Li Nianxing, Fan Yinyin, Deng Ling, Wang Haiyan, Chen Lu
Department of Pancreatic and Metabolic Surgery, Nanjing Drum Tower Hospital Clinical College of Nanjing Medical University, Nanjing, China.
Department of Pancreatic and Metabolic Surgery, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing, Jiangsu, China.
BMJ Open. 2025 Mar 12;15(3):e091390. doi: 10.1136/bmjopen-2024-091390.
Patients experience significant physical and psychological changes within the first 3 months post-surgery, yet few studies focus on patient experiences during the early postoperative period. This study aimed to explore the patient experiences and expectations for nursing follow-up during the home recovery period following metabolic and bariatric surgery.
A qualitative descriptive study design was used. Participants were selected using a purposive sampling method, and semi-structured interviews were conducted to collect data, which then were analysed using the content analysis method.
The study was conducted in a tertiary hospital in eastern China.
21 patients (8 men and 13 women; aged 18-51 years) who received metabolic and bariatric surgery were included, with 16 within 3 months post-surgery and 5 beyond 3 months.
Four themes emerged: (1) Physical and psychological rehabilitation: patients were enthusiastic and motivated about their physical recovery and mental well-being. (2) Stress and challenges: patients encountered various pressures and challenges, especially in dietary transitions and emotional management. (3) Adjustment and adaptation: patients were committed to managing discomfort and developing healthy dieting strategies through personal effort and diverse support. (4) Expectations for comprehensive support: patients desire comprehensive support and services from healthcare providers.
Healthcare providers should focus on the early postoperative experiences of patients and deliver personalised health education and emotional support to help them navigate the postoperative adaptation and ultimately achieve long-term health goals.
患者在术后头3个月内会经历显著的生理和心理变化,但很少有研究关注术后早期患者的体验。本研究旨在探讨代谢与减重手术后居家康复期间患者的体验以及对护理随访的期望。
采用定性描述性研究设计。通过目的抽样法选取参与者,并进行半结构化访谈以收集数据,然后使用内容分析法进行分析。
本研究在华东地区的一家三级医院开展。
纳入21例接受代谢与减重手术的患者(8例男性和13例女性;年龄18 - 51岁),其中16例在术后3个月内,5例超过3个月。
出现了四个主题:(1)身心康复:患者对身体恢复和心理健康充满热情且积极性高。(2)压力与挑战:患者遇到各种压力和挑战,尤其是在饮食过渡和情绪管理方面。(3)调整与适应:患者致力于通过个人努力和多样支持来应对不适并制定健康的饮食策略。(4)对全面支持的期望:患者期望医疗服务提供者提供全面的支持和服务。
医疗服务提供者应关注患者术后早期体验,并提供个性化的健康教育和情感支持,以帮助他们度过术后适应期并最终实现长期健康目标。