Learning Needs of Bariatric Surgery Patients: A Qualitative Study

Year 2022, Volume: 6 Issue: 3, 215 - 223, 29.12.2022

Havva Bozdemir Züleyha Şimşek Yaban Sertaç Ata Güler Zafer Utkan

https://doi.org/10.25048/tudod.1116507

Abstract

Aim: This study was planned to determine the training needs that patients who experienced bariatric surgery patients should receive from health professionals.
Material and Methods: The research was planned using a qualitative research methods. The study was conducted with 13 patients in a university hospital between April 2020 and July 2020. Research data was collected using a Semi-Structured Interview form and patient socio-demographic form. The data analysis method was used with MAXQDA 2020-Qualitative data Analyses program, Colaizzi's 7-step analysis process.
Results: We five main themes related to the learning needs of patients who have undergone bariatric surgery were determined as; “Physiological Requirements, Psychological Requirements, Social requirements, Consulting requirements and Learning methods”.
Conclusion: It was determined that the patients had the highest learning needs on postoperative nutrition, complications, surgical procedure, symptoms, daily life activities, mobilization, adapting to the social life, learning materials, to come together with the people experiencing the process of bariatric surgery, etc. in the codes and sub-codes created from the patient expressions. Patients undergoing bariatric surgery need continuous, easily accessible, applicable, and emotional support to prevent complications before and after the surgery, to make behavioral changes and prevent weight gain.

Keywords

Experience, Nursing care, Patient care, Patient education, Bariatrik cerrahi, Hasta deneyimi, Hemşirelik bakımı, Hasta bakımı, Hasta eğitimi

Bariatrik Cerrahi Hastalarının Öğrenme Gereksinimleri: Kalitatif Araştırma

Abstract

Amaç: Bu çalışma, obezite cerrahisi geçiren hastaların sağlık profesyonellerinden alması gereken eğitim ihtiyaçlarını belirlemek amacıyla planlandı.
Gereç ve Yöntemler: Araştırma nitel araştırma yöntemleri kullanılarak planlanmıştır. Araştırma, Nisan 2020 ile Temmuz 2020 tarihleri arasında, yatan, 13 hastadan veri toplanarak gerçekleştirilmiştir. Araştırma verileri, yarı yapılandırılmış görüşme formu ve hasta sosyodemografik formu kullanılarak toplanmıştır. Veri analiz yönteminde, Colaizzi'nin yedi aşamalı analiz süreci ve Maxqda 2020-Kalitatif Veri Analiz programı kullanılmıştır.
Bulgular: Nitel verilerin analizi sonucunda; obezite cerrahisi geçirmiş hastaların öğrenme ihtiyaçları beş ana tema olarak belirlendi. Bunlar; “Fizyolojik Gereksinimler, Psikolojik Gereksinimler, Sosyal Gereksinimler, Danışmanlık Gereksinimleri ve Öğrenme Yöntemleri”dir.
Sonuç: Hastaların en yüksek öğrenme gereksinimlerinin postoperatif beslenme, komplikasyonlar, cerrahi işlem, semptomlar, günlük yaşam aktiviteleri, mobilizasyon, sosyal yaşama uyum, öğrenme materyalleri, obezite sürecini yaşayan kişilerle bir araya gelme konularında olduğu belirlendi. hasta ifadelerinden oluşturulan kodlar ve alt kodlarda cerrahi vb. Obezite cerrahisi geçiren hastaların ameliyat öncesi ve sonrası komplikasyonları önlemek, davranış değişiklikleri yapmak ve kilo alımını önlemek için sürekli, kolay erişilebilir, uygulanabilir ve duygusal desteğe ihtiyaçları vardır.

Keywords

Bariatrik cerrahi, Hasta deneyimi, Hemşirelik bakımı, Hasta bakımı, Hasta eğitimi

