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首页> 外文期刊>Clinical obesity. >Maintaining weight loss after bariatric surgery: when the spectator role is no longer enough.
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Maintaining weight loss after bariatric surgery: when the spectator role is no longer enough.

机译:减肥手术后维持减肥:当旁观者的角色不再是足够的。

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摘要

Bariatric (weight loss) surgery is the gold standard treatment for severe obesity. Concern exists that patients are regaining weight in the longer term. Success and cost-effectiveness of surgery are threatened due to the re-emergence of related conditions such as diabetes. This exploratory qualitative study investigates patients' expectations and experiences of weight regain (WR) 2 years or more after Roux-en-Y gastric bypass (RYGB). Ten participants (two men and eight women) who experienced WR were interviewed between 2 and 6 years following surgery. Findings highlight that participants reacted to initial weight loss as passive spectators and were unprepared for subsequent WR. Their tolerability of WR reduced as the amount of regain increased, suggesting a 'line of tolerance' for WR. WR was influenced by a new vulnerability arising from weight loss over time, and participants struggled to manage their own weight actively as surgical effects waned. They considered self-management skills, and carer and professional support to be limited at the time when WR was most likely to occur. Degrees of tolerability are noted in individuals regaining weight after RYGB. More studies are needed to further understand these problems. Pre- and post-operative support and teaching patients self-management skills may be helpful to minimize WR.
机译:减肥(减肥)手术是黄金标准治疗严重肥胖。存在的病人恢复体重长期。手术的重新崛起的威胁相关疾病如糖尿病。探索性定性研究调查病人的期望和体重的经验后恢复(WR) 2年以上roux - en - y胃旁路手术(RYGB)。和八位女性)经验丰富的车手采访2至6年手术。反应初始减肥是被动观众,准备后续的车手。他们的耐受性福的数量减少重新增加,暗示的线宽容”或者说是。漏洞引起的体重随着时间的推移,和参与者很难管理他们自己的体重积极手术效果减弱。认为自我管理技能和看护专业的支持是有限的当车手是最有可能发生。耐受性是在个人恢复RYGB后体重。进一步了解这些问题。术后病人支持和教学自我管理技能可能有助于减少

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