Body image concerns amongst massive weight loss patients
Body image concerns amongst massive weight loss patients
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DOI：
10.1111/jocn.12031
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发表时间：
2013-05-01
影响因子：
4.2
通讯作者：
Gilmartin, Jo
中科院分区：
文献类型：
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作者：
Gilmartin, Jo
目的与目的探讨大幅度减肥后患者的身体形象问题。背景在当代医疗保健中，越来越多的病态肥胖患者正在寻求手术解决方案，如减肥手术或在其他情况下进行彻底的生活方式改变。大规模的减肥会让患者的皮肤松弛过度，在某些情况下会引发对身体形象的不满或抑郁。有一个稀缺的研究这组病人的需求，这是很重要的护理实践。研究设计：采用质性设计，采用深度访谈。方法20例白色成年人（18例女性和2例男性），年龄29 - 63岁，因接受减肥手术或彻底改变生活方式而体重大幅减轻。所有参与者都签署了知情同意书。进行了面对面的深入访谈，并进行了逐字记录。采用专题分析法对数据进行了分析。结果确定了一个关注身体形象丑陋的核心主题和三个相关的子主题：感觉社会边缘化，感觉抑郁和性和亲密困难。结论身体意象问题是非常重要的，似乎对情绪健康和功能有持久的影响，有助于心理困扰和社会孤立。需要更大的敏感性，使患者能够通过情绪孤立和羞耻，一直是他们童年的一部分工作。此外，治疗需要对这一不断增长的患者群体进行，例如重建手术。与临床实践的相关性护理大量减肥患者的护士需要注意他们的心理动力学需求，并且不评判和接受。此外，护士需要了解治疗方案，能够评估身体形象问题，并为这一特定的患者群体实施高质量的护理，包括身体形象接受计划和支持小组。
Aims and objectives To explore body image matters amongst patients following massive weight loss. Background In contemporary health care, a growing number of morbidly obese patients are seeking surgical solutions such as bariatric surgery or in other cases engaging with radical lifestyle changes. Massive weight loss can leave patients with a huge excess of lax overstretched skin that in some cases can trigger major body image dissatisfaction or depression. There is a scarcity of research about the needs of this group of patients and this is important for nursing practice. Design A qualitative design using in-depth interviews was employed. Methods Twenty white adults (18 women and two men) were recruited retrospectively amongst patients who had massive weight loss by undergoing bariatric surgery or radical lifestyle changes, aged 2963years. All of the participants gave signed informed consent. Face-to-face in-depth interviews were conducted and transcribed verbatim. The data were analysed using thematic analysis. Results One core theme focusing on body image ugliness and three associated subthemes were identified: the subthemes included feeling socially marginalised, feeling depressed and sexual and intimacy difficulties. Conclusion Body image matters are hugely significant and appear to have a lasting effect on emotional well-being and function, contributing to psychological distress and social isolation. Greater sensitivity is required in enabling patients to work through emotional isolation and shame that has been a part of their childhood. Furthermore more, treatments need to be accessible to this growing patient population such as reconstructive surgery. Relevance to clinical practice Nurses who care for massive weight loss patients need to be mindful of their psychodynamic needs and be non-judgemental and accepting. Moreover, nurses need to be aware of treatment options and be able to assess body image matters and implement quality care for this particular patient group including body image acceptance programmes and support groups.