Evaluation of Quality of Life in Individuals Undergoing Bariatric Surgery

Abstract

Objective: Obesity is a serious health problem facing the world and its incidence has been increasing rapidly in recent years. Obesity surgery is the method applied to patients with severe obesity and comorbidities.In this study, it was aimed to determine the weight loss processes and quality of life (QOL) of individuals who have undergone obesity surgery. Material and Methods: The research is a retrospective, descriptive, cross-sectional study. It was carried out between January and May 2018. The population of the study consisted of 132 people who had obesity surgery between 2012 and February 2015, and the sample consisted of 46 people who had at least two years of obesity surgery and agreed to participate in the study. Data were collected using the "Data Collection Form" and the "SF-36 Quality of Life Scale (QOLS) ". Evaluation of data was analyzed using statistical package program. Results: 80.4% of the participants are women, 69.6% are married, their average age is 43.73+10.54, and 84.8% of them have obese individuals in their families. The participants had a weight problem for an average of 25 years before obesity surgery. At the time of the research, an average of 4.52 +2.00 years had passed since the operation. While 95.7% of the participants were in the third class obese category and 4.3% were in the second class obese category, they had obesity surgery. After two years, 10.9% had reached the third grade category and 13% had reached the second grade category, although only 21.7% had reached normal weight. When the weight perception status of the participants was examined after obesity surgery, 41.3% stated that they reached their ideal weight, 21.7% stated that they reached their ideal weight but regained weight, and 36.9% never reached their ideal weight. It was determined that the participants got 58.26-85.86 points from the sub-dimensions of the QOLS. The QOL score of those who reached their ideal weight were found to be statistically significantly higher than the others (p<0.05). Conclusion: Obesity surgery is a successful operation for weight loss, but it is very difficult for individuals to reach and maintain their normal weight. Those who reach their ideal weight have higher QQL scores than those who cannot reach their ideal weight.

Keywords

• Obesity
• Obesity Surgery
• Quality of Life

Obezite Cerrahisi Geçiren Bireylerde Yaşam Kalitesinin Değerlendirilmesi

Abstract

Amaç: Obezite, dünyanın karşı karşıya olduğu ciddi bir sağlık sorunudur ve son yıllarda görülme sıklığı hızla artmaktadır. Obezite cerrahi (OC), ileri derecede obez ve komorbiditeleri olan hastalara uygulanan yöntemdir. Araştırmada OC geçirmiş bireylerin kilo verme süreçleri ve yaşam kalitelerinin (YK) belirlenmesi amaçlanmıştır. Gereç ve Yöntemler: Araştırma retrospektif, tanımlayıcı, kesitsel çalışmadır. Ocak-Mayıs 2018 tarihleri arasında gerçekleştirilmiştir. Araştırmanın evrenini 2012-Şubat 2015 tarihleri arasında OC geçirmiş 132 kişi, örneklemini OC üzerinden en az iki yıl geçmiş ve çalışmaya katılmayı kabul eden 46 kişi oluşturmuştur. Veriler “Veri Toplama Formu” ile “SF-36 Yaşam Kalitesi Ölçeği (YKÖ)” kullanılarak toplanmıştır. Verilerin değerlendirilmesinde istatiksel paket programı kullanılmıştır. Bulgular: Katılımcıların %80,4’ü kadın, %69,6’u evli, yaş ortalamaları 43,73+10,54 ve %84,8’inin ailesinde obez bireyler bulunmaktadır. Katılımcıların cerrahi öncesi ortalama 25 yıldır kilo sorunu bulunmaktadır. Araştırmanın yapıldığı zamanda operasyon üzerinden ortalama 4,52 +2,00 yıl geçmiştir. Katılımcıların %95,7’si üçüncü sınıf, %4,3’ü ikinci sınıf obez kategorisinde iken OC geçirmiştir. İki yıl sonra %10,9’u üçüncü sınıf, %13’ü ikinci sınıf kategoriye ulaşmış olmakla birlikte, sadece %21,7’si normal kiloya ulaşmıştır. Katılımcıların OC sonrası kilo algı durumları incelendiğinde %41,3’ü ideal kilolarına ulaştığını, %21,7’si ideal kilolarına ulaştıklarını ancak yeniden kilo aldıklarını, %36,9’u hiç ideal kilolarına ulaşamadıklarını belirtmişlerdir. Katılımcıların SF-36 YKÖ’nin alt boyutlarından 58,26-85,86 puan aldıkları belirlenmiştir. İdeal kilolarına ulaşanların YKÖ’den aldıkları puan diğerlerinden istatistiksel olarak da anlamlı derecede daha yüksek bulunmuştur (p<0,05). Sonuç: OC kilo vermede başarılı bir operasyondur ancak bireylerin normal kilolarına ulaşmaları ve o kiloda kalabilmeleri oldukça zordur. İdeal kilolarına ulaşanların YKÖ puanları, ideal kilolarına ulaşamayanlara göre daha yüksektir.

Keywords

• Obezite
• Obezite Cerrahisi
• Yaşam Kalitesi

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