Doni Katharina, Breuing Jessica, Pieper Dawid
Institute for Research in Operative Medicine, Faculty of Health, School of Medicine, Witten/Herdecke University, Ostmerheimer Str. 200, 51109, Cologne, Germany.
Institute for Health Economics and Clinical Epidemiology, University Hospital of Cologne (AöR), Gleueler Str. 176-178, 50935, Cologne, Germany.
Obes Surg. 2020 Aug;30(8):2949-2956. doi: 10.1007/s11695-020-04621-1.
Although the post-bariatric clinical and physical changes are well-known, the psychosocial changes in patients' everyday life are less clear. Therefore, we tried to summarize comprehensively the currently available literature on the psychosocial changes of bariatric surgery (BS) by means of a scoping review.
The scoping review was conducted following the Arksey and O'Malley framework, the Joanna Briggs Institute Reviewer's Manual 2015, and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews (PRISMA-ScR) checklist. PubMed, EMBASE, and PsycINFO were searched for data dating from January 2008 through October 2019. Only gastric bypass and sleeve gastrectomy procedures were considered for this review. To explore and describe the essence of the experienced changes deeply, only qualitative studies were included. The synthesis was performed using the qualitative content analysis technique.
The literature search yielded 1420 unique records, and 1371 articles were eliminated on the basis of irrelevant title and/or abstract. Forty-nine full-text articles were reviewed. Ultimately, eight articles were included in this scoping review. The qualitative content analysis emerged in 12 categories, which were further condensed into three major thematic areas, namely, "subjective self-image," "interpersonal relationships," and "it's not all gold that glitters," which reflect the post-operative psychosocial changes.
A wide range of psychosocial changes occurs following bariatric surgery. To maintain the improvements and to prevent negative changes, long-term support by specially trained health professionals is crucial.
尽管减重手术后的临床和身体变化广为人知，但患者日常生活中的心理社会变化尚不清楚。因此，我们试图通过范围综述全面总结目前关于减重手术（BS）心理社会变化的现有文献。
范围综述按照阿克斯和奥马利框架、2015年乔安娜·布里格斯研究所评审手册以及系统评价和元分析扩展的范围综述首选报告项目（PRISMA-ScR）清单进行。在PubMed、EMBASE和PsycINFO中检索2008年1月至2019年10月的数据。本综述仅考虑胃旁路手术和袖状胃切除术。为了深入探索和描述所经历变化的本质，仅纳入定性研究。采用定性内容分析技术进行综合分析。
文献检索产生了1420条独特记录，基于不相关的标题和/或摘要排除了1371篇文章。对49篇全文进行了评审。最终，8篇文章纳入本范围综述。定性内容分析得出12个类别，进一步浓缩为三个主要主题领域，即“主观自我形象”、“人际关系”和“并非一切都是美好的”，它们反映了术后的心理社会变化。
减重手术后会出现广泛的心理社会变化。为保持改善并防止负面变化，由经过专门培训的卫生专业人员提供长期支持至关重要。
