Preoperative decision-making experience of patients undergoing metabolic-bariatric surgery: a qualitative study
10.3760/cma.j.cn115682-20240202-00685
- VernacularTitle:减重代谢手术患者术前决策体验的质性研究
- Author:
Wen LI
1
;
Yihong XU
;
Xiaoxiao ZHANG
;
Sisi HONG
;
Mizhi WU
;
Jianan WANG
;
Hongying PAN
Author Information
1. 浙江中医药大学护理学院，杭州 310053
- Publication Type:Journal Article
- Keywords:
Obesity;
Bariatric surgery;
Decision-making experience;
Preoperative decision;
Qualitative research
- From:
Chinese Journal of Modern Nursing
2024;30(36):4909-4914
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the real experiences of patients during the preoperative decision-making process for metabolic-bariatric surgery, providing a reference for developing targeted decision-support interventions.Methods:This descriptive phenomenological study used purposive sampling to select 21 patients who underwent metabolic-bariatric surgery at Sir Run Run Shaw Hospital Affiliated to Zhejiang University School of Medicine, from September 2022 to February 2023. Interviews were conducted, and the data were analyzed using Colaizzi's seven-step method.Results:Four themes and 14 sub-themes were extracted: decision-making motivation (health threats, pursuit of higher quality of life, diminished self-esteem, family responsibility drive) ; pre-decision assessment (failure of other weight-loss methods, surgery as a last resort) ; decision-making dilemmas (low quality of accessible information, low social acceptance of surgery, lack of medical insurance coverage, concerns about surgical outcomes) ; and decision-making support (professional medical support, family support, peer support, self-support) .Conclusions:Patients considering metabolic-bariatric surgery have diverse decision-making motivations and face significant dilemmas. It is recommended that relevant authorities, healthcare providers, and family members work together to create a comprehensive decision-supportive environment from the patients' perspective.
