Shu Fang, Cheng Zhang, Meng Wei, Zhen Li, Jie Chen, Bilong Feng, Li Du
{"title":"接受代谢和减肥手术的患者的经验和出院准备：一项定性研究。","authors":"Shu Fang, Cheng Zhang, Meng Wei, Zhen Li, Jie Chen, Bilong Feng, Li Du","doi":"10.3389/fmed.2025.1595361","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>The discharge readiness for metabolic and bariatric surgery (MBS) patients are designed to facilitate their transition from hospital to home and support early rehabilitation, ultimately improving discharge quality and outcomes.</p><p><strong>Objectives: </strong>This study aimed to describe the experiences and discharge readiness of patients undergoing MBS.</p><p><strong>Setting: </strong>A Tertiary hospital, China.</p><p><strong>Methods: </strong>An empirical phenomenological approach was used. Eighteen participants were recruited in Wuhan using convenience sampling. Semi-structured, in-depth, face-to-face interviews were conducted in May 2024. Each interview was transcribed verbatim, and Colaizzi's method was used to analyze the data.</p><p><strong>Results: </strong>Five themes emerged from data analysis: post-surgical adaptation and expectations; negative emotions and stigma; knowledge gaps and ongoing education needs; post-discharge self-management and support needs; navigating physical recovery and long-term life planning. Patients faced both physiological and psychological discomfort. Insufficient social support was due to gaps in self-management knowledge and biased perceptions of reintegration. The surgery also impacted their reintegration into society and family life, while the long-term effect encouraged patients to adopt positive coping strategies and seek external support. Family provided primary support, but ongoing professional medical guidance was crucial for successful recovery and reintegration.</p><p><strong>Conclusion: </strong>The discharge readiness of the patient needs to be appreciated and improved. Developing a specific scale to assess readiness for MBS patients are crucial. A multidisciplinary, patient-centered discharge support system, supported by an information platform, should provide real-time, practical guidance for rehabilitation. Furthermore, establishing an effective post-discharge linkage mechanism will enhance self-management and ensure access to appropriate medical and social support.</p>","PeriodicalId":12488,"journal":{"name":"Frontiers in Medicine","volume":"12 ","pages":"1595361"},"PeriodicalIF":3.1000,"publicationDate":"2025-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12491332/pdf/","citationCount":"0","resultStr":"{\"title\":\"The experience and discharge readiness of patients undergoing metabolic and bariatric surgery: a qualitative study.\",\"authors\":\"Shu Fang, Cheng Zhang, Meng Wei, Zhen Li, Jie Chen, Bilong Feng, Li Du\",\"doi\":\"10.3389/fmed.2025.1595361\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>The discharge readiness for metabolic and bariatric surgery (MBS) patients are designed to facilitate their transition from hospital to home and support early rehabilitation, ultimately improving discharge quality and outcomes.</p><p><strong>Objectives: </strong>This study aimed to describe the experiences and discharge readiness of patients undergoing MBS.</p><p><strong>Setting: </strong>A Tertiary hospital, China.</p><p><strong>Methods: </strong>An empirical phenomenological approach was used. Eighteen participants were recruited in Wuhan using convenience sampling. Semi-structured, in-depth, face-to-face interviews were conducted in May 2024. Each interview was transcribed verbatim, and Colaizzi's method was used to analyze the data.</p><p><strong>Results: </strong>Five themes emerged from data analysis: post-surgical adaptation and expectations; negative emotions and stigma; knowledge gaps and ongoing education needs; post-discharge self-management and support needs; navigating physical recovery and long-term life planning. Patients faced both physiological and psychological discomfort. Insufficient social support was due to gaps in self-management knowledge and biased perceptions of reintegration. The surgery also impacted their reintegration into society and family life, while the long-term effect encouraged patients to adopt positive coping strategies and seek external support. Family provided primary support, but ongoing professional medical guidance was crucial for successful recovery and reintegration.</p><p><strong>Conclusion: </strong>The discharge readiness of the patient needs to be appreciated and improved. Developing a specific scale to assess readiness for MBS patients are crucial. A multidisciplinary, patient-centered discharge support system, supported by an information platform, should provide real-time, practical guidance for rehabilitation. Furthermore, establishing an effective post-discharge linkage mechanism will enhance self-management and ensure access to appropriate medical and social support.</p>\",\"PeriodicalId\":12488,\"journal\":{\"name\":\"Frontiers in Medicine\",\"volume\":\"12 \",\"pages\":\"1595361\"},\"PeriodicalIF\":3.1000,\"publicationDate\":\"2025-09-19\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12491332/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Frontiers in Medicine\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.3389/fmed.2025.1595361\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/1/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"Q1\",\"JCRName\":\"MEDICINE, GENERAL & INTERNAL\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Frontiers in Medicine","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.3389/fmed.2025.1595361","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/1/1 0:00:00","PubModel":"eCollection","JCR":"Q1","JCRName":"MEDICINE, GENERAL & INTERNAL","Score":null,"Total":0}
The experience and discharge readiness of patients undergoing metabolic and bariatric surgery: a qualitative study.
Background: The discharge readiness for metabolic and bariatric surgery (MBS) patients are designed to facilitate their transition from hospital to home and support early rehabilitation, ultimately improving discharge quality and outcomes.
Objectives: This study aimed to describe the experiences and discharge readiness of patients undergoing MBS.
Setting: A Tertiary hospital, China.
Methods: An empirical phenomenological approach was used. Eighteen participants were recruited in Wuhan using convenience sampling. Semi-structured, in-depth, face-to-face interviews were conducted in May 2024. Each interview was transcribed verbatim, and Colaizzi's method was used to analyze the data.
Results: Five themes emerged from data analysis: post-surgical adaptation and expectations; negative emotions and stigma; knowledge gaps and ongoing education needs; post-discharge self-management and support needs; navigating physical recovery and long-term life planning. Patients faced both physiological and psychological discomfort. Insufficient social support was due to gaps in self-management knowledge and biased perceptions of reintegration. The surgery also impacted their reintegration into society and family life, while the long-term effect encouraged patients to adopt positive coping strategies and seek external support. Family provided primary support, but ongoing professional medical guidance was crucial for successful recovery and reintegration.
Conclusion: The discharge readiness of the patient needs to be appreciated and improved. Developing a specific scale to assess readiness for MBS patients are crucial. A multidisciplinary, patient-centered discharge support system, supported by an information platform, should provide real-time, practical guidance for rehabilitation. Furthermore, establishing an effective post-discharge linkage mechanism will enhance self-management and ensure access to appropriate medical and social support.
期刊介绍：
Frontiers in Medicine publishes rigorously peer-reviewed research linking basic research to clinical practice and patient care, as well as translating scientific advances into new therapies and diagnostic tools. Led by an outstanding Editorial Board of international experts, this multidisciplinary open-access journal is at the forefront of disseminating and communicating scientific knowledge and impactful discoveries to researchers, academics, clinicians and the public worldwide.
In addition to papers that provide a link between basic research and clinical practice, a particular emphasis is given to studies that are directly relevant to patient care. In this spirit, the journal publishes the latest research results and medical knowledge that facilitate the translation of scientific advances into new therapies or diagnostic tools. The full listing of the Specialty Sections represented by Frontiers in Medicine is as listed below. As well as the established medical disciplines, Frontiers in Medicine is launching new sections that together will facilitate
- the use of patient-reported outcomes under real world conditions
- the exploitation of big data and the use of novel information and communication tools in the assessment of new medicines
- the scientific bases for guidelines and decisions from regulatory authorities
- access to medicinal products and medical devices worldwide
- addressing the grand health challenges around the world
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
