To explore subjective cognitive attitudes toward lifestyle changes among patients after metabolic and bariatric surgery and inform tailored interventions.
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.
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.
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.
| 科 Family | 属数 Number of genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) | 属 Genus | 种数 Number of species | 占总种数比例 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 |