Araştırma Makalesi
Yıl 2022,
Cilt: 15 Sayı: 3, 340 - 348, 15.07.2022
Öz
Giriş: Bariatrik cerrahinin kilo vermede etkili olmasının yanı sıra fizyolojik ve psikososyal sağlık üzerine de önemli etkileri vardır. Bu etkilerden biri de yaşam kalitesi üzerinedir. Amaç: Bariatrik cerrahi sonrası öz-etkililiğin ve seçilmiş faktörlerin yaşam kalitesine etkisini incelemektir. Yöntem: Araştırma kesitsel, tanımlayıcı ve kestirim tipi bir araştırmadır. Araştırma örneklemini bariatrik cerrahi yapılan 103 hasta oluşturmuştur. Veriler Eylül 2018-Temmuz 2019 tarihleri arasında sosyodemografik özellikler formu, Kilonun Yaşam Kalitesine Etkisi Ölçeği ve Öz etkililik Yeterlilik Ölçeği kullanılarak toplanmıştır. Bulgular: Hastaların yaş ortalaması 33.70±8.13 olup ameliyat sonrası geçen süre 9.64±5.22 ay olarak bulunmuştur. Hastaların tamamına sleeve gastrektomi ameliyatı yapılmıştır. Hastaların Kilonun Yaşam Kalitesine Etkisi Ölçeği toplam puan ortalaması 75.12±20.14; Öz etkililik Yeterlik Ölçeği toplam puan ortalaması 51.25±6.57 olarak bulunmuştur. Hastaların yaşam kalitesini etkileyen faktörler incelendiğinde modelin anlamlı olduğu belirlenmiştir. Modele dahil edilen değişkenler hastaların yaşam kalitesinin %52’sini açıklamaktadır. Ameliyat sonrası geçen sürenin (β: -0.653, p = 0.000) anlamlı ve negatif yönde yaşam kalitesini yordadığı saptanmıştır. Sonuç: Hastaların yaşam kalitelerinin orta düzey ve öz-etkililiklerinin düşük düzeyde olduğu bulunmuştur. Hastalarda Öz etkililiğin yaşam kalitesi üzerine etkisi olmadığı bulunmuştur. Hastalarda bariatrik cerrahi sonrası geçen süre arttıkça yaşam kalitesinin düştüğü saptanmıştır. Hastaların ameliyat sonrası yaşam kalitesinin arttırılması için hemşirelerin ve ekip üyelerinin ameliyat sonrası uzun dönem hastaları izlemesi önerilmektedir.
Anahtar Kelimeler
Destekleyen Kurum
-
Proje Numarası
-
Kaynakça
- 1. World Health Organization (WHO). Obesity and overweight. 2020, May 17. Retrived from:https://www.who.int/news- room/fact-sheets/detail/obesity-and-overweight
- 2. Türkiye Endokrinoloji ve Metabolizma Derneği. Obezite Tanı ve Tedavi Kılavuzu. 2018, 6. Baskı, Miki Matbaacılık.
- 3. American Society for Metabolic and Bariatric Surgery. Estimate of Bariatric Surgery Numbers, 2011-2018. 2020, Retrived from:https://asmbs.org/resources/estimate-of-bariatric-surgery-numbers
- 4. Angrisani L, Santonicola A, Iovino P, Vitiello A, Zundel N, Buchwald H et al. Bariatric surgery and endoluminal procedures: IFSO worldwide survey 2014. Obes Surg., 2017, 27(9), 2279-2289. https://doi.org/10.1007/s11695-017-2666- x
- 5. Sabuncu T, Kıyıcı S, Eren MA, Sancak S, Sönmez A, Güldiken S et al. Summary of bariatric surgery guideline of the society of endocrinology and metabolism of Turkey. Turkish Journal of Endocrinology and Metabolism, 2017, 21(4).https://doi.org/10.25179/tjem.2017-57388
- 6. Popek S, Grant M, Gemmill R, Wendel CS, Mohler MJ, Rawl SM et al. Overcoming challenges: life with an ostomy. Am J Surg., 2010, 200(5), 640-645. https://doi.org/10.1016/j.amjsurg.2010.07.009
- 7. Alkassis M, Haddad FG, Gharios J, Noun R & Chakhtoura G. Quality of life before and after sleeve gastrectomy in lebanese population. J Obes., 2019, https://doi.org/10.1155/2019/1952538
- 8. Le Foll D, Lechaux D, Rascle O & Cabagno G. Weight loss and quality of life after bariatric surgery: a 2-year longitudinal study. Surg Obes Relat Dis., 2020, 16(1), 56-64..https://doi.org/10.1016/j.soard.2019.10.010
