Liebl Lori, Barnason Susan, Brage Hudson Diane
Fay W. Whitney School of Nursing, University of Wyoming, Laramie, WY, USA.
College of Nursing - Lincoln Division, University of Nebraska Medical Center (UNMC), Lincoln, NE, USA.
J Clin Nurs. 2016 Apr;25(7-8):951-61. doi: 10.1111/jocn.13129. Epub 2016 Feb 23.
To describe the experiences of adults who were successful in maintaining weight loss after bariatric surgery.
The majority of studies examine a homogenous demographic group of postbariatric surgical patients who have gone through initial weight loss, which occurs within the first 12-24 months post surgery. Maintenance of weight loss begins 24 months after bariatric surgery; however, there is a paucity of research examining experiences during this period. The lack of conclusive research related to interactions between intrapersonal, behavioural and environmental influences suggests a need to develop a better understanding of patients' experiences related to weight loss maintenance post bariatric surgery.
Bandura's Social Cognitive Theory provided the framework for the semi-structured interviews for this qualitative descriptive study.
In-person interviews with n = 14 participants who were able to maintain weight loss at least 24 months after a bariatric surgery.
Participants experienced an awakening and gained a new perspective on their life. They identified negative attitudes, influences and behaviours and modified their environment to support their desired healthy behaviour.
To maintain weight loss, an individual must seek out and be surrounded by positive family and peer support influences. Positive support may provide the opportunity for an individual to place personal health needs as a priority.
Therapeutic education and counselling for individuals, couples and families should occur during all phases of bariatric surgery. Communication techniques may empower clients to deflect negative comments and influences in a constructive manner. Support groups should accommodate the various phases of bariatric surgery. Clients should be prepared for how to work through emotions associated with weight fluctuations.
描述在减肥手术后成功维持体重减轻的成年人的经历。
大多数研究考察的是经历过初始体重减轻（发生在手术后的前12 - 24个月内）的减肥手术患者这一同质人口群体。减肥手术后体重减轻的维持在术后24个月开始；然而，在此期间考察经历的研究很少。缺乏与个人、行为和环境影响之间相互作用相关的确定性研究表明，有必要更好地了解减肥手术后患者与体重减轻维持相关的经历。
班杜拉的社会认知理论为这项定性描述性研究的半结构化访谈提供了框架。
对n = 14名在减肥手术后至少24个月能够维持体重减轻的参与者进行面对面访谈。
参与者经历了觉醒，并对自己的生活有了新的认识。他们识别出负面态度、影响和行为，并改变了他们的环境以支持他们期望的健康行为。
为了维持体重减轻，个人必须寻求并被积极的家庭和同伴支持影响所包围。积极的支持可能为个人提供将个人健康需求置于优先地位的机会。
针对个人、夫妻和家庭的治疗性教育及咨询应在减肥手术的所有阶段进行。沟通技巧可以使客户能够以建设性的方式转移负面评论和影响。支持小组应适应减肥手术的各个阶段。客户应做好应对与体重波动相关情绪的准备。
