"My quality of life is worse compared to my earlier life": Living with chronic problems after weight loss surgery.
"My quality of life is worse compared to my earlier life": Living with chronic problems after weight loss surgery.
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DOI：
10.3402/qhw.v5i4.5553
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发表时间：
2010-11-18
影响因子：
1.8
通讯作者：
Engelsrud, Gunn
中科院分区：
文献类型：
--
作者：
Groven, Karen Synne;Raheim, Malfrid;Engelsrud, Gunn
减肥手术通常被认为可以改善个人的健康和社交生活，并为那些被定义为“病态肥胖”的人带来更快乐、更积极的生活。然而，一些研究人员开始怀疑这些积极的结果是否适用于每个人，这篇文章进一步探讨了这个疑问。更具体地说，我们关注的是那些在减肥手术后生活状况变得更糟的女性的经历。该材料借鉴了五名接受不可逆胃旁路手术的挪威妇女的定性访谈。我们的研究结果表明，这些女性在手术前似乎过着“正常”的生活，几乎没有疾病的迹象。对未来疾病的担忧，以及对自己体型的社会歧视，促使她们接受了减肥手术。然而，手术后，他们的情况发生了深刻的变化，他们的生活受到了极大的限制。慢性疼痛、精力不足，以及因这些问题而产生的羞耻感和失败感，不仅限制了他们的社交生活，还使他们减少了体力活动。此外，他们在照顾孩子和工作上也难以令人满意。因此，妇女们逐渐感到更“残疾”，认为自己是“局外人”，她们的问题需要保密。研究结果强调了减肥手术的一些“微妙”后果，尤其是那些生活急剧恶化的人所经历的羞耻和耻辱。生活在一个减肥手术的负面影响在研究和公众辩论中或多或少被忽视的社会中，女性似乎默默地承受着痛苦。他们的问题清楚地存在于身体中，但却没有与他人谈论和分享。
Weight loss surgery is commonly regarded as improving individuals' health and social life, and resulting in a happier and more active life for those defined as "morbidly obese." However, some researchers have started to doubt whether these positive outcomes apply to everyone and this article explores this doubt further. More specifically, we focus on the experiences of women whose life situation became worse after weight loss surgery. The material draws on qualitative interviews of five Norwegian women undergoing the irreversible gastric bypass procedure. Our findings illustrate that the women lived seemingly "normal" lives prior to the surgery with few signs of illness. Worries about future illness as well as social stigma because of their body shape motivated them to undergo weight loss surgery. After the surgery, however, their situation was profoundly changed and their lives were dramatically restricted. Chronic pain, loss of energy, as well as feelings of shame and failure for having these problems not only limited their social lives but it also made them less physically active. In addition, they had difficulties taking care of their children, and functioning satisfactorily at work. Accordingly, the women gradually felt more "disabled," regarding themselves as "outsiders" whose problems needed to be kept private. The results highlight some "subtle" consequences of weight loss surgery, particularly the shame and stigma experienced by those whose lives became dramatically worse. Living in a society where negative impacts of weight loss surgery are more or less neglected in research as well as in the public debate the women seemed to suffer in silence. Their problems were clearly present and felt in the body but not talked about and shared with others.