- 9. Vegel AJ, Shah N, Lidor AO, Greenberg JA, Shan Y, Wang X et al. Patient-reported quality of life after bariatric surgery: a single institution analysis. J Surg Res., 2017, 218, 117-123. https://doi.org/10.1016/j.jss.2017.05.068
- 10. Janik MR, Rogula T, Bielecka I, Kwiatkowski A &Paśnik K. Quality of life and bariatric surgery: cross-sectional study and analysis of factors influencing outcome. Obes Surg., 2016, 26(12), 2849-2855. https://doi.org/10.1007/s11695-016- 2220-2
- 11. Khandalavala BN, Geske J, Nirmalraj M, Koran-Scholl JB, Neumann-Potash L & McBride CL. Predictors of health-related quality of life after bariatric surgery. Obes Surg., 2015, 25(12), 2302-2305. https://doi.org/10.1007/s11695-015-1684-9
- 12. Reynolds CL, Byrne SM & Hamdorf JM. Treatment success: investigating clinically significant change in quality of life following bariatric surgery. Obes Surg., 2017, 27(7), 1842-1848. https://doi.org/10.1007/s11695-017-2568-y.
- 13. Yılmaz P & Yılmaz M. Effect on quality of life of the changing body ımage of ındividuals with obesity surgery. Bariatric Surgical Practice and Patient Care, 2019, 14(2), 74-80. https://doi.org/10.1089/bari.2018.0034
- 14. Silva J, Vasconcelos H, Figueiredo-Braga M & Carneiro S. How is bariatric surgery improving the quality of life of obese patients: a portuguese cross-sectional study. Acta Med Port., 2018, 31(7-8), 391-398. http://dx.doi.org/10.20344/amp.9133.
- 15. Akkayaoğlu H & Çelik S. Eating attitudes, perceptions of body image and patient quality of life before and after bariatric surgery. Appl Nurs Res., 2020, 53151270. https://doi.org/10.1016/j.apnr.2020.151270
- 16. Cengiz Açıl H, Doğu Kökçü Ö, Usta E, Çelik Yılmaz A, Karaman K & Aygin D. Development of the post bariatric surgery quality of life scale. Bariatric Surgical Practice and Patient Care. 2020, Vol. 15, No. 4. http://doi.org/10.1089/bari.2020.0014
- 17. Güven B &Akyolcu N. Effects of nurse-lededucation on quality of life and weight loss in patients undergoing bariatric surgery. Bariatric Surgical Practice and Patient Care, 2020, 15(2), 81-87. https://doi.org/10.1089/bari.2019.0025
- 18. Aksayan S & Gözüm S. Olumlu sağlık davranışlarının başlatılması ve sürdürülmesinde Öz etkililik algısının önemi. [The importance of perceived self-efficacy in being initiated and maintained of positive health behavior]. Cumhuriyet Üniversitesi HYO Dergisi, 1998, 2, 35-42.
- 19. Bandura A. Self-efficacy. In V.S. Ramachaudran (Ed.), Encyclopedia of human behavior. 1994, vol. 4, pp.71-81. New York: Academic Press.
- 20. Lombardo C, Cerolini S, Alivernini F, Ballesio A, Violani C, Fernandes M et al. Eating self-efficacy: validation of a new brief scale. Eat Weight Disord., 2020, 1-9. https://doi.org/10.1007/s40519-020-00854-2
- 21. Batsis JA, Clark MM, Grothe K, Lopez-Jimenez F, Collazo-Clavell ML, Somers VK et al. Self-efficacy after bariatric surgery for obesity. A population-based cohort study. Appetite, 2009, 52(3), 637-645. https://doi.org/10.1016/j.appet.2009.02.017
- 22. Nickel F, Schmidt L, Bruckner T, Büchler MW, Müller-Stich BP & Fischer L. Influence of bariatric surgery on quality of life, body image, and general self-efficacy within 6 and 24 months—a prospective cohort study. Surg Obes Relat Dis., 2017, 13(2),313-319.https://doi.org/10.1016/j.soard.2016.08.017
- 23. Daniels J. Nursing Management: Obesity. Chaper 41. In: Levis, S., Dirksen, S., Bucher, L., Heitkemper, M., editors. Medical Surgical Nursing. 2014, Ninth edition.
