Facilitators and impediments to home glucose management for patients undergoing bariatric surgery: a qualitative study
10.3760/cma.j.cn115682-20240406-01853
- VernacularTitle:减重术后患者居家血糖管理促进及阻碍因素的质性研究
- Author:
Xiaoqian ZHANG
1
;
Lin YAO
1
;
Jinfeng WANG
1
;
Chunxia LIU
1
;
Lihua ZHU
1
;
Xiaoxu DUAN
1
Author Information
1. 中日友好医院普外科·代谢减重中心，北京 100029
- Publication Type:Journal Article
- Keywords:
Qualitative research;
Bariatric surgery;
Home rehabilitation;
Glucose management;
Consolidated framework for implementation research
- From:
Chinese Journal of Modern Nursing
2025;31(11):1417-1422
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore facilitators and impediments to home glucose management for patients undergoing bariatric surgery based on the consolidated framework for implementation research (CFIR), so as to inform the development of a glucose management pathway after bariatric surgery.Methods:This study was a descriptive phenomenological study. Using purposive sampling method, seven healthcare professionals and 11 patients undergoing bariatric surgery from the General Surgery·Metabolic and Bariatric Center of China-Japan Friendship Hospital were selected from November 2023 to January 2024 for semi-structured interviews. Targeted content analysis was used for the data analysis.Results:A total of six facilitators and six impediments related to the five dimensions of CFIR were distilled. Facilitators included the personalized glucose management program, regular long-term follow-up, multidisciplinary management team, support from family and friends, complication distress, and information technology platform. Impediments involved patterned follow-up, poor accessibility and convenience of resources, role conflict, herd mentality, poor behavioral compliance, and low utilization of digital equipment.Conclusions:Glucose management needs vary in patients after bariatric surgery, with a gradual decline in management compliance. Healthcare professionals should build an "Internet +"home glucose management service model, carry out targeted multidisciplinary team follow-up, and promote the formation of a standardized pathway for patients' home glucose management.
