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Study on cognitive attitudes toward lifestyle changes among patients after metabolic and bariatric surgery
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Shenghua JIA1, 2, Yu ZHANG2, Jia QIAO2, Songmei CAO1
Chinese Nursing Research | 2026, 40(15) : 2598 - 2606
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Chinese Nursing Research | 2026, 40(15): 2598-2606
• Original Articles •
Study on cognitive attitudes toward lifestyle changes among patients after metabolic and bariatric surgery
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Shenghua JIA1, 2, Yu ZHANG2, Jia QIAO2, Songmei CAO1
Affiliations
  • 1Affiliated Hospital of Jiangsu University, Jiangsu 212013 China
  • 2Qingdao Municipal Hospital
Published: 2026-08-10 doi: 10.12102/j.issn.1009-6493.2026.15.003
Outline
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Objective

To explore subjective cognitive attitudes toward lifestyle changes among patients after metabolic and bariatric surgery and inform tailored interventions.

Methods

Based on the Integrated Theory of Health Behavior Change,Q methodology was applied.A 28-item Q-sample was developed via literature review and semi-structured interviews.Sixteen patients within 1-12 months post-surgery completed Q-sorting.Factor extraction and analysis were conducted.

Results

Fourteen valid Q-sorts were analyzed.Three distinct attitude types were identified,accounting for 62.0% of total variance:proactive,passive acceptance,and cognitive conflict.These types differed in health cognition,behavioral motivation,and contextual adaptability.

Conclusions

Patients after bariatric metabolic surgery exhibit heterogeneous attitudes toward lifestyle changes.Identifying cognitive typologies can inform stratified nursing education and behavioral support strategies to enhance long-term adherence and rehabilitation outcomes.

metabolic and bariatric surgery,MBS  /  lifestyle  /  cognitive attitude  /  Q methodology  /  integrated theory of health behavior change,ITHBC
贾胜华, 张瑜, 乔佳, 曹松梅. 减重代谢术后病人对生活方式改变的认知态度研究. 护理研究, 2026 , 40 (15) : 2598 -2606 . DOI: 10.12102/j.issn.1009-6493.2026.15.003
Shenghua JIA, Yu ZHANG, Jia QIAO, Songmei CAO. Study on cognitive attitudes toward lifestyle changes among patients after metabolic and bariatric surgery[J]. Chinese Nursing Research, 2026 , 40 (15) : 2598 -2606 . DOI: 10.12102/j.issn.1009-6493.2026.15.003
Year 2026 volume 40 Issue 15
41
14
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doi: 10.12102/j.issn.1009-6493.2026.15.003
  • Receive Date:2025-09-03
  • Online Date:2026-10-30
  • Published:2026-08-10
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History
  • Received:2025-09-03
  • Revised:2026-05-08
Affiliations
    1Affiliated Hospital of Jiangsu University, Jiangsu 212013 China
    2Qingdao Municipal Hospital
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表12种不同金属材料的力学参数
科
Family
属数
Number of
genus
种数
Number of
species
占总种数比例
Percentage of
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属
Genus
种数
Number of
species
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Percentage of total
species (%)
鹅膏菌科Amanitaceae 2 11 5.26 鹅膏菌属 Amanita 10 4.78
小菇科 Mycenaceae 2 12 5.74 丝盖伞属 Inocybe 5 2.39
多孔菌科 Polyporaceae 8 14 6.70 蜡蘑属 Laccaria 5 2.39
红菇科 Russulaceae 3 23 11.00 小皮伞属 Marasmius 6 2.87
小菇属 Mycena 11 5.26
光柄菇属 Pluteus 5 2.39
红菇属 Russula 17 8.13
栓菌属 Trametes 5 2.39
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