Design and development of a nurse-led program for the management of bariatric surgery patients - The NURLIFE program

Author:

Mendes Cláudia1,Carvalho Manuel1,Martins Catarina1,Rodrigues Luís Monteiro2,Gregório João2

Affiliation:

1. Hospital Espírito Santo de Évora - Unidade Local de Saúde do Alentejo Central

2. CBIOS – Universidade Lusófona’s Research Center for Biosciences & Health Technologies

Abstract

Abstract

Background: A nurse-led case-management intervention program may improve the patients' management of the bariatric surgery process. Close collaboration with the healthcare team may improve health and facilitate the adoption of healthy lifestyles, which may enhance surgical results. Completing this project will allow the deepening and exploration of a network, including other areas of assistance, namely mental health and rehabilitation, as well as primary care. Aim The program's primary focus is expected to be health education and motivation for lifestyle changes, promoting healthy lifestyles and physical activity. The improvement of anthropometric data, the lessening of the metabolic risk factors, and quitting smoking and alcohol habits will also be our main achievements. Methods This randomized clinical trial has participants divided into two groups. We use a quantitative outcome evaluation to assess the effectiveness of the intervention and to anticipate indications for future implementation in different clinical settings. Discussion This project aims to be the first study to investigate the effect of a specialist nurse interventions on patient candidates for bariatric surgery, based on practice-based evidence, while using mixed programs, face-to-face and e-health, on the management and results of bariatric surgery. As such, the contribution of a multidisciplinary team managed by a case manager may be the most efficient intervention. Trial Registration Clinicaltrials.gov (NCT06020105) July 10, 2023.

Publisher

Research Square Platform LLC

Reference23 articles.

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2. 2. L. B. Silva, B. M. P. M. Oliveira, and F. Correia, “Evolution of body composition of obese patients undergoing bariatric surgery,” Clin Nutr ESPEN, vol. 31, pp. 95–99, Jun. 2019, doi: 10.1016/J.CLNESP.2019.02.002.

3. 3. J. I. Mechanick et al., “Clinical practice guidelines for the perioperative nutritional, metabolic, and nonsurgical support of the bariatric surgery patient–2013 update: cosponsored by American Association of Clinical Endocrinologists, the Obesity Society, and American Society for Metabolic & Bariatric Surgery,” Surg Obes Relat Dis, vol. 9, no. 2, pp. 159–191, Mar. 2013, doi: 10.1016/J.SOARD.2012.12.010.

4. 4. C. Mendes, M. Carvalho, L. Oliveira, L. M. Rodrigues, and J. Gregório, “Nurse-led intervention for the management of bariatric surgery patients: A systematic review,” Obes Rev, 2023, doi: 10.1111/OBR.13614.

5. 5. J. I. Mechanick et al., “Clinical practice guidelines for the perioperative nutrition, metabolic, and nonsurgical support of patients undergoing bariatric procedures − 2019 update: cosponsored by American Association of Clinical Endocrinologists/American College of Endocrinology, The Obesity Society, American Society for Metabolic & Bariatric Surgery, Obesity Medicine Association, and American Society of Anesthesiologists,” Surg Obes Relat Dis, vol. 16, no. 2, pp. 175–247, Feb. 2020, doi: 10.1016/J.SOARD.2019.10.025.

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