A Study of Micronutrient Deficiencies after Bariatric Surgery

Update item information
Identifier 2018_Nickel
Title A Study of Micronutrient Deficiencies after Bariatric Surgery
Creator Nickel, Alexa
Subject Advanced Practice Nursing; Education, Nursing, Graduate; Systems Analysis; Micronutrients; Vitamins; Bariatric Surgery; Obesity; Data Collection; Medication Adherence; Reproducibility of Results; Self Report; Surveys and Questionnaires; Patient Education as Topic; Multivitamins
Description Background: The United States is plagued with an obesity epidemic, with a resultant growing interest in bariatric surgery. Bariatric surgical procedures alter the GI tract, impeding absorption of micronutrients. Multivitamins (MVI) are an essential supplement after bariatric surgery to prevent nutritional deficiencies and related health problems. However, adherence to MVI supplements, like any medication, can be problematic. The prevalence of nutritional deficiencies after bariatric surgery is not well studied. Purpose: This quality improvement project aimed to evaluate current micronutrient screening practices in a selected bariatric surgical clinic, determine the frequency and type of micronutrient deficiencies by procedure, evaluate adherence of patients to MVI supplementation, and make recommendations to the practice based on findings. Methods: A retrospective chart review was performed on 125 patients from a local bariatric surgery clinic. Pre-surgical and 1-year post-surgical monitoring lab values were compared. A sample of patients were asked to complete the Morisky Medication Adherence Questionnaire (MMAQ) over a 2-month period to assess adherence to the daily MVI recommendation in order to evaluate patient teaching effectiveness. Results: Adherence to MVI supplementation was high in patients who completed the MMAQ. Micronutrient deficiencies varied among patients for whom different surgical procedures had been performed. Data accessibility and management of data for monitoring patients was found to be very problematic, requiring institution of better data management processes. Conclusions: The clinic is in need of several process improvements for data management to improve monitoring of MVI adherence and deficiencies. Patient education appears to be effective based on the very high MVI adherence rates noted in the sample of patients. However, micronutrient deficiencies appear to vary by surgical procedure. The surgeons were receptive to process improvement recommendations.
Relation is Part of Graduate Nursing Project, Doctor of Nursing Practice
Publisher Spencer S. Eccles Health Sciences Library, University of Utah
Date 2018
Type Text
Rights Management © 2018 College of Nursing, University of Utah
Holding Institution Spencer S. Eccles Health Sciences Library, University of Utah
Collection Nursing Practice Project
Language eng
ARK ark:/87278/s6jb0d4p
Metadata Cataloger AMT
Setname ehsl_gradnu
Date Created 2018-08-27
Date Modified 2019-02-05
ID 1366598
Reference URL https://collections.lib.utah.edu/ark:/87278/s6jb0d4p