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Weight Loss Experience of Highly Obese Young Adult Who Underwent Bariatric Surgery

비만대사수술을 받은 고도비만 청년들의 체중감량 경험

  • Lee, Hoim (College of Nursing.Research Institute of Wholistic Nursing Science, Kosin University) ;
  • Jeong, Hyoju (College of Nursing.Research Institute of Wholistic Nursing Science, Kosin University) ;
  • Kwon, Suhye (College of Nursing, Kosin University)
  • 이호임 (고신대학교 간호대학.전인간호과학연구소) ;
  • 정효주 (고신대학교 간호대학.전인간호과학연구소) ;
  • 권수혜 (고신대학교 간호대학)
  • Received : 2023.01.04
  • Accepted : 2023.03.24
  • Published : 2023.04.30

Abstract

Purpose: This study aimed to explore the weight loss experience of highly obese young people who underwent bariatric surgery. Methods: Data were collected, from October 2021 to April 2022, through individual in-depth interviews with eight highly obese young adults who underwent bariatric surgery and analyzed using Colaizzi's phenomenological method. Results: The following four theme clusters were extracted. First, 'The unbearable sorrow of obese people' explains the process of choosing bariatric surgery after fluctuations and frustration despite countless repeated weight loss attempts. Second, 'The impact aftermath of bariatric surgery' revealed participants struggling in the face of unexpected changes due to bariatric surgery. Third, 'Efforts to rebuild a healthy myself' demonstrated the struggle to regain health by using the surrounding support system to overcome the difficulties of this surgical procedure. Lastly, 'Facing life by getting rid of the yoke of obesity' displayed the experiences of the participants who felt ambivalent about their changed appearance, but coping positively with the new life. Conclusion: This study provides an in-depth understanding of the weight loss experiences of highly obese adolescents who underwent bariatric surgery and presents a new perspective on clinical practice. The results of this study are expected to be useful in developing and applying systematic and customized nursing interventions before and after bariatric surgery.

