目的 了解减重代谢手术患者的经历和术前结果期望，为优化术前结果期望管理策略、制订基于患者诉求的期望管理方案提供参考。方法 2023年11月至2024年2月，采用目的抽样法选取郑州市某三级甲等医院15例接受减重代谢手术的患者进行半结构式深度访谈，运用Colaizzi 7步分析法分析资料并归纳主题。结果 共获得3个主题（期望的形成动因、术前结果期望管理决策方式各异、期望管理过程中的需求等）和10个亚主题。结论 护理人员应积极评估减重代谢手术患者的术前结果期望并激发其积极期望管理、建立共同决策机制以及构建全方位支持网络，增强管理信心，促进期望实现。

Objective To understand the experiences and preoperative outcome expectations of patients undergoing metabolic bariatric surgery,so as to provide reference for optimizing preoperative outcome expectation management strategies and developing expectation management programs based on patient needs.Methods From November 2023 to February 2024,15 patients who underwent bariatric and metabolic surgery in a tertiary A hospital in Zhengzhou province were selected using purposive sampling for semi-structured in-depth interviews.Colaizzi 7-step analysis method was used to analyze the data and summarize the themes.Results A total of 3 themes (the forming factors of expectations, the diverse decision-making approaches in managing preoperative outcome expectations, and the needs during the expectation management process) and 10 sub-themes were identified.Conclusions Nursing staff should actively assess the outcome expectations of metabolic bariatric surgery patients,stimulate positive expectation management,establish a shared decision-making mechanism,build a comprehensive support network to increase confidence in managing outcome expectations,and to promote its realization.

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河南省高等学校重点科研项目计划（22B320020）