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The Effects of a Web-Based Interactive Nurse Support Program Based on the Health Promotion Model on Healthy Living Behaviors and Self-Efficacy in Patients Who Regained Weight after Bariatric Surgery: A Randomized Controlled Trial

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Abstract

Purpose

This study was conducted in order to determine the effects of web-based interactive nursing support program prepared in line with Health Promotion Model (HPM) on healthy lifestyle behaviors and self-efficacy of patients who regained weight following metabolic and bariatric surgery.

Materials and Methods

A total of 62 patients with a history of weight regain at least two years after metabolic and bariatric surgery were divided into intervention (n = 31) and control (n = 31) groups by stratified randomization. The intervention group was given a web-based interactive nurse support program based on HPM for 10 weeks and followed up by telephone 12 times (every two weeks) in 6 months. No attempt was made to the control group during the study. The data were collected a total of 3 times before the training, in the 12th week and in the 6th month.

Results

In the last test after the web-based interactive nurse support program and telephone follow-up, the difference was found to be statistically significant in terms of BMI, healthy lifestyle behaviors, eating behaviors, and general self-efficacy mean scores of the patients in the intervention group (p < 0.05). In addition, after the study, it was determined that the physical activity, nutrition, spiritual development, emotional eating and the Dutch Eating Behavior scales total score averages and Self-Efficacy Scale total score averages of the intervention group changed positively compared to the control group, and this change was statistically significant (p < 0.05). There was no difference between the groups in the mean scores of health responsibility, interpersonal relationships, stress, restrictive eating, external eating and Healthy Lifestyle Behaviors-II Scale (p > 0.05).

Conclusion

It can be stated that the web-based interactive nurse support program based on HPM is applicable in patients who regain weight after metabolic and bariatric surgery, and it contributes positively to the healthy lifestyle behaviors, BMI, eating behaviors, and general self-efficacy of these patients. In order to ensure the continuity of post-operative patient follow-up, it is recommended to increase the importance of telephone counseling and to establish follow-up program based on the HPM.

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Funding

This thesis study has been supported by the project of Sivas Cumhuriyet University Scientific Research Projects Unit numbered SBF-2021–089.

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Authors and Affiliations

  1. Susehri School of Health Nursing Department, Sivas Cumhuriyet University, Sivas, Turkey

    Ezgi Yıldız

  2. Faculty of Health Sciences Fundamentals of Nursing Department, Sivas Cumhuriyet University, Sivas, Turkey

    Şerife Karagözoğlu

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  1. Ezgi Yıldız
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  2. Şerife Karagözoğlu
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Correspondence to Ezgi Yıldız.

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Ethical Approval

Prior to the study, necessary permissions were taken from Sivas Cumhuriyet University Ethics Committee (Decision No:2021–04/57; Date:14.04.2021) and the hospital where the study was conducted. In addition, permissions were obtained from the authors of the scales used as data collection tools in the study through e-mail. The principles of the Declaration of Helsinki have been complied with.

Informed Consent

Informed consent was obtained from the all participants included in the study.

Conflict of Interest

The authors declared no conflict of interest.

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Key points

• Lifestyle change is necessary if long-term success is to be achieved after metabolic and bariatric surgery.

• Model-based nursing intervention is important to improve healthy behaviors and self-efficacy in patients undergoing metabolic and bariatric surgery.

• A web-based nurse support program is important for the long-term follow-up of patients after metabolic and bariatric surgery.

*The study has not been published elsewhere.

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Yıldız, E., Karagözoğlu, Ş. The Effects of a Web-Based Interactive Nurse Support Program Based on the Health Promotion Model on Healthy Living Behaviors and Self-Efficacy in Patients Who Regained Weight after Bariatric Surgery: A Randomized Controlled Trial. OBES SURG 33, 3212–3222 (2023). https://doi.org/10.1007/s11695-023-06795-w

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