Division of Paediatrics, Department for Clinical Science Intervention and Technology, Karolinska Institute, Stockholm, Sweden; Division of Endocrinology, Diabetes and Metabolism, National Childhood Obesity Centre, Karolinska University Hospital, Stockholm, Sweden.
Schools of Education, Health and Social Studies, Högskolan Dalarna, Falun, Sweden.
Surg Obes Relat Dis. 2018 Aug;14(8):1157-1162. doi: 10.1016/j.soard.2018.04.003. Epub 2018 Apr 26.
The positive effects of behavioural treatment and weight management in adolescents with severe obesity are modest. Obesity surgery can be an option for adolescents, but is not the first-hand choice of treatment. The knowledge about adolescents' own experiences of having undergone surgery and their thoughts and feelings of the follow-up period are limited.
To describe adolescents' decision to go through obesity surgery as teenager and their experiences of the follow-up period.
National Childhood Obesity Centre at Karolinska University Hospital in Stockholm, Sweden.
Phone interviews with 20 young adults that went through obesity surgery as teenagers. Interviews were analysed with qualitative systematic text condensation.
"Lost in the healthcare system" and "A rough but well worth journey to a healthier life" were the categories that appeared in our analysis. The participant had a feeling of uncertainty about contacts with the healthcare system and the transition to primary care was confusing. Most of the participants were happy with the decision to go through obesity surgery as teenager, despite it had been a difficult time.
Our results show implications for improving the clinical care of adolescents undergoing obesity surgery, which should be offered as a last choice. Information and individualized supports should be offered more often during first year postsurgery and should be given by a multidisciplinary team. This multifaceted population should be given priority for a successful transition.
行为治疗和体重管理对严重肥胖青少年的积极影响有限。肥胖手术可以作为青少年的一种选择，但不是首选治疗方法。关于青少年自己经历手术的知识以及他们对随访期的想法和感受有限。
描述青少年作为青少年接受肥胖手术的决定以及他们在随访期间的经历。
瑞典斯德哥尔摩卡罗林斯卡大学医院国家儿童肥胖中心。
对 20 名接受过青少年肥胖手术的年轻人进行电话采访。使用定性系统文本浓缩法对访谈进行分析。
“迷失在医疗保健系统中”和“通往更健康生活的艰难但值得的旅程”是我们分析中出现的类别。参与者对与医疗保健系统的接触以及向初级保健的过渡感到不确定，这很混乱。尽管经历了困难时期，但大多数参与者对作为青少年接受肥胖手术的决定感到满意。
我们的研究结果表明，需要改善接受肥胖手术的青少年的临床护理，这应该作为最后的选择。应该在手术后的第一年更频繁地提供信息和个性化支持，并由多学科团队提供。这个多方面的人群应该优先考虑成功过渡。
