Perceived and Preferred Social Support in Patients Experiencing Weight Regain After Bariatric Surgery: a Qualitative Study

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Perceived and Preferred Social Support in Patients Experiencing Weight Regain After Bariatric Surgery : a Qualitative Study

Tolvanen, Liisa (author): Karolinska Institutet,Karolinska Institutet, Stockholm, Sweden.; Acad Specialist Ctr, Ctr Obes, Stockholm, Sweden.

Svensson, Åsa, 1981- (author): Mittuniversitetet,Institutionen för hälsovetenskap

Hemmingsson, Erik (author): Gymnastik- och idrottshögskolan,Institutionen för fysisk aktivitet och hälsa,Åstrandlaboratoriet

Christenson, Anne (author): Karolinska Institutet,Karolinska Institutet, Stockholm, Sweden.; Acad Specialist Ctr, Ctr Obes, Stockholm, Sweden.

Lagerros, Ylva Trolle (author): Karolinska Institutet,Karolinska Institutet, Stockholm, Sweden.; Acad Specialist Ctr, Ctr Obes, Stockholm, Sweden.

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Karolinska Institutet Karolinska Institutet, Stockholm, Sweden; Acad Specialist Ctr, Ctr Obes, Stockholm, Sweden. (creator_code:org_t)

2020-11-17
2021
English.
In: Obesity Surgery. - : Springer. - 0960-8923 .- 1708-0428. ; 31, s. 1256-1264

Related links:: https://doi.org/10.1...; show more...; https://gih.diva-por... (primary) (Raw object); https://link.springe...; https://miun.diva-po... (primary) (Raw object); https://urn.kb.se/re...; https://doi.org/10.1...; http://kipublication...; https://urn.kb.se/re...; show less...

Journal article (peer-reviewed)

Abstract Subject headings

Purpose While bariatric surgery generally shows successful weight loss outcomes in patients with obesity, weight regain exists. The aim of this qualitative study was to improve understanding of how patients with substantial weight regain after bariatric surgery experienced the support from family, friends, and healthcare providers, and what kind of support they had preferred. Materials and Methods Qualitative data were collected from semi-structured interviews with 16 participants. Mean weight regain from surgery to interview was 36%. The transcribed interviews were analyzed with thematic analysis. Results Two main themes and seven sub-themes were formulated. The theme, A lonely struggle, illustrates patients' feelings of abandonment and struggle during weight regain due to lack of support or unfavorable treatment. Participants commonly blamed themselves for re-gaining weight, and shame made them reluctant to engage in social activities or seek medical care. The theme, Others as sources of compassion and control, covers what support they desired, as well as had perceived to be helpful. Exercising or eating healthy with others was appreciated and felt supportive. Pro-active healthcare support and access to dietitians, physiotherapists, and psychological support were desired. Conclusion To optimize the effect of bariatric surgery, support may need to be individualized and lifelong. Since shame and self-blame in patients with weight regain may hinder seeking professional help, care providers may need to initiate follow-up visits. Empathetic and non-judgmental support, access to multidisciplinary healthcare team, as well as peer-support groups may be beneficial to counteract weight regain post-bariatric surgery.

Subject headings

MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Omvårdnad (hsv//swe)
MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Nursing (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap (hsv//swe)
MEDICAL AND HEALTH SCIENCES -- Health Sciences (hsv//eng)

Keyword

Interview
Metabolic surgery
Obesity
Support
Thematic analysis
Weight regain
Medicin/Teknik
Medicine/Technology

Publication and Content Type

ref (subject category)
art (subject category)

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MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Health Sciences; and Nursing

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