The relationship of decision regret with quality of life and comfort level in patients undergoing laparoscopic sleeve gastrectomy: a cross-sectional study

• Published in: Surgery for obesity and related diseases
• Main Authors: Kılınç, Tülay, Yayla, Ayşegül, Karaman Özlü, Zeynep, Balaban, Duygu
• Format: Journal Article
• Language: English
• Published: United States Elsevier Inc 05-09-2024
• Subjects: Comfort; Decision regret; Quality of life; Sleeve gastrectomy; Decision regret; Comfort; Sleeve gastrectomy; Quality of life
• ISSN: 1550-7289; 1878-7533; 1878-7533
• DOI: 10.1016/j.soard.2024.08.030

Laparoscopic sleeve gastrectomy (SG) is one of the effective methods of weight loss. It is essential to determine patients' regret and predictive factors to improve their quality of life and comfort. No study has investigated decision regret and affecting factors in patients undergoing SG in Turkey.
The study aimed to determine the relationship of decision regret with quality of life and comfort level in patients undergoing SG.
The research was carried out with patients who had undergone SG in a private hospital in the west of Turkey.
The research was conducted as a descriptive, correlational, and cross-sectional study. Data were collected between March and May 2023, and the study was completed with 286 patients. Data were collected using the Personal Information Form, Decision Regret Scale (DRS), Quality of Life Following Obesity Surgery Scale (QoL-OS), and Comfort Scale.
Patients’ mean score on the DRS was 5.27 ± 13.41 (0-100), the total mean score on the QoL-OS-Biopsychosocial dimension was 79.57 ± 9.35 (18-90), the mean score on the QoL-OS-Complications dimension was 17.17 ± 4.60 (7-35), and the environmental comfort score average was 8.87 ± 2.23 (0-10). Patients’ decision regret was significantly affected by the QoL-OS-Biopsychosocial Area dimension in the first place (Beta = −.516; P < .001), social comfort in the second place (Beta = −.278; P < .001), postoperative weight gain in the third place (Beta = .221; P < .001), and complication development in the fourth place (Beta = .163; P < .001).
The study revealed that patients’ decision regret levels were very low up to 3 years after surgery and found that low postoperative quality of life and social comfort level, postoperative weight gain, and complications affected decision regret.
•Few studies have been carried out in the literature on decision regret in patients undergoing sleeve gastrectomy (SG).•It was found that the decision regret of patients after SG was very low.•It was observed that the biopsychosocial dimension of the Quality of Life Following Obesity Surgery Scale (QoL-OS) was the variable that predicted patients' decision regret at the highest level.•The study found that quality of life, weight gain, and comfort were related to decision regret.