Turkiye Klinikleri Journal of Nursing Sciences

.: ORIGINAL RESEARCH
Experiences of Patients Underwent Bariatric Surgery: A Qualitative Research
Bariyatrik Cerrahi Geçiren Hastaların Deneyimleri: Nitel Bir Araştırma
Esra USTAa , Havva BOZDEMİRb , Sevim AKBALc
aYalova University Faculty of Health Sciences, Department of Nursing, Division of Surgical Nursing, Yalova, Türkiye
bKocaeli University Faculty of Health Sciences, Department of Nursing, Division Fundamentals of Nursing, Kocaeli, Türkiye
cTrakya University Vocational School of Health Services, Department of Nursing, Division of Surgical Nursing, Edirne, Türkiye
Turkiye Klinikleri J Nurs Sci. 2025;17(1):9-16
doi: 10.5336/nurses.2024-104465
Article Language: EN
Full Text
ABSTRACT
 Objective: Bariatric surgery team members need to gain insight into bariatric patients' individual experiences to ensure that they have realistic expectations about the surgery and better understanding of the changes following surgery. The study aimed to investigate the experiences of patients who have underwent bariatric surgery before the operation, their status of deciding on surgical treatment, and their experiences after the surgical process. Material and Methods: The study was conducted as a qualitative descriptive phenomenological study using a semi-structured in-depth individual interview method. Ethical permission was obtained. The study was conducted between June and August 2020, in a tertiary hospital in Türkiye, with patients who underwent bariatric surgery and were followed up (n=18). The study data were collected by using the personal form and semi-structured interview form. The data analysis method was used with the MAXQDA 2020-Qualitative Analyses program, and Colaizzi's 7-step analysis process was used to ensure reliability. Results: When the interviews with the patients who underwent bariatric surgery were analyzed seven themes were determined. The seven themes were as follows: (1) physical effects of obesity, (2) psychological effects of obesity, (3) social effects of obesity, (4) decision to undergo surgery, (5) physical effects of bariatric surgery, (6) psychological effects of bariatric surgery, (7) social effects of bariatric surgery. Conclusion: It was found that obesity negatively affects the health of patients, and that patients' eating habits, activity and mobility levels, ability to perform daily living activities, body image and self-confidence improved after the operation.

Keywords: Bariatric surgery; patient care; perioperative care; decision making; life style
ÖZET
 Amaç: Bariyatrik cerrahisi ekip üyelerinin, bariyatrik cerrahisi geçirecek hastaların beklentileri hakkında bilgi sahibi olmaları ve ameliyat sonrası değişiklikleri daha iyi anlamalarını sağlamak için hastaların bireysel deneyimleri hakkında fikir sahibi olmaları gerekir. Bu çalışmada, bariyatrik cerrahi geçiren hastaların operasyon öncesindeki deneyimlerinin, cerrahi tedaviye karar verme durumlarının ve cerrahi süreç sonrası deneyimlerinin araştırılması amaçlandı. Gereç ve Yöntemler: Araştırma, yarı yapılandırılmış derinlemesine bireysel görüşme yöntemi kullanılarak nitel betimleyici fenomenolojik bir çalışma olarak gerçekleştirildi. Etik izin alındı. Haziran-Ağustos 2020 tarihleri arasında Türkiye'de üçüncü basamak bir hastanede bariyatrik cerrahisi geçiren ve takip edilen hastalarla (n=18) gerçekleştirildi. Araştırma verileri kişisel form ve yarı yapılandırılmış görüşme formu kullanılarak toplandı. MAXQDA 2020-Nitel Analizler programı ile veri analizi yöntemi kullanıldı, güvenilirliğin sağlanması için Colaizzi'nin 7 adımlı analiz süreci kullanıldı. Bulgular: Bariyatrik cerrahisi geçiren hastalarla yapılan görüşmeler analiz edildiğinde 7 tema belirlendi. Yedi tema şu şekildeydi: (1) obezitenin fiziksel etkileri, (2) obezitenin psikolojik etkileri, (3) obezitenin sosyal etkileri, (4) ameliyat olma kararı, (5) bariyatrik cerrahisinin fiziksel etkileri, (6) bariyatrik cerrahinin psikolojik etkileri, (7) bariyatrik cerrahinin sosyal etkileri. Sonuç: Obezitenin hastaların sağlığını olumsuz etkilediğini, hastaların operasyondan sonra beslenme alışkanlıkları, aktivite ve mobilite düzeylerinde ve günlük yaşam aktivitelerini gerçekleştirme becerilerinde, beden imajını ve öz güvenlerinde iyileşme olduğu bulundu.

Anahtar Kelimeler: Bariyatrik cerrahisi; hasta bakımı; perioperatif bakım; karar verme; yaşam tarzı
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