Perceived psychosocial outcomes of gastric bypass surgery: A qualitative study
Perceived psychosocial outcomes of gastric bypass surgery: A qualitative study
复制标题
DOI：
10.1381/096089202320995556
复制
发表时间：
2002-12-01
期刊：
影响因子：
2.9
通讯作者：
Fisher, BL
中科院分区：
文献类型：
--
作者：
Bocchieri, LE;Meana, M;Fisher, BL
背景：试图了解因病态肥胖而接受胃旁路手术的患者术后生活中的心理社会变化，1)由研究人员的假设所产生的结构指导，2)在没有从理论上整合这些变化的情况下导致分类变化的支离破碎的结论。材料和方法：使用非结构化和半结构化的访谈和深入的焦点小组，31名患者以开放式的方式被问及胃旁路手术对他们生活的影响。运用扎根理论方法论，找出突发主题及其相互关系，构建一个有意义的、全面的胃旁路术后生活理论。结果：患者对重生/转化的报告被确定为该理论的核心过程。标志着这一过程的变化被清楚地概念化，用二分法比较手术前和术后的生活。患者报告了他们认为明确积极的变化，其中一些以前没有在文献中报道。这项特殊研究的独特之处在于发现了许多生活变化，这些变化造成了紧张，并对患者生活的各个方面构成了挑战。结论：扎根理论认为，患者成功地克服紧张产生的变化的程度可能是胃旁路手术长期结果的主要决定因素，无论是体重减轻还是心理社会调整。
Background: Attempts to understand postoperative psychosocial changes in the lives of individuals who have undergone gastric bypass surgery for morbid obesity have 1) been guided by constructs emanating from the assumptions of researchers, and 2) have resulted in fragmented conclusions that catalogue changes without theoretically integrating them.Materials and Methods: Using unstructured and semi-structured interviews and in-depth focus groups, 31 patients were asked in an open-ended fashion about the ways, if any, in which gastric bypass surgery had affected their lives. Grounded theory methodology was utilized in order to identify emergent themes and their interrelations, and build a meaningful, comprehensive theory of life after gastric bypass.Results: Patients' report of a rebirth/transformation was identified as the core process of the theory. The changes marking this process were clearly conceptualized in dichotomous terms comparing pre to postsurgical life. Patients reported changes that they regarded as unequivocally positive, a number of which had not been previously reported in the literature. Unique to this particular study was the finding of numerous life changes that generated tension and posed challenges in various aspects of patients' lives.Conclusion: The grounded theory proposes that the extent to which patients successfully negotiate tension-generating changes may be a major determinant in the long-term outcome of gastric bypass, both weight loss and psychosocial adjustment.