Determination of Quality of Life of Individuals Before and After Bariatric Surgery: Prospective Study with 1 Year Follow-Up

Yıl 2021, Cilt: 11 Sayı: 4, 727 - 732, 26.10.2021

Pınar Yılmaz Eker Meryem Yılmaz Ayşe Topal Hançer

https://doi.org/10.33808/clinexphealthsci.862544

Öz

Objective: This study was conducted to investigate the effect of bariatric surgery on quality of life.
Methods: This study used a quantitative, descriptive, cross-sectional and prospective study design. This study was conducted between 1 January 2016 and 1 June 2017 at an university hospital in Turkey. The questionnaire form that developed by the researchers and the Short Form- 36 quality of life scale before bariatric surgery were applied to the individuals. Participants were evaluated with the same scale at 1 month, 3 months and 1 year after bariatric surgery.
Results: The mean age of the individuals was 37.37 ± 9.18.While the mean of body mass index was 48.18±5.8 kg/m2 before bariatric surgery, it decreased to 27.18±3.21 kg/m2 in one year after bariatric surgery. Simple linear regression analysis was given between the subscale of SF-36 and the descriptive characteristics of the participants according to the follow-up times and there was a moderate positive relationship between preoperative physical health and gender (β = 0.450, p <0.05). In the lineer regression analyses, a statistically significant relationship was found between the body mass index in the 3rd month and the quality of life before bariatric surgery (β=1.446, p<0.05), between pre – body mass index and quality of life in post – bariatric surgery in 1st month (β=1,474, p<0.05), between body mass index in post – bariatric surgery in 1st month and quality of life in post – bariatric surgery in 1st month (β =2.173, p<0.05), between body mass index in post – bariatric surgery in 3rd month and quality of life in post – bariatric surgery in 1st year (β =-0.955, p<0.05).
Conclusion: It is obvious that the nurse's counseling role is very important in the long-term follow-up of patients, including improving the quality of life. Within 1 year, bariatric surgery found a positive effect on quality of life as a result of weight loss.

