one year. This project aims to be the first study to investigate the effect of a long-term specialized case-management intervention (face-to-face and e-health) in patients who are candidates for bariatric surgery during all the perioperative periods
Detailed Description
The "nurse-led case-management" intervention program will allow to improve the management of the bariatric surgery process by patients in collaboration with the health team, with a view to improving health and adopting healthy lifestyles, which enhance better results. This intervention program is expected to be a mixed program with e-health technologies. Behavioural changes will be predictably one of the main objectives, with perception of the barriers and facilitators of them, from the perspective of training the patient for the physiological changes that result from the entire process of bariatric surgery. Thus, it is expected that the primary focus of the program will be health education and motivation for lifestyle changes, the promotion of healthy lifestyles and promotion of physical activity, with a view to improving anthropometric data and metabolic risk factors, as well as smoking cessation and alcoholic habits. As such, the contribution of a multidisciplinary team that is managed by a case-manager appears to be the most efficient intervention, and this activity aims to determine the set of procedures and their temporal sequence, the skills of the team, the flow of patients through the different elements of the team and the duration of the program.
Investigators
Cláudia Mendes
Principal Investigator
University of Évora
Eligibility Criteria
Inclusion Criteria
- •As inclusion criteria, patients should be enrolled for bariatric surgery at the hospital
- •Agree to participate in the study
Exclusion Criteria
- •Surgical complications
- •Psychiatric diseases and neurological disorders
Outcomes
Primary Outcomes
cholesterol in mg/dl
Time Frame: 1 year
Blood sample
Body image
Time Frame: 1 year
Body Image Perception Questionnaire (BIQ); the 19-item Body-Image Questionnaire; The total scores range from 0 to 72 with a higher score reflecting greater impairment and likelihood
Body weight
Time Frame: 1 year
scale
Anxiety and depression
Time Frame: 1 year
Social appearance anxiety scale (SAAS) is a16-item self-report measure; The items on the SAAS are rated on a 5-point Likert scale, ranging from 1 (not at all) to 5 (extremely). The SAAS yields a total score, which can range from 16 to 80. Higher scores on the SAAS indicate greater social appearance anxiety.
Height
Time Frame: 1 year
stadiometer
Physical Function
Time Frame: 1 year
Six-Minute Walk Test (6MWT)
Food-related aspects
Time Frame: 1 year
Eating Questionnaire (EDE-Q) with 28 questions; the minimum values are 0,04 and maximum values are 4,97; Higher scores indicate greater levels of symptomatology
Barriers and facilitators of physical activity
Time Frame: 1 year
Barriers and facilitators of physical activity Questionnaire on open questions
Glucose in mg/dl
Time Frame: 1 year
Blood sample
Mean blood pressure
Time Frame: 1 year
Blood sample
Self-Esteem
Time Frame: 1 year
Coopersmith Self-Esteem Scale (CSES) The CSEI consists of 50 items and yields an overall score and four separate scores representing specific aspects of self-esteem, namely, general self, social self-peers, home parents, and school academic (or professional for adult form).
Secondary Outcomes
- physical activity level(1 year)
- Health-related Quality of life (IWQOL)(1 year)
- Satisfaction with follow-up by nurses(1 year)