Health and Society, Department of Social Sciences, Wageningen University, Wageningen, The Netherlands.
Strategic Communication, Department of Social Sciences, Wageningen University, Wageningen, The Netherlands.
J Adv Nurs. 2024 Jun;80(6):2252-2272. doi: 10.1111/jan.15994. Epub 2023 Nov 28.
To explore the experiences and consequences of bariatric surgery stigma from the perspective of bariatric surgery patients and to identify knowledge gaps in the literature.
A scoping review.
Studies published between December 2002 and January 2022 were identified from the following databases: PubMed, Web of Science, PsycINFO and MEDLINE.
We screened 3092 records and included 28 studies. Findings were grouped thematically using the health stigma discrimination framework.
Patients experienced several types of stigmas, including perceived, experienced, anticipated and internalized stigma, related to undergoing bariatric surgery. Patients were confronted with negative comments and judgement from others when they disclosed their decision to have surgery or when they revealed that they had undergone surgery. These experiences led to conflicts in the decision-making process, such as delaying the choice for surgery, seeking surgery abroad or opting out. Patients who internalized stigma often reported feelings of shame and embarrassment for choosing surgery and felt the need for secrecy or selective disclosure. Stigma experiences were influenced by gender and differed between different subgroups of patients.
The stigma surrounding bariatric surgery has detrimental consequences for eligible individuals and bariatric surgery patients. However, the evidence from patients' perspective remains limited. More research into patient's experiences is needed to improve patient care and further educate healthcare professionals. In addition, to better understand the nature and implications of bariatric surgery stigma, future research should be founded on stigma theories and distinguish between the different types of stigmas.
This scoping review contributes to a better understanding of the implications the stigma surrounding bariatric surgery has for bariatric surgery patients before and after surgery. The knowledge generated by this review can inform improvements in the education and management of people living with obesity and bariatric surgery patients.
The scoping review adhered to the Preferred Reporting Items for Systematic Reviews and Meta-Analysis Extension for Scoping Reviews checklist.
No Patient or Public Contribution.
A protocol was not registered for this scoping review.
从减重手术患者的角度探讨减重手术耻辱感的体验和后果，并确定文献中的知识空白。
范围综述。
从以下数据库中检索 2002 年 12 月至 2022 年 1 月发表的研究：PubMed、Web of Science、PsycINFO 和 MEDLINE。
我们筛选了 3092 条记录，纳入了 28 项研究。使用健康耻辱歧视框架对研究结果进行主题分组。
患者经历了几种类型的耻辱感，包括经历过、预期过和内化过的耻辱感，这些与接受减重手术有关。当患者透露手术决定或透露已接受手术时，会受到他人的负面评论和评判，从而导致决策过程中的冲突，例如推迟手术选择、寻求国外手术或选择不手术。内化耻辱感的患者常常因选择手术而感到羞愧和尴尬，并感到需要保密或选择性披露。耻辱感体验受到性别影响，并且在不同的患者亚组之间存在差异。
围绕减重手术的耻辱感对符合条件的个人和减重手术患者都有不利影响。然而，来自患者角度的证据仍然有限。需要更多的患者体验研究来改善患者护理并进一步教育医疗保健专业人员。此外，为了更好地理解减重手术耻辱感的性质和影响，未来的研究应该基于耻辱感理论，并区分不同类型的耻辱感。
这项范围综述有助于更好地理解围绕减重手术的耻辱感对手术前后减重手术患者的影响。本综述产生的知识可以为肥胖症患者和减重手术患者的教育和管理提供改进。
范围综述遵循系统评价和元分析扩展的首选报告项目清单。
本综述没有患者或公众的贡献。
本范围综述未进行方案注册。
