Developing a long-term follow up service for bariatric surgical patients in the community: Patient and professional perspectives.

IF 1.9 Q3 ENDOCRINOLOGY & METABOLISM
Obesity Science & Practice Pub Date : 2023-01-12 eCollection Date: 2023-08-01 DOI:10.1002/osp4.658
Yitka Graham, Ann Fox, Kamal Mahawar, Julie Parrott, Fadi Khalil, Catherine Hayes
{"title":"Developing a long-term follow up service for bariatric surgical patients in the community: Patient and professional perspectives.","authors":"Yitka Graham, Ann Fox, Kamal Mahawar, Julie Parrott, Fadi Khalil, Catherine Hayes","doi":"10.1002/osp4.658","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>In the UK, bariatric surgical patients are followed up for 2 years post-operatively in hospital settings, before being discharged into General Practice for long-term follow-up. Presently, there is ambiguous guidance as to what should be included in a community-based bariatric surgical follow-up service. The aim of the study was to understand, from both patient and professional perspectives, what is needed to support the long-term management of bariatric surgical patients in community-based settings.</p><p><strong>Methods: </strong>Post-surgical bariatric patients and General Practice staff were recruited from an area in the UK which has an National Health Service (NHS) hospital providing a high-volume and established bariatric surgical service. Data was collected through semi-structured interviews. A thematic analytic framework was used to construct eight themes which illuminated the participants' experiences. The study took place between March and December 2021.</p><p><strong>Findings: </strong>Thirty participants (14 patients and 16 healthcare professionals) were recruited to the study. The study revealed the lack of a framework for delivery of a long-term follow up service was frustrating to both patients and professionals. Patient participants reported needing more support, especially dietetic and psychological input, and professionals stated they had little knowledge about bariatric surgical care, and what was needed to provide optimal care, but wanted to provide quality patient care.</p><p><strong>Conclusion: </strong>Long-term follow up of bariatric surgical patients is an important issue which needs addressing. This study illuminates both the patient and professional perspectives on developing a pragmatic, community-based service which meets the needs of patients and considers the need to incorporate such a service into existing infrastructures without adding additional demands on General Practice.</p>","PeriodicalId":19448,"journal":{"name":"Obesity Science & Practice","volume":null,"pages":null},"PeriodicalIF":1.9000,"publicationDate":"2023-01-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10399522/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Obesity Science & Practice","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1002/osp4.658","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2023/8/1 0:00:00","PubModel":"eCollection","JCR":"Q3","JCRName":"ENDOCRINOLOGY & METABOLISM","Score":null,"Total":0}
引用次数: 0

Abstract

Background: In the UK, bariatric surgical patients are followed up for 2 years post-operatively in hospital settings, before being discharged into General Practice for long-term follow-up. Presently, there is ambiguous guidance as to what should be included in a community-based bariatric surgical follow-up service. The aim of the study was to understand, from both patient and professional perspectives, what is needed to support the long-term management of bariatric surgical patients in community-based settings.

Methods: Post-surgical bariatric patients and General Practice staff were recruited from an area in the UK which has an National Health Service (NHS) hospital providing a high-volume and established bariatric surgical service. Data was collected through semi-structured interviews. A thematic analytic framework was used to construct eight themes which illuminated the participants' experiences. The study took place between March and December 2021.

Findings: Thirty participants (14 patients and 16 healthcare professionals) were recruited to the study. The study revealed the lack of a framework for delivery of a long-term follow up service was frustrating to both patients and professionals. Patient participants reported needing more support, especially dietetic and psychological input, and professionals stated they had little knowledge about bariatric surgical care, and what was needed to provide optimal care, but wanted to provide quality patient care.

Conclusion: Long-term follow up of bariatric surgical patients is an important issue which needs addressing. This study illuminates both the patient and professional perspectives on developing a pragmatic, community-based service which meets the needs of patients and considers the need to incorporate such a service into existing infrastructures without adding additional demands on General Practice.

Abstract Image

Abstract Image

Abstract Image

在社区为减肥手术患者提供长期随访服务:患者和专业人士的观点。
背景:在英国,减肥手术患者术后要在医院接受两年的随访,然后才能出院到全科诊所接受长期随访。目前,关于社区减肥手术随访服务应包括哪些内容的指导并不明确。本研究旨在从患者和专业人员的角度,了解在社区环境中支持对减肥手术患者进行长期管理所需的条件:方法:在英国的一个地区招募了手术后的减肥患者和全科医生,该地区有一家国民健康服务(NHS)医院,提供大量成熟的减肥手术服务。通过半结构化访谈收集数据。采用主题分析框架构建了八个主题,这些主题揭示了参与者的经历。研究时间为 2021 年 3 月至 12 月:研究招募了 30 名参与者(14 名患者和 16 名医护人员)。研究显示,缺乏提供长期随访服务的框架令患者和专业人员都感到沮丧。参与研究的患者表示需要更多的支持,尤其是饮食和心理方面的支持,而专业人员则表示他们对减肥手术护理以及提供最佳护理所需的知识知之甚少,但他们希望为患者提供优质护理:减肥手术患者的长期随访是一个需要解决的重要问题。本研究从患者和专业人士的角度出发,探讨了如何发展一种务实的、以社区为基础的服务,以满足患者的需求,并考虑了将这种服务纳入现有基础设施的必要性,同时又不增加对全科医生的额外要求。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
Obesity Science & Practice
Obesity Science & Practice ENDOCRINOLOGY & METABOLISM-
CiteScore
4.20
自引率
4.50%
发文量
73
审稿时长
29 weeks
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信