Childerhose J E, Eneli I, Steele K E
Berman Institute of Bioethics, Johns Hopkins University, Baltimore, Maryland, USA.
Department of Pediatrics, The Ohio State University, Nationwide Children's Hospital, Columbus, Ohio, USA.
Clin Obes. 2018 Oct;8(5):345-354. doi: 10.1111/cob.12272. Epub 2018 Aug 14.
Bariatric surgery is a safe and effective intervention to treat severe obesity and related comorbidities in adolescents. No qualitative studies have explored the perspectives of US adolescent weight-loss patients on their bariatric surgery motivations, decision-making or experiences. The purpose of this qualitative exploratory study was to explore the perspectives of adolescent patients seeking bariatric surgery while enrolled in a medical weight management programme. Eligible participants 13-21 years old were recruited through a weight management programme at a tertiary care children's hospital in the US Midwest. Interviews were conducted remotely using a video chat medium. An initial 60-min semi-structured interview was conducted with seven participants who were 16-21 years old: one deciding on bariatric surgery, one pre-operative and five post-operative. A brief follow-up interview was conducted 1 month later with four participants. Interviews were transcribed and coded using Atlas.ti software. Three broad themes emerged from participants' reflections: the long journey to surgery, time scarcity and be ready for change. The decision to pursue bariatric surgery takes place after struggling with obesity and failed weight-loss attempts since early childhood. Post-operative participants described bariatric surgery as life-changing, but determining when to schedule surgery is a challenge for adolescents.
减肥手术是治疗青少年严重肥胖及相关合并症的一种安全有效的干预措施。尚无定性研究探讨美国青少年减肥患者对减肥手术动机、决策过程或经历的看法。这项定性探索性研究的目的是探讨参加医学体重管理项目的青少年患者对减肥手术的看法。符合条件的13至21岁参与者是通过美国中西部一家三级儿童医院的体重管理项目招募的。访谈通过视频聊天媒介远程进行。对7名16至21岁的参与者进行了为期60分钟的初始半结构化访谈：1名正在决定是否进行减肥手术，1名术前患者，5名术后患者。1个月后对4名参与者进行了简短的随访访谈。访谈内容被转录并使用Atlas.ti软件进行编码。参与者的反思中出现了三个广泛的主题：手术的漫长历程、时间稀缺以及为改变做好准备。决定进行减肥手术是在自童年早期就与肥胖作斗争且减肥尝试失败之后做出的。术后参与者将减肥手术描述为改变人生的，但确定何时安排手术对青少年来说是一项挑战。
