Case Control Study
Copyright ©The Author(s) 2020. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Aug 6, 2020; 8(15): 3209-3217
Published online Aug 6, 2020. doi: 10.12998/wjcc.v8.i15.3209
Effect of motivational interviewing on postoperative weight control in patients with obstructive sleep apnea-hypopnea syndrome
Xiang-Hong Sun, Peng-Shi Xue, Xiang-Xiu Qi, Ling Fan
Xiang-Hong Sun, Department of Critical Care Medicine, Shengjing Hospital of China Medical University, Shenyang 110004, Liaoning Province, China
Peng-Shi Xue, Department of Cardiology, Shengjing Hospital of China Medical University, Shenyang 110004, Liaoning Province, China
Xiang-Xiu Qi, Ling Fan, Department of Nursing, Shengjing Hospital of China Medical University, Shenyang 110004, Liaoning Province, China
Author contributions: Sun XH prepared the experimental data and manuscript; Xue PS performed the discussion and analysis; Fan L contributed to drafting the manuscript; Qi XX contributed to the writing, review, and editing of the manuscript.
Supported by the School of Nursing Research Project at China Medical University, No. 2017HL-21.
Institutional review board statement: The study was approved by the ethics committee of Shengjing Hospital of China Medical University.
Informed consent statement: All patients gave informed consent to the study.
Conflict-of-interest statement: None.
Data sharing statement: No additional data.
STROBE statement: The manuscript was checked according to the STROBE statement.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Corresponding author: Ling Fan, MD, Chief Nurse, Department of Nursing, Shengjing Hospital of China Medical University, No. 36 Sanhao Street, Shenyang 110004, Liaoning Province, China. cmusun@126.com
Received: April 14, 2020
Peer-review started: April 14, 2020
First decision: May 15, 2020
Revised: May 25, 2020
Accepted: July 14, 2020
Article in press: July 14, 2020
Published online: August 6, 2020
Abstract
BACKGROUND

Obesity is an important factor to cause the obstructive sleep apnea-hypopnea syndrome (OSAHS). Higher body mass index (BMI) often results in more severe OSAHS. Currently, the common measures for controlling the weight mainly include diet control, increase exercise and so on. Motivational interviewing (MI) could explore the patient’s internal state and make the patient realize his/her ambivalence, resulting in the change in his/her behavior. This process emphasizes respecting the patient’s autonomy.

AIM

To evaluate the effect of MI on the weight control of patients with OSAHS.

METHODS

A randomized controlled study was conducted in 100 obese OSAHS patients undergoing surgical treatment at Shengjing Hospital of China Medical University. The patients were divided into an intervention group and a control group, with 50 cases each. The control group was given routine health education after the operation; in addition to the regular health education, the intervention group was given MI according to a predetermined plan. Obesity-related indicators, postoperative complications, and the sleep status of both groups were evaluated before and 6 mo after the intervention.

RESULTS

Patients in the intervention group had significantly improved body weight, BMI, and waist and neck circumferences compared with patients in the control group (P < 0.05). Regarding complications at 6 mo after operation, the incidence of cough and reflux in patients in the intervention group was significantly lower than that in the control group (P < 0.05). In addition, the Epworth Sleepiness Scale and Self-Rating Scale of Sleep scores of patients in the intervention group were significantly lower than those in the control group, and the sleep status of patients in the intervention group was improved (P < 0.05).

CONCLUSION

MI intervention has a significant advantage over postoperative routine health education. It can greatly change the lifestyle, further control the postoperative weight, reduce the occurrence of complications, improve the quality of sleep, and improve long-term postoperative efficacy in OSAHS patients.

Keywords: Obstructive sleep apnea-hypopnea syndrome, Postoperative, Weight control, Motivational interview, Quality of sleep, Patients

Core tip: The curative effect of patient with obstructive sleep apnea-hypopnea syndrome after surgery would gradually decrease with time and obesity. By motivational interviewing, the initiative of patients would be mobilized, and they would develop personalized nutrition therapy and physical activity to achieve weight control scheme. The compliance and effectiveness of postoperative weight control would be improved, which could decrease the complication and improve sleep condition, and finally promote the long-term postoperative efficacy.