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[肥胖症的复杂性及减肥手术后的生活:一个公共卫生问题]

[The complexity of obesity and life after bariatric surgery: a public health issue].

作者信息

Marcelino Liete Francisco, Patrício Zuleica Maria

机构信息

Universidade do Sul de Santa Catarina, Tubarão, SC.

出版信息

Cien Saude Colet. 2011 Dec;16(12):4767-76. doi: 10.1590/s1413-81232011001300025.

Abstract

The high incidence of obese people submitted to bariatric surgery as treatment for obesity has prompted the need to carry out a survey to ascertain the repercussions of this treatment on the health of a group of individuals subjected to such surgery. Data were collected via in-depth interviews, focusing on identification of the background to the situation that led to the decision to submit to obesity surgery and the quality of daily life after treatment. The analysis showed that the constant difficulties and frustrations in combating obesity and the expectation of the definitive cure led to the decision to submit to surgery in that group. However, life after surgery was characterized as a continuous process of challenges with further hurdles in order to learn how to live again on a day-to-day basis and return to full health. This also presents challenges for the health team as it involves greater investment in public health, improvement strategies for prevention and control of obesity of the population and comprehensive care actions for those individuals. Such complexity requires interdisciplinary expertise with an approach in line with the emotional and socio-cultural issues of this population group.

摘要

接受减肥手术治疗肥胖症的人群中肥胖者的高发病率促使有必要开展一项调查,以确定这种治疗对接受此类手术的一组个体健康的影响。通过深入访谈收集数据,重点是确定导致决定接受肥胖症手术的背景情况以及治疗后的日常生活质量。分析表明,在对抗肥胖过程中持续存在的困难和挫折以及对彻底治愈的期望导致该组人群决定接受手术。然而,手术后的生活被描述为一个持续面临挑战的过程,还会有更多障碍,以便学会如何在日常生活中重新生活并恢复完全健康。这也给卫生团队带来了挑战,因为这涉及对公共卫生的更多投资、针对人群肥胖症预防和控制的改进策略以及针对这些个体的综合护理行动。这种复杂性需要跨学科专业知识,以及符合该人群情感和社会文化问题的方法。

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