Bariatric Surgery Program, Toronto Western Hospital, Toronto, Ontario, Canada; Department of Psychiatry, University of Toronto, Toronto, Ontario, Canada.
Department of Psychology, York University, Toronto, Ontario, Canada.
Can J Diabetes. 2017 Aug;41(4):344-350. doi: 10.1016/j.jcjd.2017.01.002. Epub 2017 May 2.
Bariatric surgery is an evidence-based treatment for severe obesity; however, the unique developmental and psychosocial needs of young adults often complicate care and, as yet, are not well understood. We sought to identify themes in young adult patients undergoing bariatric surgery regarding: 1) the psychosocial experiences of obese young adults (18 to 24) seeking bariatric surgery; 2) the experiences during the preoperative bariatric surgery process and 3) the postoperative experiences of young adult patients.
In-depth, semistructured individual interviews were conducted with 13 young adult bariatric patients who were seeking or had undergone bariatric surgery within the past 5 years. Interviews were analyzed using a qualitative methodology.
We found the following themes in our analyses: 1) the impact of relationships (with families and healthcare providers) on the bariatric healthcare experience; 2) preoperative experiences by young adults prior to undergoing surgery and 3) postoperative reflections and challenges experienced by young adult patients.
Results revealed that patients' experiences appear to encompass impact on familial relationships, needs sought to be fulfilled by healthcare providers, and various preoperative and postoperative psychosocial concerns. By understanding the experiences of young adults, healthcare providers might be able to provide better care for these patients.
减重手术是治疗重度肥胖的循证治疗方法；然而，年轻人独特的发育和心理社会需求常常使护理变得复杂，而且迄今为止尚未得到很好的理解。我们试图确定接受减重手术的年轻成年人的主题：1）寻求减重手术的肥胖年轻成年人的心理社会经历；2）术前减重手术过程中的经历和 3）年轻成年患者的术后经历。
对 13 名在过去 5 年内寻求或接受过减重手术的年轻成年减重患者进行了深入的半结构化个人访谈。使用定性方法对访谈进行了分析。
我们在分析中发现了以下主题：1）人际关系（与家人和医疗保健提供者）对减重医疗体验的影响；2）年轻成年人在接受手术前的术前经历和 3）年轻成年患者术后的反思和面临的挑战。
结果表明，患者的经历似乎包括对家庭关系的影响、寻求医疗保健提供者满足的需求，以及各种术前和术后心理社会问题。通过了解年轻人的经历，医疗保健提供者可能能够为这些患者提供更好的护理。
