Lee Hoim, Jeong Hyoju, Kwon Suhye
College of Nursing·Research Institute of Wholistic Nursing Science, Kosin University, Busan, Korea.
College of Nursing, Kosin University, Busan, Korea.
J Korean Acad Nurs. 2023 Apr;53(2):260-273. doi: 10.4040/jkan.23004.
This study aimed to explore the weight loss experience of highly obese young people who underwent bariatric surgery.
Data were collected, from October 2021 to April 2022, through individual in-depth interviews with eight highly obese young adults who underwent bariatric surgery and analyzed using Colaizzi's phenomenological method.
The following four theme clusters were extracted. First, 'The unbearable sorrow of obese people' explains the process of choosing bariatric surgery after fluctuations and frustration despite countless repeated weight loss attempts. Second, 'The impact aftermath of bariatric surgery' revealed participants struggling in the face of unexpected changes due to bariatric surgery. Third, 'Efforts to rebuild a healthy myself' demonstrated the struggle to regain health by using the surrounding support system to overcome the difficulties of this surgical procedure. Lastly, 'Facing life by getting rid of the yoke of obesity' displayed the experiences of the participants who felt ambivalent about their changed appearance, but coping positively with the new life.
This study provides an in-depth understanding of the weight loss experiences of highly obese adolescents who underwent bariatric surgery and presents a new perspective on clinical practice. The results of this study are expected to be useful in developing and applying systematic and customized nursing interventions before and after bariatric surgery.
本研究旨在探讨接受减肥手术的高度肥胖年轻人的减肥经历。
2021年10月至2022年4月，通过对8名接受减肥手术的高度肥胖年轻人进行个人深度访谈收集数据，并采用科莱齐的现象学方法进行分析。
提取了以下四个主题类别。第一，“肥胖者难以承受的痛苦”解释了尽管无数次反复尝试减肥，但在经历波动和挫折后选择减肥手术的过程。第二，“减肥手术的影响后果”揭示了参与者在面对减肥手术带来的意外变化时的挣扎。第三，“努力重塑健康的自我”展示了通过利用周围的支持系统来克服这一手术过程中的困难以恢复健康的努力。最后，“摆脱肥胖枷锁面对生活”展示了参与者对自己外貌变化感到矛盾，但积极应对新生活的经历。
本研究深入了解了接受减肥手术的高度肥胖青少年的减肥经历，并为临床实践提供了新的视角。本研究结果有望有助于制定和应用减肥手术前后系统的、个性化的护理干预措施。
