Skin management dilemmas in patients undergoing bariatric metabolic surgery: a qualitative study
10.3760/cma.j.cn115682-20240724-04163
- VernacularTitle:减重代谢术后患者皮肤管理困境的质性研究
- Author:
Feng JIA
1
;
Xiaojuan ZHU
;
Qingsen HE
;
Yang HAO
;
Dongyan BAI
Author Information
1. 南阳市中心医院普通外科胃肠一病区，南阳 473009
- Publication Type:Journal Article
- Keywords:
Qualitative research;
Obesity;
Bariatric surgery;
Skin management;
Dilemma
- From:
Chinese Journal of Modern Nursing
2025;31(11):1436-1441
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the dilemmas in skin management of patients undergoing bariatric metabolic surgery, so as to provide a reference for constructing a skin management program.Methods:This study was a phenomenological study. Using purposive sampling method, 18 patients who underwent bariatric metabolic surgery and had follow-up visits at Nanyang Central Hospital from March to May 2024 were selected for face-to-face semi-structured in-depth interviews. The interview data were organized and analyzed using the Colaizzi seven-step analysis of phenomenological data.Results:A total of three themes and ten sub-themes were extracted, namely, difficulties in self-coping (difficulties in coping with physical discomfort, life distress and negative emotional distress caused by skin symptoms), insufficient social support (experiencing cold violence from family members, suffering from social isolation, insufficient support from professionals, and limited information sharing), and difficulties in decision-making for weight loss and body contouring (cognitive deficits, concerns about complications, and financial difficulties) .Conclusions:Patients undergoing bariatric metabolic surgery face multiple dilemmas during skin management. Healthcare professionals should develop targeted skin management programs based on the specific problems faced by patients to increase patients' attention to skin management and their ability to self-manage and maintain their physical and mental health.
