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“与之前的生活相比,我的生活质量更差了”:减肥手术后长期存在的问题对生活的影响。

"My quality of life is worse compared to my earlier life": Living with chronic problems after weight loss surgery.

机构信息

Faculty of Medicine, University of Oslo, Oslo, Norway.

出版信息

Int J Qual Stud Health Well-being. 2010 Nov 18;5(4). doi: 10.3402/qhw.v5i4.5553.

Abstract

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.

摘要

减肥手术通常被认为可以改善个人的健康和社交生活,使那些被定义为“病态肥胖”的人过上更快乐、更活跃的生活。然而,一些研究人员开始怀疑这些积极的结果是否适用于所有人,本文进一步探讨了这种怀疑。更具体地说,我们关注的是那些生活状况在减肥手术后变得更糟的女性的经历。这些材料取自对五名挪威女性进行的定性访谈,她们接受了不可逆的胃旁路手术。我们的研究结果表明,这些女性在手术前过着看似“正常”的生活,几乎没有患病的迹象。对未来疾病的担忧以及因体型而产生的社会耻辱感促使她们接受减肥手术。然而,手术后,她们的情况发生了巨大变化,生活受到了极大的限制。慢性疼痛、精力丧失以及对这些问题的羞耻感和失败感不仅限制了她们的社交生活,还使她们的身体活动能力下降。此外,她们在照顾孩子和在工作中令人满意地发挥方面也遇到了困难。因此,这些女性逐渐感到更加“残疾”,认为自己是“局外人”,需要将自己的问题保密。研究结果突出了减肥手术的一些“微妙”后果,尤其是那些生活状况急剧恶化的人所经历的羞耻和耻辱。在一个减肥手术的负面影响在研究和公共辩论中或多或少被忽视的社会中,这些女性似乎默默地承受着这些后果。她们的问题明显存在并在身体上感受到,但没有被谈论和与他人分享。

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