Sharman M J, Venn A J, Jose K A, Williams D, Hensher M, Palmer A J, Wilkinson S, Ezzy D
Menzies Institute for Medical Research, University of Tasmania, Hobart, TAS, Australia.
School of Nursing and Midwifery, University of Tasmania, Hobart, TAS, Australia.
Clin Obes. 2017 Feb;7(1):46-53. doi: 10.1111/cob.12169. Epub 2016 Dec 14.
The objective of this study was to investigate the experience of waiting for publicly funded bariatric surgery in an Australian tertiary healthcare setting. Focus groups and individual interviews involving people waiting for or who had undergone publicly funded bariatric surgery were audio-recorded, transcribed and analysed thematically. A total of 11 women and 6 men engaged in one of six focus groups in 2014, and an additional 10 women and 9 men were interviewed in 2015. Mean age was 53 years (range 23-66); mean waiting time was 6 years (range 0-12), and mean time since surgery was 4 years (range 0-11). Waiting was commonly reported as emotionally challenging (e.g. frustrating, depressing, stressful) and often associated with weight gain (despite weight-loss attempts) and deteriorating physical health (e.g. development of new or worsening obesity-related comorbidity or decline in mobility) or psychological health (e.g. development of or worsening depression). Peer support, health and mental health counselling, integrated care and better communication about waitlist position and management (e.g. patient prioritization) were identified support needs. Even if wait times cannot be reduced, better peer and health professional supports, together with better communication from health departments, may improve the experience or outcomes of waiting and confer quality-of-life gains irrespective of weight loss.
本研究的目的是调查在澳大利亚三级医疗环境中等待公费减肥手术的经历。对等待或已接受公费减肥手术的人群进行焦点小组讨论和个人访谈，并对其进行录音、转录和主题分析。2014年，共有11名女性和6名男性参与了六个焦点小组中的一个，2015年又对另外10名女性和9名男性进行了访谈。平均年龄为53岁（范围23 - 66岁）；平均等待时间为6年（范围0 - 12年），术后平均时间为4年（范围0 - 11年）。等待通常被报告为在情绪上具有挑战性（如令人沮丧、压抑、有压力），并且常常与体重增加（尽管尝试减肥）以及身体健康恶化（如新的或恶化的肥胖相关合并症的出现或活动能力下降）或心理健康问题（如抑郁症的出现或恶化）相关。同伴支持、健康和心理健康咨询、综合护理以及关于等待名单位置和管理（如患者优先级）的更好沟通被确定为支持需求。即使等待时间无法缩短，更好的同伴和健康专业人员支持，以及卫生部门更好的沟通，可能会改善等待的体验或结果，并带来生活质量的提升，而不论体重是否减轻。
