减重代谢术后不良饮食行为评估工具的范围综述
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男,硕士在读,护士

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科研项目:广西医疗卫生适宜技术开发与推广应用项目(S2024001)


A scoping review of assessment tools for maladaptive eating behaviors after bariatric surgery
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    目的 总结并分析减重代谢术后不良饮食行为的评估工具,为筛选或制订适用于我国减重代谢术后患者不良饮食行为评估工具提供参考。 方法 采用Arksey范围综述报告框架,检索国内外数据库中减重代谢术后不良饮食行为评估工具的相关文献,检索时限为建库至2025年4月9日,提取文献和评估工具的基本特征进行系统分析。 结果 最终纳入30篇文献,其中16篇为评估工具的开发,14篇为评估工具的跨文化调适及验证,共涉及16个减重代谢术后不良饮食行为的评估工具,常用的评估工具主要为减重手术改变患者对饮食的耐受性、享受和渴望量表、暴饮暴食量表、减重代谢术后饮食依从性量表、耶鲁食物成瘾量表、进食障碍检查减重手术版、放牧饮食行为评估量表。 结论 减重代谢术后不良饮食行为评估工具种类较多、建议使用多维度评估工具评估患者不良饮食行为。未来需进一步对现有评估工具进行验证和完善,并开发或研制本土化的减重代谢术后不良饮食行为的特异性评估工具。

    Abstract:

    Objective To summarize and analyze assessment tools for maladaptive eating behaviors after bariatric surgery, and to provide a reference for screening or developing appropriate assessment tools for maladaptive eating behaviors in post-bariatric and me-tabolic surgery patients in China. Methods Following the Arksey and O′Malley scoping review framework, literature related to assessment tools for maladaptive eating behaviors after bariatric surgery was retrieved from domestic and international databases, with the search period extending from database inception to April 9, 2025.Basic characteristics of the included studies and assessment tools were extracted and systematically analyzed. Results A total of 30 studies were ultimately included, of which 16 focused on the development of assessment tools and 14 on cross-cultural adaptation and validation.These studies covered 16 assessment tools for maladaptive eating behaviors after bariatric surgery.Commonly used tools included Bariatric Surgical Alterations in Tole-rability, Enjoyment and Cravings in the Diet(BSATED), Binge Eating Scale (BES), Dietary Compliance Scale for Patients After Bariatric and Metabolic Surgery, Yale Food Addiction Scale (YFAS), Eating Disorder Examination Interview-Bariatric Surgery Version (EDE-BSV), and Repetitive Eating Questionnaire [Rep(eat)-Q]. Conclusion There is a wide variety of assessment tools for maladaptive eating behaviors after bariatric surgery.It is recommended to use multidimensional assessment tools to evaluate patients′ maladaptive eating behaviors. In the future, further validation and refinement of existing tools are needed, along with the development or adaptation of culture-specific assessment instruments tailored to maladaptive eating behaviors in Chinese patients after bariatric surgery.

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徐要凯,陈德凤,董旭辉,李蓓,何梦欣,杨扬,李佳宝,梁悦语.减重代谢术后不良饮食行为评估工具的范围综述[J].护理学杂志,2026,41(3):124-129

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  • 收稿日期:2025-09-24
  • 最后修改日期:2025-11-22
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  • 在线发布日期: 2026-03-09