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Erschienen in: Obesity Surgery 8/2020

09.05.2020 | Original Contributions

A Qualitative Exploration of Patients’ Experiences with Lifestyle Changes After Sleeve Gastrectomy in China

verfasst von: Yang Yu, Lora E. Burke, Qiwei Shen, Christopher C. Imes, Ran Sun, Susan Groth, Wen Zhang, Melissa A. Kalarchian

Erschienen in: Obesity Surgery | Ausgabe 8/2020

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Abstract

Purpose

Sleeve gastrectomy (SG) is the most widely used surgical treatment for severe obesity worldwide. Individuals who have undergone SG usually need to change lifestyle behaviors as a response to the anatomical changes imposed by SG, and patients need to sustain lifestyle changes for long-term surgical success. Little is known about how patients experience and manage lifestyle changes following SG. In China, where SG comprises over 70% of bariatric surgical procedures, there have been no reports addressing this issue. This study aimed to describe individuals’ experiences related to lifestyle changes after SG in China.

Materials and Methods

Semi-structured interviews were conducted at the Shanghai Huashan Hospital in China with adults who had undergone SG between 2012 and 2018. Two independent researchers used an interpretive thematic approach to analyze transcripts for themes and sub-themes.

Results

Interviews (N = 15) revealed three major themes of participants’ experiences with postoperative lifestyle changes: advantages outweigh disadvantages; developing self-management strategies (i.e., adopting new behaviors and developing habits, continuing self-monitoring, focusing on health over weight, staying determined); and experiencing culture-specific difficulties in adherence to follow-up visits and lifestyle recommendations.

Conclusion

The data from this study provided a rich description of the postoperative experiences of patients in China. Participants reported that surgical benefits supersede the surgery-related side effects, and participants were able to develop self-management strategies in order to achieve success. However, personal and social barriers, such as the challenges of applying postoperative dietary guidelines into daily practice, may impede patients making and sustaining recommended behavioral changes.
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Metadaten
Titel
A Qualitative Exploration of Patients’ Experiences with Lifestyle Changes After Sleeve Gastrectomy in China
verfasst von
Yang Yu
Lora E. Burke
Qiwei Shen
Christopher C. Imes
Ran Sun
Susan Groth
Wen Zhang
Melissa A. Kalarchian
Publikationsdatum
09.05.2020
Verlag
Springer US
Erschienen in
Obesity Surgery / Ausgabe 8/2020
Print ISSN: 0960-8923
Elektronische ISSN: 1708-0428
DOI
https://doi.org/10.1007/s11695-020-04653-7

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