دورية أكاديمية
أعرض في EDS

Expectations and patients' experiences of obesity prior to bariatric surgery: a qualitative study.

التفاصيل البيبلوغرافية
العنوان: Expectations and patients' experiences of obesity prior to bariatric surgery: a qualitative study.
المؤلفون: Homer CV; Centre for Health and Social Care Research, Sheffield Hallam University, Sheffield, UK., Tod AM; School of Nursing and Midwifery, University of Sheffield, Sheffield UK., Thompson AR; Clinical Psychology Unit, Department of Psychology, University of Sheffield, Sheffield, UK., Allmark P; Centre for Health and Social Care Research, Sheffield Hallam University, Sheffield, UK., Goyder E; Section of Public Health, School of Health And Related Research, University of Sheffield, Sheffield, UK.
المصدر: BMJ open [BMJ Open] 2016 Feb 08; Vol. 6 (2), pp. e009389. Date of Electronic Publication: 2016 Feb 08.
نوع المنشور: Journal Article; Research Support, Non-U.S. Gov't
اللغة: English
بيانات الدورية: Publisher: BMJ Publishing Group Ltd Country of Publication: England NLM ID: 101552874 Publication Model: Electronic Cited Medium: Internet ISSN: 2044-6055 (Electronic) Linking ISSN: 20446055 NLM ISO Abbreviation: BMJ Open Subsets: MEDLINE
أسماء مطبوعة: Original Publication: [London] : BMJ Publishing Group Ltd, 2011-
مواضيع طبية MeSH: Goals* , Patient Satisfaction*, Bariatric Surgery/*psychology , Obesity, Morbid/*psychology , Obesity, Morbid/*surgery, Adult ; England ; Female ; Humans ; Male ; Middle Aged ; Prospective Studies ; Qualitative Research ; Shame ; Social Stigma
مستخلص: Objectives: This study aimed to understand the experiences and expectations of people seeking bariatric surgery in England and identify implications for behavioural and self-management interventions.
Design: A qualitative study using modified photovoice methods, triangulating photography with semistructured indepth interviews analysed using framework techniques.
Setting: Areas served by two bariatric surgery multidisciplinary teams in the north of England.
Participants: 18 adults (14 women and 4 men) who accepted for bariatric surgery, and were aged between 30 and 61 years. Participants were recruited through hospital-based tier 4 bariatric surgery multidisciplinary teams.
Results: The experiences of participants indicates the nature and extent of the burden of obesity. Problems included stigmatisation, shame, poor health, physical function and reliance on medications. Participants expected surgery to result in major physical and psychological improvement. They described how this expectation was rooted in their experiences of stigma and shame. These feelings were reinforced by previous unsuccessful weight loss attempts. Participants expected extreme and sometimes unrealistic levels of sustained weight loss, as well as improvements to physical and mental health. The overall desire and expectation of bariatric surgery was of 'normality'. Participants had received previous support from clinicians and in weight management services. However, they reported that their expectations of surgery had not been reviewed by services, and expectations appeared to be unrealistic. Likewise, their experience of stigmatisation had not been addressed.
Conclusions: The unrealistic expectations identified here may negatively affect postoperative outcomes. The findings indicate the importance of services addressing feelings of shame and stigmatisation, and modifying patient's expectations and goals for the postoperative period.
(Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/)
References: Bariatr Surg Pract Patient Care. 2013 Jun;8(2):69-76. (PMID: 24761368)
Open Nurs J. 2011;5:1-8. (PMID: 21660178)
Health Technol Assess. 2009 Sep;13(41):1-190, 215-357, iii-iv. (PMID: 19726018)
Obes Surg. 2005 Feb;15(2):266-72. (PMID: 15802072)
J Adv Nurs. 1997 Sep;26(3):623-30. (PMID: 9378886)
Int J Obes Relat Metab Disord. 2001 May;25 Suppl 1:S2-4. (PMID: 11466577)
Health Educ Q. 1994 Summer;21(2):171-86. (PMID: 8021146)
Psychol Health. 2006;21(2):273-93. (PMID: 21985121)
BMJ. 2013 Oct 22;347:f5934. (PMID: 24149519)
Surg Obes Relat Dis. 2007 Sep-Oct;3(5):554-8. (PMID: 17702666)
World Health Organ Tech Rep Ser. 1995;854:1-452. (PMID: 8594834)
Obes Surg. 2012 Nov;22(11):1714-22. (PMID: 22820955)
Scand J Caring Sci. 2011 Mar;25(1):126-33. (PMID: 20518867)
JAMA Surg. 2014 Mar;149(3):275-87. (PMID: 24352617)
J Epidemiol Community Health. 2008 Apr;62(4):361-7. (PMID: 18339831)
BMJ. 2012 Apr 26;344:e2333. (PMID: 22539172)
Surg Obes Relat Dis. 2012 Jan-Feb;8(1):92-7. (PMID: 21978749)
World Health Organ Tech Rep Ser. 2000;894:i-xii, 1-253. (PMID: 11234459)
فهرسة مساهمة: Keywords: Bariatric surgery; Framework analysis; Obesity; Patient expectation; Shame; Stigmatisation
تواريخ الأحداث: Date Created: 20160210 Date Completed: 20161031 Latest Revision: 20240327
رمز التحديث: 20240327
مُعرف محوري في PubMed: PMC4746450
DOI: 10.1136/bmjopen-2015-009389
PMID: 26857104
قاعدة البيانات: MEDLINE
الوصف
تدمد:2044-6055
DOI:10.1136/bmjopen-2015-009389