Department of Nursing, Physiotherapy and Medicine, University of Almeria, Almeria, Spain.
Faculty of Health Sciences, Universidad Autónoma de Chile, Temuco, Chile.
J Clin Nurs. 2020 Nov;29(21-22):4258-4269. doi: 10.1111/jocn.15461. Epub 2020 Sep 3.
To describe and understand the experiences of sexuality amongst heterosexual men diagnosed with morbid obesity (MO) who are in a bariatric surgery programme.
Morbid obesity is a chronic metabolic disease that affects men's physical, psychological and sexual health. Evidence suggests that MO could be linked to anxiety, depression, low self-esteem, sexual life and social disorders. Bariatric surgery is a reliable method for weight loss in patients with MO.
This is a qualitative study based on Merleau-Ponty's phenomenology, and the COREQ checklist was employed to report on the current study.
Convenience and purposive sampling was carried out and included 24 in-depth interviews with heterosexual men with MO in a bariatric surgery programme between October 2018-March 2019 in Spain.
Two main themes emerged from the analysis: (a) a corporality which is judged and condemned; and (b) adapting sexual practices to bariatric surgery.
Men with MO reject a body that limits their physical, social and sexual life. A negative body image and low self-esteem, which do not respond to the traditional masculine role or new masculinities, reduce men's self-concept. Men with MO feel rejection, stigma and isolation. Support from their partner is fundamental to adapt.
The results of the study draw attention to how heterosexual men with MO experience their sexuality in a bariatric surgery programme and the challenges nurses face. Recognising the problem, helping to develop coping strategies or referring to specialists in sexuality could improve the quality of life in patients and their partners.
描述和理解被诊断患有病态肥胖（MO）并正在接受减重手术计划的异性恋男性的性体验。
病态肥胖是一种慢性代谢疾病，会影响男性的生理、心理和性健康。有证据表明，MO 可能与焦虑、抑郁、自卑、性生活和社交障碍有关。减重手术是治疗 MO 患者体重的可靠方法。
这是一项基于梅洛-庞蒂现象学的定性研究，采用 COREQ 清单报告当前研究。
采用便利和目的抽样法，于 2018 年 10 月至 2019 年 3 月在西班牙的一项减重手术计划中对 24 名异性恋 MO 男性进行了 24 次深入访谈。
分析得出两个主要主题：（a）被评判和谴责的身体；（b）适应减重手术的性行为。
MO 男性拒绝限制其身体、社交和性生活的身体。负面的身体形象和自卑，不符合传统的男性角色或新的男性气质，降低了男性的自我概念。MO 男性感到被拒绝、被污名化和孤立。伴侣的支持对于适应至关重要。
该研究结果提请人们注意异性恋 MO 男性在减重手术计划中如何体验他们的性行为，以及护士面临的挑战。认识到这个问题，帮助制定应对策略或转介给性专家，可以提高患者及其伴侣的生活质量。
