Perceived and Preferred Social Support in Patients Experiencing Weight Regain After Bariatric Surgery-a Qualitative Study.
Perceived and Preferred Social Support in Patients Experiencing Weight Regain After Bariatric Surgery-a Qualitative Study.
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DOI：
10.1007/s11695-020-05128-5
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发表时间：
2021-03
期刊：
影响因子：
2.9
通讯作者：
Lagerros YT
中科院分区：
文献类型：
--
作者：
Tolvanen L;Svensson Å;Hemmingsson E;Christenson A;Lagerros YT
虽然减肥手术通常在肥胖患者中显示成功的减肥结果，但存在体重反弹。这项定性研究的目的是提高对减肥手术后体重大量反弹的患者如何获得家人、朋友和医疗保健提供者的支持以及他们更喜欢什么样的支持的理解。定性数据收集半结构化访谈16名参与者。从手术到访谈的平均体重恢复率为36%。访谈记录采用主位分析法进行分析。制定了两个主题和七个分主题。主题是“孤独的挣扎”，描述了患者在体重恢复过程中因缺乏支持或治疗不利而产生的被遗弃和挣扎的感觉。参与者通常会责怪自己重新增加体重，羞耻感使他们不愿意参与社会活动或寻求医疗护理。主题是“他人作为同情和控制的来源”，涵盖了他们想要的支持，以及认为有帮助的支持。与他人一起锻炼或健康饮食受到赞赏和支持。积极的医疗保健支持和获得营养师，物理治疗师和心理支持是必要的。为了优化减肥手术的效果，可能需要个性化和终身支持。由于体重反弹患者的羞耻和自责可能会阻碍寻求专业帮助，因此护理提供者可能需要进行随访。同情和非判断性支持，多学科医疗团队的访问，以及同行支持小组可能有利于抵消减肥手术后体重反弹。
While bariatric surgery generally shows successful weight loss outcomes in patients with obesity, weight regain exists. The aim of this qualitative study was to improve understanding of how patients with substantial weight regain after bariatric surgery experienced the support from family, friends, and healthcare providers, and what kind of support they had preferred. Qualitative data were collected from semi-structured interviews with 16 participants. Mean weight regain from surgery to interview was 36%. The transcribed interviews were analyzed with thematic analysis. Two main themes and seven sub-themes were formulated. The theme, A lonely struggle, illustrates patients’ feelings of abandonment and struggle during weight regain due to lack of support or unfavorable treatment. Participants commonly blamed themselves for re-gaining weight, and shame made them reluctant to engage in social activities or seek medical care. The theme, Others as sources of compassion and control, covers what support they desired, as well as had perceived to be helpful. Exercising or eating healthy with others was appreciated and felt supportive. Pro-active healthcare support and access to dietitians, physiotherapists, and psychological support were desired. To optimize the effect of bariatric surgery, support may need to be individualized and lifelong. Since shame and self-blame in patients with weight regain may hinder seeking professional help, care providers may need to initiate follow-up visits. Empathetic and non-judgmental support, access to multidisciplinary healthcare team, as well as peer-support groups may be beneficial to counteract weight regain post-bariatric surgery.
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影响因子：
2.9
作者：
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