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Patients' experiences of life after bariatric surgery and follow-up care: a qualitative study.

Abstract：

OBJECTIVES:Bariatric surgery is the most clinically effective treatment for people with severe and complex obesity, however, the psychosocial outcomes are less clear. Follow-up care after bariatric surgery is known to be important, but limited guidance exists on what this should entail, particularly related to psychological and social well-being. Patients' perspectives are valuable to inform the design of follow-up care. This study investigated patients' experiences of life after bariatric surgery including important aspects of follow-up care, in the long term. DESIGN:A qualitative study using semistructured individual interviews. A constant comparative approach was used to code data and identify themes and overarching concepts. SETTING:Bariatric surgery units of two publicly funded hospitals in the South of England. PARTICIPANTS:Seventeen adults (10 women) who underwent a primary operation for obesity (mean time since surgery 3.11 years, range 4 months to 9 years), including Roux-en-Y gastric bypass, adjustable gastric band and sleeve gastrectomy, agreed to participate in the interviews. RESULTS:Experiences of adapting to life following surgery were characterised by the concepts of 'normality' and 'ambivalence', while experiences of 'abandonment' and 'isolation' dominated participants' experiences of follow-up care. Patients highlighted the need for more flexible, longer-term follow-up care that addresses social and psychological difficulties postsurgery and integrates peer support. CONCLUSIONS:This research highlights unmet patient need for more accessible and holistic follow-up care that addresses the long-term multidimensional impact of bariatric surgery. Future research should investigate effective and acceptable follow-up care packages for patients undergoing bariatric surgery.

journal_name

BMJ Open

journal_title

BMJ open

authors

Coulman KD,MacKichan F,Blazeby JM,Donovan JL,Owen-Smith A

doi

10.1136/bmjopen-2019-035013

subject

Has Abstract

pub_date

2020-02-06 00:00:00

pages

e035013

issue

2

issn

2044-6055

pii

bmjopen-2019-035013

journal_volume

10

pub_type

杂志文章

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