Pay attention to the perioperative psychological experience of obesity patients, and help them to smoothly pass the perioperative period
Pay attention to the patient's unstable psychological experience and eliminate the misunderstanding in their medical decision-making
This study shows that obesity patients generally lack obesity-related knowledge, and have less access to professional knowledge, lack of social support. The medical decision-making process of surgical weight loss twists and turns. Many patients are anxious and confused, which result in an unstable psychological experience, and lead to a phenomenon of turning to any doctor they can find. For example, No. 7: " I have no choice but to come to the big hospital to try.” Simultaneously, many patients have entered the misunderstandings of weight loss, not only waste a lot of time and money, but also aggravate the condition. No. 15: "In recent years, I have been losing weight but getting fatter and I tried various ways and spent a lot of money. Finally, it all went for nothing."
Therefore, for obesity patients seeking surgical weight loss, medical workers take an objective attitude to should explain the current status, indications[11], complications, various advantages and disadvantages, expenses, various precautions, etc., and use big data, peer education and other methods to do a good job in publicity and education, and avoid using subjective and purposeful discourse to induce their decision-making. Simultaneously, medical workers should also do well in other aspects of weight and health management, and eliminate the misunderstandings in patients’ decision-making.
Pay attention to the patient's negative psychological experience and give them timely targeted intervention
A study has shown that [12], gluttony become a common bad habit in obesity patients. In the face of a strong contrast between pre-operative eating much and strict control of diet after surgery, many obesity patients show a large psychological gap, which results in a negative psychological experience and worrying about long-term self-management after surgery.” No. 15: "Anyway, you can't be sorry for my eatting. If surgery weight loss could cure my greedy mouth, that’s perfect." No. 7: “After a long time, they will get fat again. The medical staff still has to follow up regularly and spur everyone."
Although undergoing the treatment of sleeve stomach surgical resection and “eat, drink, sleep and trip" regulate weight management under professional guidance of doctors, nurses, fitness coaches, etc. [13], most of patients lack self-management ability, have a large re-fat, malnutrition risk and lack of confidence in postoperative weight management.Obesity patients start self-management of weight through sleeve gastrectomy, but and self-management cognition after surgery is insufficient, which doctors, nurses and patients all should pay more attention to. Health care workers should strengthen the popularization of health knowledge, peer support, and extended care after discharge. Strengthen management and follow-up in 1–3 years after operation, in order to help them relieve anxiety and discomfort, objectively evaluate postoperative improvement, improve the knowledge, belief and behavior of weight management in obesity patients.
Pay attention to positive psychological experience and improve patients’ ability of risk prevention
During the interview, some of the interviewees showed positive emotions and often put up the joy of the success of weight loss, grateful for the care of the medical staff before and after surgery and full of hope for the life after weight loss. The feeling of rebirth makes patients have a positive psychological experience. However, such patients also have the potential risk of complications, such as dumping syndrome, hair loss, etc., and if these risks are not foreseen, once there are changes in adverse reactions, complications, etc., they may have a negative psychological experience. Therefore, it is recommended that the medical team should strengthen the publicity and education and long-term health management after surgery, improve patients’ self-care compliance, prevent adverse reactions.
From point to plane, focus on obesity groups and improve the healthy life of social public
The literature shows that[12], in China, for the obesity patients with higher economic levels, it is necessary to further strengthen the propaganda and education work for their bariatric surgery. In the face of a large group of obesity, the government, the society and the medical staff should strengthen their attention and policy support, broaden the channels of health knowledge, enrich the knowledge content of publicity and education for obesity patients, and regularly hold various types of public welfare activities.