References

• 1. Morales CLP, Alexandre JG, Prim S, et al. Perioperative communication from the perspective of patients undergoing bariatric surgery. Texto Contexto-Enferm. 2014;23(2):347-355. doi:10.1590/0104-07072014003150012
• 2. World Health Organization. Obesity and overweight. http://www.who.int/mediacentre/factsheets/fs311/en. Erişim tarihi 16 Şubat 2018.
• 3. Sui Z, Raman J, Han B, et al. Recent trends in intensive treatments of obesity: is academic research matching public interest? Surg Obes Relat Dis. 2019;15(5):766‐776. doi:10.1016/j.soard.2019.01.009
• 4. Nickel F, Schmidt L, Bruckner T, et al. Influence of bariatric surgery on quality of life, body image, and general self-efficacy within 6 and 24 months-a prospective cohort study. Surg Obes Relat Dis. 2017;13(2):313-319. doi:10.1016/j.soard.2016.08.017
• 5. Mazer LM, Azagury DE, Morton JM. Quality of life after bariatric surgery. Curr Obes Rep. 2017;6(2):204-210. doi:10.1007/s13679-017-0266-7
• 6. Homer CV, Tod AM, Thompson AR, Allmark P, Goyder E. Expectations and patients’ experiences of obesity prior to bariatric surgery: a qualitative study. BMJ Open. 2016;6(2):e009389. doi:10.1136/bmjopen-2015-009389
• 7. Baillot A, Vallée C-A, Mampuya WM, et al. Effects of a pre-surgery supervised exercise training 1 year after bariatric surgery: a randomized controlled study. Obes Surg. 2018 Apr;28(4):955-962. doi:10.1007/s11695-017-2943-8
• 8. Chan JKY, King M, Vartanian LR. Patient perspectives on psychological care after bariatric surgery: a qualitative study. Clin Obes. 2020;e12399. doi: 10.1111/cob.12399 9. Kalarchian M, Turk M, Elliott J, Gourash W. Lifestyle management for enhancing outcomes after bariatric surgery. Curr Diab Rep. 2014 Oct;14(10):540–549. doi: 10.1007/s11892-014-0540-y
• 10. Usta E, Aygin D. Prospective randomized trial on effects of structured training and counseling on depression, body image and quality of life. Bariatric Surgical Practice and Patient Care. 2020;15(1):55-62. doi:10.1089/bari.2019.0028
• 11. Santos J, Ferreira J, Lim C, et al. Nursing in the pre and postoperative of bariatric surgery. International Archives of Medicine. 2017;10(203):1-9. doi:10.3823/2473
• 12. .Malterud K, Siersma VD, Guassora AD. Sample Size in Qualitative Interview Studies: Guided by Information Power. Qualitative Health Research. 2016;26(13):1753-1760. doi:10.1177/1049732315617444
• 13. Tunali SB, Gözü Ö, Özen G. "Mixed research method"using a combination of qualitative and quantitative research methods. Anadolu University Faculty of Communication Sciences International Peer-Reviewed Journal. 2016;24(2):106-112.
• 14. Erdogan P. Qualitative research. In:Erdogan P. Nahcivan N. Esin MN. eds. Research in Nursing. Istanbul, Nobel Medical Bookstores, Cilt 1: 2014:131-166.
• 15. Sönmez V. Bilimsel araştırma süreci ve erişi. IJOCIS. 2011;1(1):49-59.
• 16. Topping, A. (2006). The Quantitative-Qualitative Continuum. In K. Gerrish, & A. Lacey (Eds.), The Research Process In Nursing. (pp. 157-170). Oxford: Blackwell Publishing.
• 17. Polit DF, Beck CT. Essentials of nursing research: appraising evidence for nursing practice. 7th ed. Philadelphia, PA: Wolker Kluwer/ Lippincott Williams & Wilkins; Cilt1 2009:489-492.
• 18. Plummer-D'Amato, P. Focus group methodology part 1: considerations for design. International Journal of Therapy and Rehabilitation. 2008;15(2):69-73.
• 19. Morrow R, Rodriguez A, King N. Colaizzi’s descriptive phenomenological method. The Psychologist. 2015;28(8):643-644.
• 20. Busetto L, Dicker D, Azran C, et al. Obesity management task force of the european association for the study of obesity released “practical recommendations for the post-bariatric surgery medical management.” Obes Surg. 2018;28(7):2117-2121. doi:10.1007/s11695-018-3283-z
• 21. Groller KD. Systematic review of patient education practices in weight loss surgery. Surg Obes Relat Dis. 2017;13(6):1072-1085. doi:10.1016/j.soard.2017.01.008
• 22. Novelli IR, Fonseca LG, Gomes DL, et al. Emotional eating behavior hinders body weight loss in women after Roux-en-Y gastric bypass surgery. Nutrition. 2018;49:13-16. doi:10.1016/j.nut.2017.11.017
• 23. Warholm C, Øien AM, Råheim M. The ambivalence of losing weight after bariatric surgery. Int J Qual Stud Health Well-being. 2014;9(1):22876. doi:10.3402/qhw.v9.22876
• 24. Cohn I, Raman J, Sui Z. Patient motivations and expectations prior to bariatric surgery: A qualitative systematic review. Obes Rev. 2019 Nov;20(11):1608-1618. doi:10.1111/obr.12919
• 25. Chan JKY, King M, Vartanian LR. Patient perspectives on psychological care after bariatric surgery: A qualitative study. Clin Obes. 2020 Dec;10(6):e12399. doi:10.1111/cob.12399
• 26. Park J. Self-determination and motivation for bariatric surgery: a qualitative study. Psychology, Health & Medicine. 2016:21(7):800-805. doi:10.1080/13548506.2015.1131996