What are the support experiences and needs of patients who have received bariatric surgery?

Melanie Sharman; Martin Hensher; Stephen Wilkinson; Danielle Williams; Andrew Palmer; Alison Venn; Douglas Ezzy

doi:10.1111/hex.12423

journal article Open Access Nov 02, 2015

What are the support experiences and needs of patients who have received bariatric surgery?

Melanie Sharman Martin Hensher

Stephen Wilkinson

Danielle Williams Andrew Palmer Alison Venn Douglas Ezzy

Health Expectations Vol. 20 No. 1 pp. 35-46 · Wiley

View at Publisher Save 10.1111/hex.12423

Abstract

AbstractObjectiveTo explore the support needs and experiences of patients who had received publicly or privately funded bariatric surgery and the importance of this support in mediating outcomes of surgery.MethodsSeven semi‐structured focus groups were conducted. A broad interview schedule guided the discussions which were audio‐recorded and transcribed verbatim. Data were analysed thematically.ResultsTwenty‐six women and 15 men with a mean age of 54 years (range 24–72) participated in the study. Participants described support needs from health professionals, significant others (family and friends), peers (bariatric surgery recipients) and the general community. Peer, dietetic and psychological support were identified as important factors influencing the outcomes (e.g. weight reduction or health improvement) or experience of bariatric surgery but were identified as infrequently received or inadequately provided. Psychological support was proposed as one of the most significant but commonly overlooked components of care. Support needs appeared higher in the first year post‐surgery, when subsequent related or unrelated surgeries were required and following significant life change such as worsening health. For some participants, deficits in support appeared to negatively influence the experience or outcomes of surgery.ConclusionProviders of bariatric surgery should discuss support needs and accessibility regularly with patients especially in the first year post‐surgery and following significant change in a patient's life (e.g. declined health or childbirth). Nutrition, psychological and peer support (e.g. through support groups) may be especially important for some patients.

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References

35

[1]

10.1007/s11695-012-0864-0

[2]

National Health and Medical Research Council (2013)

[3]

National Institute for Health and Care Excellence (2014)

[4]

National Heart Lung and Blood Institute (1998)

[5]

10.1111/joim.12012

[6]

10.1001/2012.jama.11164

[7]

10.1056/nejmoa066603

[8]

International Federation for the Surgery of Obesity and Metabolic Disorders.First IFSO Global Registry Report.Oxfordshire:International Federation for the Surgery of Obesity and Metabolic Disorders 2014.

[9]

10.1159/000355480

[10]

10.1002/oby.20461

[11]

10.1038/oby.2008.578

[12]

10.1155/2014/427062

[13]

10.1080/08870446.2010.514608

[14]

10.3945/ajcn.2009.27583

[15]

10.1381/096089202320995556

[16]

National Confidential Enquiry into Patient Outcome and Death (2012)

[17]

Australian Bureau of Statistics (2012)

[18]

Medicare (2015)

[19]

Government of Tasmania ‐ Department of Health and Human Services (2010)

[20]

Government of Victoria ‐ Department of Human Services (2009)

[21]

Government of Western Australia ‐ Department of Health ‐ Health Networks Branch (2008)

[22]

Australian Institute of Health and Welfare (2010)

[23]

Australian Bureau of Statistics (2013)

[24]

10.1111/j.1369-7625.2008.00490.x

[25]

10.1111/1467-9566.12219

[26]

10.1007/s00423-013-1077-2

[27]

10.1016/j.soard.2014.02.014

[28]

10.1381/096089206775222096

[29]

10.1007/s11695-015-1578-x

[30]

10.1381/0960892055002310

[31]

10.1016/j.jamcollsurg.2004.03.009

[32]

10.1111/j.1467-789x.2010.00720.x

[33]

10.1136/bmj.328.7449.1166

[34]

10.1038/oby.2008.636

[35]

10.1007/s11695-014-1522-5

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Metrics

56

Citations

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References

Details

Published: Nov 02, 2015
Vol/Issue: 20(1)
Pages: 35-46
License: View

Authors

M

Melanie Sharman

Menzies Institute for Medical Research University of Tasmania Hobart Tasmania Australia

M

Martin Hensher

Department of Health and Human Services Hobart Tasmania Australia

S

Stephen Wilkinson

Royal Hobart Hospital Hobart Tasmania Australia

D

Danielle Williams

School of Nursing University of Tasmania Hobart Tasmania Australia

A

Andrew Palmer

Menzies Institute for Medical Research University of Tasmania Hobart Tasmania Australia

A

Alison Venn

Menzies Institute for Medical Research University of Tasmania Hobart Tasmania Australia

D

Douglas Ezzy

School of Social Sciences University of Tasmania Hobart Tasmania Australia

Funding

National Health and Medical Research Council Award: APP1076899

Cite This Article

Melanie Sharman, Martin Hensher, Stephen Wilkinson, et al. (2015). What are the support experiences and needs of patients who have received bariatric surgery?. Health Expectations, 20(1), 35-46. https://doi.org/10.1111/hex.12423

What are the support experiences and needs of patients who have received bariatric surgery?

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