Anahtar Kelimeler

Bariatric surgery, quality of life, nursing

Kaynakça

• Boylu AA, Paçacıoğlu B. Quality of life and indicators. Journal of Academic Researches and Studies. 2016; 8(15):137-50.
• Dagsland V, Andenæs R, Karlsen TI. Generic Health-Related Quality of Life May Not Be Associated with Weight Loss 4 Years After Bariatric Surgery: a Cross-Sectional Study. Obes Surg. 2018;28:3142–50.
• Fayers PM, Hays R, Hays RD. (Eds.). Assessing quality of life in clinical trials: methods and practice. Oxford University Press. USA 2005.
• Zhang Y, Ou F, Gao S, Gao Q, Hu L, Liu Y. Effect of low income on health-related quality of life: A cross-sectional study in northeast China. Asia Pac J Public Health. 2015;27(2):1013-25.
• Hachem A, Brennan L. Quality of life outcomes of bariatric surgery: a systematic review. Obes Surg. 2016;26(2):395-409.
• Dawes AJ, Maggard-Gibbons M, Maher AR, Booth MJ, Miake-Lye I, Beroes JM, Shekelle PG. Mental health conditions among patients seeking and undergoing bariatric surgery: a meta-analysis. Jama. 2016;315(2):150-63.
• Zammit C, Liddicoat H, Moonsie I, Makker H. Obesity and respiratory diseases. Int J Gen Med. 2010;3:335.
• De Luca M, Angrisani L, Himpens J, Busetto L, Scopinaro N, Weiner R, Sartori A, Stier C, Lakdawala M, Bhasker AG, Buchwald H, Dixon J, Chiappetta S, Kolberg HC, Frühbeck G, Sarwer DB, Suter M, Soricelli E, Blüher M, Vilallonga R, Sharma A, Shikora S. Indications for surgery for obesity and weight-related diseases: position statements from the International Federation for the Surgery of Obesity and Metabolic Disorders (IFSO). Obes Surg. 2016;26(8):1659-96.
• Müller A, Crosby RD, Selle J, Osterhus A, Köhler H, Mall JW, Meyer T, de Zwaan M. Development and Evaluation of the Quality of Life for Obesity Surgery (QOLOS) Questionnaire. Obes Surg. 2018;28(2):451-63.
• Health Technology Assessment Department. The Place of Obesity Treatment of Obesity Surgery in Turkey. Ankara. (Available from: http://www.hta.gov.tr/pdf/Obezite%20Cerrahisi%20Rapor%2025%2004%202014.pdf) (Accessed October 5, 2018)
• Altınel Ö, Demirbaş S. Laparoscopy in Colorectal Diseases. Turkiye Klinikleri J Gen Surg- Special Topics. 2011;4(3):51-9.
• Angrisani L, Santonicola A, Iovino P, Formisano G, Buchwald H, Scopinaro N. Bariatric surgery worldwide 2013. Obes Surg. 2015;25(10):1822-32.
• Major P, Matłok M, Pędziwiatr M, Migaczewski M, Budzyński P, Stanek M, Kisielewski M, Natkaniec M, Budzyński A. Quality of life after bariatric surgery. Obes Surg. 2015;25(9):1703-10.
• Stolzenberger KM, Meaney CA, Marteka P, Korpak S, Morello K. Long-term quality of life following bariatric surgery: a descriptive study. Bari Surg Patient Care. 2013;8(1):29-38.
• Chapman WH, Cunningham E, Pories WJ. Bariatric surgery and diabetes: access denied. Diabetes Technol Ther. 2013;15:83–7.
• Kolotkin RL, Zunker C, Østbye T. Sexual functioning and obesity: a review. Obesity. 2012;20(12):2325-33.
• Robert M, Denis A, Badol-Van Straaten P, Jaisson-Hot I, Gouillat C. Prospective longitudinal assessment of change in health-related quality of life after adjustable gastric banding. Obes Surg. 2013; 23(10):1564-70.
• Oria HE, Moorehead MK. Updated bariatric analysis and reporting outcome system (BAROS). Surg Obes Relat Dis. 2009;5(1):60-6.
• Monteiro F, Ponce DA, Silva H, Pitta F, Carrilho AJ. Physical function, quality of life, and energy expenditure during activities of daily living in obese, post-bariatric surgery, and healthy subjects. Obes Surg. 2017;27(8):2138-44.
• de Zwaan M, Georgiadou E, Stroh CE, Teufel M, Köhler H, Tengler M, Müller A. Body image and quality of life in patients with and without body contouring surgery following bariatric surgery: a comparison of pre-and post-surgery groups. Front Psychol. 2014;5:1-10.
• Reynolds CL, Byrne SM, Hamdorf JM. Treatment success: investigating clinically significant change in quality of life following bariatric surgery. Obes Surg. 2017;27(7):1842-48
• Aras B, Uruç F, Akan S, Şahin A, Yıldırım Ç, Yuksel OH, Aydın MT, Verit A. Effects of obesity surgery on sexual function, depression and quality of life of males New J Urol. 2017;12(2):38-43.
• Ware JE, Sherbourne CD. The MOS 36-item short-form health survey (SF-36): I. Conceptual framework and item selection. Med Care. 1992;30:473–83.
• Koçyiğit H, Aydemir Ö, Fişek G, Ölmez N, Memiş A. Reliability and validity of the Turkish version of short form-36 (SF-36): a study in a group of patients will rheumatic diseases. Turk J Drugs Ther. 1999;12:102–6.
• Sjöström L. Review of the key results from the Swedish Obese Subjects (SOS) trial–a prospective controlled intervention study of bariatric surgery. J Intern Med. 2013;273(3):219-34.
• Zhou X, Yu J, Li L, Gloy VL, Nordmann A, Tiboni M, Li Y, Sun X. Effects of bariatric surgery on mortality, cardiovascular events, and cancer outcomes in obese patients: systematic review and meta-analysis. Obes Surg. 2016;26(11):2590-601.
• Vilarrasa N, Rubio MA, Miñambres I, Flores L, Caixàs A, Ciudin A, Bueno M, Garcia-Luna PP, Ballesteros-Pomar MD, Ruiz-Adana M, Lecube, A. Long-term outcomes in patients with morbid obesity and type 1 diabetes undergoing bariatric surgery. Obes Surg. 2017;27(4):856-63.
• Raoof M, Näslund I, Rask E, Karlsson J, Sundbom M, Edholm D, Karlsson FA, Svensson F, Szabo E. Health-related quality-of-life (HRQoL) on an average of 12 years after gastric bypass surgery. Obes Surg. 2015; 25(7):1119-27.
• Julia C, Ciangura C, Capuron L, Bouillot JL, Basdevant A, Poitou C, Oppert JM. Quality of life after Roux-en-Y gastric bypass and changes in body mass index and obesity-related comorbidities. Diabetes Metab. 2013;39(2):148-54.
• Gustafson MB, El-Jashi R, Birn I, Mechlenburg I, Larsen JF. The Association Between Weight Loss and Quality of Life 1 and 5 Years After Laparoscopic Roux-en-Y Gastric Bypass in Danish Bariatric Patients. Obes Surg. 2018;28(6):1622-28.
• World Health Organization. Obesity and Overweight. 2017. (Available from: www.who.int/mediacentre/factsheets/fs311/en) (Accessed ; January 10, 2019).
• Keren D, Matter I, Rainis T. Sleeve gastrectomy in different age groups: a comparative study of 5-year outcomes. Obes Surg. 2016;26(2):289-95.
• Nickel F, Schmidt L, Bruckner T, Bu¨chler MW, Mu¨ller - Stich BP, Ficher L. 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;13:313–319.
• Colquitt JL, Picot J, Loveman E, Clegg AJ. (2009). Surgery for obesity. Cochrane Database Syst Rev. 2009;2(2):1-139
• Herpertz S, Kielmann R, Wolf AM, Langkafel M, Senf W, Hebebrand J. Does obesity surgery improve psychosocial functioning? A systematic review. Int J Obes Relat Metab Disord. 2003;27(11):1300-14.