- 24. Neil JA & Roberson DW. Enhancing nursing care by understanding the bariatric patient’s journey. AORN journal, 2015, 102(2), 132-140. http://dx.doi.org/10.1016/j.aorn.2015.05.014
- 25. Kolotkin RL, Crosby RD, Williams GR, Hartley GG & Nicol S. The relationship between health related quality of life and weight loss. Obes Res., 2001, 9(9), 564-571.https://doi.org/10.1038/oby.2001.73
- 26. Çömlekçi N. Kilonun Yaşam Kalitesi Üzerine Etkisi Ölçeği (IWQOL-LİTE) Türkçe Versiyonunun Psikometrik Değerlendirmesi. 2011, [Yüksek Lisans Tezi, İstanbul Üniversitesi, İstanbul].
- 27. Sherer M, Maddux JE, Mercandante B, Prentice-Dunn S, Jacobs B & Rogers RW. The self-efficacy scale: Construction and validation. Psychological reports, 1982, 51(2), 663-671. https://doi.org/10.2466/pr0.1982.51.2.663
- 28. Gözüm S & Aksayan S. Öz etkililik-yeterlik ölçeğinin Türkçe formunun güvenirlik ve geçerliliği. [The reliability and validity of turkish form of the self-efficacy scale]. Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi, 1999, 2(1), 21-34.
- 29. Zengin Eroğlu M, Sertçelik S, Gündüz A & Demirkol ME. Bariyatrik cerrahi adaylarında yaşam kalitesi ve benlik saygısı. [Self-esteem and quality of life in bariatric surgery candidates]. Anadolu Psikiyatri Derg., 2019, 20(1). https://doi.org/10.5455/apd.298864
- 30. Le Foll D, Lechaux D, Rascle O, Cabagno G. Weight loss and quality of life after bariatric surgery: a 2-year longitudinal study. Surg Obes Relat Dis., 2020, Volume 16, Issue 1, Pages 56-64, ISSN 1550-7289, https://doi.org/10.1016/j.soard.2019.10.010.
- 31. Kryvopustov MS. Assessment of quality of life of patients with morbid obesity in a two-stage approach to their surgical treatment. Medicni perspektivi (Medical perspectives), 2018, 23(3), 20-26. https://doi.org/10.26641/2307- 0404.2018.3.147949
- 32. Karlsson J., Taft C, Ryde´n A, Sjo¨stro¨m L and Sullivan M. Ten-year trends in health-related quality of life after surgical and conventional treatment for severe obesity: the SOS intervention study. International Journal of Obesity (2007) 31, 1248–1261. Doi:10.1038/sj.ijo.0803573
- 33. Conceição E, Mitchell JE, Vaz A, Bastos AP, Ramaldo S, Silva C, et al. The presence of maladaptive eating behaviors after bariatric surgery in a cross sectional study: importance of picking or nibbling on weight regain. Eating Behaviors. 2014; 15(4): 558-62
- 34. Gönenir Erbay L, Akyüz M, Şahin İ, Evren B, Kayaalp C, Karlıdağ R. Bariatrik cerrahi adayı morbid obezite hastalarının yaşam doyumunun beden algısı ve benlik saygısı ile ı̇lişkisi. [The Relation of Life Satisfaction with Body Perception and Self Esteem in Morbid Obesity Patients which are Candidates for Bariatric Surgery]. Firat Tıp Dergisi, 2018, 23(1).
