Edward Karen-Leigh, Hii Michael W, Giandinoto Jo-Ann, Hennessy Julie, Thompson Lisa
1 Australian Catholic University, Melbourne, Victoria, Australia.
2 St Vincent's Private Hospital Melbourne, Victoria, Australia.
Am J Mens Health. 2018 Mar;12(2):265-273. doi: 10.1177/1557988316630770. Epub 2016 Feb 4.
Bariatric surgery is now a common weight loss solution for morbidly obese men where meaningful weight reduction and improvements in quality of life have been identified postsurgery. As the majority of surgical candidates are female, there exists a paucity of literature relating to the experience of males undergoing bariatric surgery. In this study, a qualitative descriptive-exploratory design was used to explore body image descriptions, adaptation of a new lifestyle, new boundaries postsurgery, and any barriers seeking consultation for surgery. Six males who had undergone bariatric surgery were recruited in Australia. Data were collected and analyzed using NVivo between May and October 2014. The themes emerging from the data included living in an obese body, life before surgery, decision making for surgery, and life after surgery. The participants collectively reported that life before surgery was challenging. They described the changes the surgery had made in their lives including positive changes to their health, body image, social lives, and self-esteem. Some participants preferred not to tell others their intentions for surgery due to perceived stigma. The men in this study also described a lack of information available to them depicting male perspectives, a possible barrier for men seeking weight loss surgery options. Implications for practice highlighted in these results relate to a greater need for accessible information specific to men based on real-life experiences.
减肥手术如今是病态肥胖男性常用的减肥解决方案,术后已证实能实现显著减重并改善生活质量。由于大多数手术候选者为女性,关于男性接受减肥手术经历的文献较少。在本研究中,采用了定性描述性探索性设计,以探究身体形象描述、新的生活方式适应情况、术后新的界限以及寻求手术咨询的任何障碍。在澳大利亚招募了6名接受过减肥手术的男性。2014年5月至10月期间,使用NVivo收集并分析了数据。数据中出现的主题包括以肥胖身体生活、手术前的生活、手术决策以及手术后的生活。参与者共同报告称手术前的生活充满挑战。他们描述了手术给生活带来的变化,包括对健康、身体形象、社交生活和自尊的积极改变。一些参与者因担心受到污名化而不愿告诉他人自己的手术意图。本研究中的男性还表示缺乏描述男性视角的信息,这可能是男性寻求减肥手术方案的一个障碍。这些结果中突出的实践意义在于,基于现实生活经历,更需要为男性提供易于获取的特定信息。