减肥手术的障碍和促进因素:对减肥外科医生的定性研究。

IF 4.7 3区 医学 Q2 ENDOCRINOLOGY & METABOLISM
Obesity Facts Pub Date : 2025-06-28 DOI:10.1159/000547169
Mia Majstorovic, Anna Chur-Hansen, Jane Andrews, Anne L J Burke
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引用次数: 0

摘要

简介:减肥手术有效治疗严重肥胖;然而,在澳大利亚和新西兰,公共资助的减肥手术是有限的。减肥外科医生在决定个体是否适合手术方面起着重要作用。本研究探讨了澳大利亚和新西兰的减肥外科医生对减肥手术障碍和促进因素的看法。方法:于2023年对澳大利亚和新西兰的16名减肥外科医生和登记员进行了访谈,了解他们对减肥手术障碍和促进因素的看法。采用常规定性含量分析对数据进行综合。结果:分析得出八个内容类别:1。病人的特点;2. 与病人居住地点有关的因素;3. 经济因素;4. 生活方式因素;5. 健康相关因素;6. 与手术有关的恐惧和担忧;7. 社会因素;和8。制度和组织因素。手术需求和供应问题在术前过程和患者(非)手术进展的讨论中是突出的。病人的经济状况也同样受到重视。包括性别刻板印象在内的社会价值观和规范得到了体现,亲密他人的作用得到了证实,患者的家人和朋友被认为是手术的障碍和推动者。结论:参与者讨论了减肥手术的障碍多于促进因素。他们的观点与以患者为基础的文献基本一致;然而,该研究的定性性质允许探索潜在障碍和促成因素的感知原因。研究结果为修改术前流程提供了潜在的途径,以更好地支持患者的需求,促进公平获得手术。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
On the Barriers and Enablers to Bariatric Surgery: A Qualitative Study with Bariatric Surgeons.

Introduction: Bariatric surgery effectively treats severe obesity; however, publicly funded bariatric surgery in Australia and New Zealand is limited. Bariatric surgeons play an important role in deciding individuals' suitability for surgery. This study explored Australian and New Zealand bariatric surgeons' views on barriers and enablers to bariatric surgery.

Methods: Sixteen bariatric surgeons and registrars across Australia and New Zealand were interviewed in 2023 about their opinions on barriers and enablers to bariatric surgery. Conventional qualitative content analysis was used to synthesise the data.

Results: Eight content categories originated from the analysis: (1) patient characteristics; (2) factors related to a patient's residential location; (3) economic factors; (4) lifestyle factors; (5) health-related factors; (6) surgery-related fears and concerns; (7) social factors; and (8) institutional and organisational factors. Surgical demand and supply issues were salient in discussions about the pre-operative process and patient (non)progression to surgery. Patients' financial circumstances were similarly emphasised. Societal values and norms, including gender stereotypes, were featured, and the role of close others was substantiated, with patients' families and friends considered both barriers and enablers to surgery.

Conclusion: Participants discussed more barriers than enablers to bariatric surgery. Their views generally aligned with the patient-based literature; however, the qualitative nature of the study allowed for the perceived reasons underlying the barriers and enablers to be explored. Findings offer potential avenues for modifying the pre-operative process to better support patients' needs and promote equity in access to surgery.

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来源期刊
Obesity Facts
Obesity Facts 医学-内分泌学与代谢
CiteScore
6.80
自引率
5.60%
发文量
77
审稿时长
6-12 weeks
期刊介绍: ''Obesity Facts'' publishes articles covering all aspects of obesity, in particular epidemiology, etiology and pathogenesis, treatment, and the prevention of adiposity. As obesity is related to many disease processes, the journal is also dedicated to all topics pertaining to comorbidity and covers psychological and sociocultural aspects as well as influences of nutrition and exercise on body weight. The editors carefully select papers to present only the most recent findings in clinical practice and research. All professionals concerned with obesity issues will find this journal a most valuable update to keep them abreast of the latest scientific developments.
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