Keywords

References

  1. Park SJ. Sociology of obesity: Why do we gain weight so easily? Paju: Cheong-A Publications; 2021. p. 428.
  2. Ministry of Health and Welfare (MOHW). 2022 Community integrated health promotion project obesity prevention and management guide [Internet]. Sejong: Ministry of Health and Welfare; 2022 [cited 2022 Jan 31]. Available from: http://ilovegb.kr/ilovegb/page.php?pageNo=9&cmd=258&bod_uid=2417&mnu_uid=139&srchBgpUid=-1&srchVoteType=-1&srchEnable=1&srchSDate=&srchEDate=&srchColumn=&srchKeyword=
  3. Ministry of Health and Welfare (MOHW). Comprehensive measures for national obesity management [Internet]. Sejong: Ministry of Health and Welfare; 2018 [cited 2021 Mar 1]. Available from: http://www.mohw.go.kr/react/al/sal0301vw.jsp?PAR_MENU_ID=04&MENU_ID=0403&-CONT_SEQ=345515&page=1
  4. Lee JH. Bariatric surgery. The Korean Journal of Medicine. 2013;84(5):640-649. https://doi.org/10.3904/kjm.2013.84.5.640
  5. Jumbe S, Hamlet C, Meyrick J. Psychological aspects of bariatric surgery as a treatment for obesity. Current Obesity Reports. 2017;6(1):71-78. https://doi.org/10.1007/s13679-017-0242-2
  6. Herpertz S, Muller A, Burgmer R, Crosby RD, de Zwaan M, Legenbauer T. Health-related quality of life and psychological functioning 9 years after restrictive surgical treatment for obesity. Surgery for Obesity and Related Diseases. 2015;11(6):1361-1370. https://doi.org/10.1016/j.soard.2015.04.008
  7. Korea Centers for Disease Control and Prevention (KCDC). Guidebook for nutrition survey: The seventh korea national health and nutrition examination survey 2016-2018 [Internet]. Cheongju: Korea Centers for Disease Control and Prevention; 2018 [cited 2021 Mar 1]. Available from: https://knhanes.cdc.go.kr/knhanes/sub04/sub04_03.do?classType=7
  8. Olson MB, Kelsey SF, Bittner V, Reis SE, Reichek N, Handberg EM, et al. Weight cycling and high-density lipoprotein cholesterol in women: Evidence of an adverse effect: A report from the NHLBI-sponsored WISE study. Women's Ischemia Syndrome Evaluation Study Group. Journal of the American College of Cardiology. 2000;36(5):1565-1571. https://doi.org/10.1016/s0735-1097(00)00901-3
  9. Hwang YY. A study on obese female college students' weight control experiences. Korean Journal of Women Health Nursing. 2004;10(4):291-300. https://doi.org/10.4069/kjwhn.2004.10.4.291
  10. Lee MJ, Mun BS. A study on the developmental characteristics of adolescence. Journal of Physical Growth and Motor Development. 2000;8(1):97-107.
  11. Hong SR. Perceptions of the self-efficacy of youth and subjective quality of life. Journal of Families and Better Life. 2011;29(6):71-87. https://doi.org/10.7466/JKHMA.2011.29.6.071
  12. Choi YB. Current status of bariatric and metabolic surgery in Korea. Endocrinology and Metabolism. 2016;31(4):525-532. https://doi.org/10.3803/EnM.2016.31.4.525
  13. Jeong EH, Lee HC, Yim JE. Weight loss effects of bariatric surgery after nutrition education in extremely obese patients. Journal of Nutrition and Health. 2015;48(1):30-45. https://doi.org/10.4163/jnh.2015.48.1.30
  14. Kim HJ, Namgung SA, Hong JI, Mok HJ. A study on the standards of medical-nutritional-education by the type of bariatric surgery in morbid-obesity patients. Journal of the Korean Dietetic Association. 2010;16(2):178-187. https://doi.org/10.22974/jkda.2010.48.3.002
  15. Lee HI, Park JS. The effect of pre-operative information through audiovisual media on self-care knowledge, self-efficacy, and state anxiety of patients before bariatric surgery. Korean Journal of Adult Nursing. 2020;32(4):421-431. https://doi.org/10.7475/kjan.2020.32.4.421
  16. Godino JG, Merchant G, Norman GJ, Donohue MC, Marshall SJ, Fowler JH, et al. Using social and mobile tools for weight loss in overweight and obese young adults (Project SMART): A 2 year, parallel-group, randomised, controlled trial. The Lancet. Diabetes & Endocrinology. 2016;4(9):747-755. https://doi.org/10.1016/S2213-8587(16)30105-X
  17. Gravani S, Matiatou M, Nikolaidis PT, Menenakos E, Zografos CG, Zografos G, et al. Anxiety and depression affect early postoperative pain dimensions after bariatric surgery. Journal of Clinical Medicine. 2021;10(1):53. https://doi.org/10.3390/jcm10010053
  18. Lee SY, Ko KB, Kim NH. A qualitative study on the failed weight-loss experiences of college students with obesity and overweight. Korean Journal of Health Education and Promotion. 2020;37(2):43-55. https://doi.org/10.14367/kjhep.2020.37.2.43
  19. Kim JS. The process of female university students' experiences in healthy dieting. Journal of Korean Academy of Community Health Nursing. 2012;23(3):244-255. https://doi.org/10.12799/jkachn.2012.23.3.244
  20. Kim HJ, Hong CM. A grounded approach on continuous weight control process of women in normal body weight. Journal of Qualitative Research. 2009;10(1):28-38.
  21. Lee KW. The experiences of living as obese young women in Korea [dissertation]. Seoul: Seoul National University; 2018. p. 1-164.
  22. Colaizzi PF. Psychological research as the phenomenologist views it. In: Valle RS, King M, editors. Existential-Phenomenological Alternatives for Psychology. New York (NY): Oxford University Press; 1978. p. 48-71.
  23. Framework Act on Youth [Internet]. Sejong: Korean Law Information Center; 2020 [cited 2022 Jul 6]. Available from: https://www.law.go.kr/법령/청년기본법
  24. Adil MT, Jain V, Rashid F, Al-Taan O, Al-Rashedy M, Jambulingam P, et al. Meta-analysis of the effect of bariatric surgery on physical activity. Surgery for Obesity and Related Diseases. 2019;15(9):1620-1631. https://doi.org/10.1016/j.soard.2019.06.014
  25. Guba EG, Lincoln YS. Effective evaluation: Improving the usefulness of evaluation results through responive and naturalistic approaches. San Francisco (CA): Jossey-Bass; 1981. p. 411-423.
  26. Puhl RM, Heuer CA. Obesity stigma: Important considerations for public health. American Journal of Public Health. 2010;100(6):1019-1028. https://doi.org/10.2105/AJPH.2009.159491
  27. Medvedyuk S, Ali A, Raphael D. Ideology, obesity and the social determinants of health: A critical analysis of the obesity and health relationship. Critical Public Health. 2018;28(5):573-585. https://doi.org/10.1080/09581596.2017.1356910
  28. Jun MK, Ha JY. Failure experience in losing weight among obese highschool girls. Journal of Qualitative Research. 2014;15(2):89-99. https://doi.org/10.22284/qr.2014.15.2.89
  29. Tashlizky Madar R, Zion Yohay N, Grinstein Cohen O, Cohen L, Newman-Heiman N, Dvori Y. Post-bariatric surgery care in Israeli adolescents: A qualitative study. Clinical Nursing Research. 2021;30(8):1281-1289. https://doi.org/10.1177/10547738211000064
  30. Li MK, Sathiyamoorthy T, Regina A, Strom M, Toulany A, Hamilton J. "Your own pace, your own path": Perspectives of adolescents navigating life after bariatric surgery. International Journal of Obesity. 2021;45(12):2546-2553. https://doi.org/10.1038/s41366-021-00928-w
  31. Nijland LMG, Reiber BMM, Monpellier VM, Jacobs A, Hazebroek EJ, van Veen RN, et al. The association between patient attendance to a perioperative group-based lifestyle program and weight loss after bariatric surgery. Surgery for Obesity and Related Diseases. 2022;18(6):747-754. https://doi.org/10.1016/j.soard.2022.02.011
  32. Norman CD, Skinner HA. eHEALS: The eHealth Literacy Scale. Journal of Medical Internet Research. 2006;8(4):e27. https://doi.org/10.2196/jmir.8.4.e27
  33. Tomiyama AJ, Ahlstrom B, Mann T. Long-term effects of dieting: Is weight loss related to health? Social and Personality Psychology Compass. 2013;7(12):861-877. https://doi.org/10.1111/spc3.12076
  34. Robinson A, Husband A, Slight R, Slight SP. Designing digital health technology to support patients before and after bariatric surgery: Qualitative study exploring patient desires, suggestions, and reflections to support lifestyle behavior change. JMIR Human Factors. 2022;9(1):e29782. https://doi.org/10.2196/29782
  35. Poulsen L, Klassen A, Jhanwar S, Pusic A, Roessler KK, Rose M, et al. Patient expectations of bariatric and body contouring surgery. Plastic and Reconstructive Surgery. Global Open. 2016;4(4):e694. https://doi.org/10.1097/GOX.0000000000000677