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
Processing time: 113 Days and 23.1 Hours
ARTICLE HIGHLIGHTS
Research background

If postoperative weight control is not good, some patients with obstructive sleep apnea-hypopnea syndrome (OSAHS) will experience rebound symptoms after surgery. Currently, the common measures for controlling the weight mainly include diet control, increase exercise and so on. Conventional postoperative intervention focuses on the health education, but the compliance of patient weight control after surgery is poor.

Research motivation

Motivational interviewing (MI) could mobilize the initiative of obese patients with OSAHS after surgery, making them fully understand the harm of obesity. Also, by combining with personalized weight control scheme to effectively control weight, the surgical treatment effect of obese OSAHS patients could be well promoted, thus finally reducing and controlling the occurrence of complications.

Research objectives

This research aimed to explore the effect of motivational interviewing on postoperative weight control in obesity patients with OSAHS.

Research methods

A case-control study was performed. From March 2018 to March 2019, 100 postoperative patients with OSAHS were randomly divided into an intervention group and a control group, with 50 cases in each group. 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.

Research results

Patients in the intervention group had significantly improved body weight, BMI, and waist and neck circumference compared with patients in the control group. 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. In addition, the Epworth Sleepiness Scale and Self-Rating Scale of Sleep scores of patients in the intervention group were lower than those in the control group, and the sleep status of patients in the intervention group was improved.

Research conclusions

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

Research perspectives

Our research results show that MI for 6 mo could effectively control the postoperative weight of obesity patients with OSAHS, and reduce the complications. If the long-term intervention effect is to be observed, the follow-up time should be extended.