Evolving self view and body image concerns in female postoperative bariatric surgery patients

Perdue, Tamara O.; Schreier, Ann; Swanson, Melvin; Neil, Janice A.; Carels, Robert A.

doi:10.1111/jocn.14527

Cited by 20 publications

(36 citation statements)

References 30 publications

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“…The ND risk for perioperative positioning injury presented the risk factor obesity most prevalent in adults, which requires attention in the prevention of damage and injuries in the postoperative period (29) . The ND risk for infection, damages on skin and in dentition are expected in the surgical clinic patient (24)(25) corroborating the results shown in this study.…”

Section: Discussionsupporting

confidence: 89%

“…In the domain of nutrition, a characteristic for the identification of overweight and obesity was BMI. Such changes may increase the risk for surgical complications such as infections, atelectasis, fistulas, bleeding and dehiscence (24) . In the activity/rest domain, the characteristics of dissatisfaction with sleep and alteration in the sleep pattern, reported by adults and elderlies, were those that determined the selection of the ND disturbed sleep pattern.…”

Section: Discussionmentioning

confidence: 99%

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Nursing diagnoses in adults and elderlies in the preoperative period: a comparative study

et al. 2019

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Objective: Analyze the nursing diagnoses of NANDA-I Taxonomy in hospitalized adults and elderlies in preoperative of general surgery and proctology. Method: cross-sectional study, exploratory, quantitative approach, developed in the general surgery ward, between March and August, 2017. Inferential statistical analysis performed using Chi-square and Fisher test, considering p-value <0.05 and 95% confidence interval. Results: Of 51 participants, 32 (62.7%) were adults and 19 (37.3%) elderlies. In adults prevailed anxiety (81.3%), fear (50%), risk for infection (43.8%), and risk for delayed surgical recovery (37.5%). In elderlies, anxiety (68.4%), risk for infection (63.2%), impaired comfort (57.9), and risk for delayed surgical recovery (52.6%) prevailed. Anxiety was significant in adults (p=0.028); impaired dentition (p=0.001), and impaired comfort (p = 0.008) in elderlies. Conclusion: specificities of pre-surgical care rarely identified were evidenced, especially related to risk for infection and risk for delayed surgical recovery.

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Section: Discussionsupporting

confidence: 89%

Section: Discussionmentioning

confidence: 99%

Nursing diagnoses in adults and elderlies in the preoperative period: a comparative study

et al. 2019

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“…As regards, dermatoses affect general health, well-being, and social adaptation of the individual (3)(4)(5). In a study, the majority of the female patients who were candidates for Bariatric Surgery declared high body image concerns (6). Modern cognitive approaches to Body Dysmorphic Disorder suppose that appearance-related intrusive cognitions and their functional outcomes determine the disorder (1).…”

Section: Dear Editormentioning

confidence: 99%

“…The Body Dysmorphic Disorder is a common debilitating disease worldwide. Patients manifest a disabling preoccupation with a few perceived defects, frequently well-marked by poor insight or delusional thoughts (2)(3)(4)(5)(6)(7). According to the results of a study, rhinoplasty candidates reported high body image concern (8).…”

Section: Dear Editormentioning

confidence: 99%

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Risks of Ghaderi’s Phenomenon

Ghaderi

2019

jsurgery

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Physical measurements and patients’ perception of excess skin on arms and thighs before and after bariatric surgery

et al. 2022

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Background Bariatric surgery is an effective weight loss method for patients with obesity. One side effect of bariatric surgery is uncomfortable excess skin. Much remains to be learned about physical measurements and patients’ subjective perceptions of it. Here, we investigated the pre- to post-bariatric changes in patients’ perception and physical measurements of the skin on the arms and thighs, in order to find possible subgroups especially affected by post-operative excess skin and to identify predicting factors. Methods One hundred forty-seven patients eligible for bariatric surgery completed the Sahlgrenska Excess Skin Questionnaire (SESQ) and underwent measurements of their skin before and 18 months after the procedure. Results Although most physical measurements decreased post-operatively, many patients reported increased discomfort. We identified one subgroup particularly prone to report excess skin on the arms post-operatively: women with high discomfort from excess skin on the arms and high body mass index (BMI), pre-operatively. Ptosis of the excess skin seems to be a feasible measurement for predicting post-operative discomfort. For every centimetre of ptosis pre-operatively, patients had 1.37- and 1.31-fold higher odds of achieving a score for post-operative discomfort from excess skin on the upper arms and thighs, respectively, of ≥ 6 (on a 0–10 scale). Conclusions We identified a subgroup especially affected by discomforting excess skin on arms and thighs after weight loss. Furthermore, we suggest a pre-operative pro-operative ptosis measuring to predict post-operative discomfort level. The result of this study further increases the knowledge of excess skin and should be useful in further improving patient education. Level of Evidence: Level III, risk / prognostic study.

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Evolving self view and body image concerns in female postoperative bariatric surgery patients

Cited by 20 publications

References 30 publications

Nursing diagnoses in adults and elderlies in the preoperative period: a comparative study

Nursing diagnoses in adults and elderlies in the preoperative period: a comparative study

Risks of Ghaderi’s Phenomenon

Physical measurements and patients’ perception of excess skin on arms and thighs before and after bariatric surgery

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