Yıl 2022,
Cilt: 15 Sayı: 3, 340 - 348, 15.07.2022
Öz
Background: Bariatric surgery has important effects on physiological and psychosocial health as well as being effective in losing weight. One of these effects is on quality of life. Objective: To examine the effect of self-efficacy and selected factors on quality of life after bariatric surgery. Method: The research is a cross-sectional, descriptive and predictive type of research. The research sample consisted of 103 patients who underwent bariatric surgery. Data were collected between September 2018 and July 2019 using the sociodemographic characteristics form, the Effect of Weight on Quality-of-Life Scale, and the Self-Efficacy Scale. Results: The mean age of the patients was 33.70 ± 8.13, and the time elapsed after surgery was 9.64 ± 5.22 months. Sleeve gastrectomy was performed for all patients. The effect of weight on the qualityof- life scale total mean score of the patients 75.12 ± 20.14; The total score average of the Self-Efficacy Scale was 51.25 ± 6.57. When the factors affecting the patients' quality of life were examined, the model was found to be significant. The variables included in the model explain 52% of the patients' quality of life. It was found that the elapsed time after the operation (β: -0.653, p = 0.000) significantly and negatively predicted the quality of life. Conclusion: The patients' quality of life was found to be moderate and their self-efficacy to be low. It was found that self-efficacy had no effect on quality of life in patients. It was found that the quality of life of the patients decreased as the time elapsed after bariatric surgery increased. It is recommended that nurses and team members follow up patients for long periods after surgery in order to increase the quality of life after surgery.
Anahtar Kelimeler
Proje Numarası
-
Kaynakça
- 1. World Health Organization (WHO). Obesity and overweight. 2020, May 17. Retrived from:https://www.who.int/news- room/fact-sheets/detail/obesity-and-overweight
- 2. Türkiye Endokrinoloji ve Metabolizma Derneği. Obezite Tanı ve Tedavi Kılavuzu. 2018, 6. Baskı, Miki Matbaacılık.
- 3. American Society for Metabolic and Bariatric Surgery. Estimate of Bariatric Surgery Numbers, 2011-2018. 2020, Retrived from:https://asmbs.org/resources/estimate-of-bariatric-surgery-numbers
- 4. Angrisani L, Santonicola A, Iovino P, Vitiello A, Zundel N, Buchwald H et al. Bariatric surgery and endoluminal procedures: IFSO worldwide survey 2014. Obes Surg., 2017, 27(9), 2279-2289. https://doi.org/10.1007/s11695-017-2666- x
- 5. Sabuncu T, Kıyıcı S, Eren MA, Sancak S, Sönmez A, Güldiken S et al. Summary of bariatric surgery guideline of the society of endocrinology and metabolism of Turkey. Turkish Journal of Endocrinology and Metabolism, 2017, 21(4).https://doi.org/10.25179/tjem.2017-57388
- 6. Popek S, Grant M, Gemmill R, Wendel CS, Mohler MJ, Rawl SM et al. Overcoming challenges: life with an ostomy. Am J Surg., 2010, 200(5), 640-645. https://doi.org/10.1016/j.amjsurg.2010.07.009
- 7. Alkassis M, Haddad FG, Gharios J, Noun R & Chakhtoura G. Quality of life before and after sleeve gastrectomy in lebanese population. J Obes., 2019, https://doi.org/10.1155/2019/1952538
- 8. Le Foll D, Lechaux D, Rascle O & Cabagno G. Weight loss and quality of life after bariatric surgery: a 2-year longitudinal study. Surg Obes Relat Dis., 2020, 16(1), 56-64..https://doi.org/10.1016/j.soard.2019.10.010
- 9. Vegel AJ, Shah N, Lidor AO, Greenberg JA, Shan Y, Wang X et al. Patient-reported quality of life after bariatric surgery: a single institution analysis. J Surg Res., 2017, 218, 117-123. https://doi.org/10.1016/j.jss.2017.05.068
- 10. Janik MR, Rogula T, Bielecka I, Kwiatkowski A &Paśnik K. Quality of life and bariatric surgery: cross-sectional study and analysis of factors influencing outcome. Obes Surg., 2016, 26(12), 2849-2855. https://doi.org/10.1007/s11695-016- 2220-2
- 11. Khandalavala BN, Geske J, Nirmalraj M, Koran-Scholl JB, Neumann-Potash L & McBride CL. Predictors of health-related quality of life after bariatric surgery. Obes Surg., 2015, 25(12), 2302-2305. https://doi.org/10.1007/s11695-015-1684-9
- 12. Reynolds CL, Byrne SM & Hamdorf JM. Treatment success: investigating clinically significant change in quality of life following bariatric surgery. Obes Surg., 2017, 27(7), 1842-1848. https://doi.org/10.1007/s11695-017-2568-y.
- 13. Yılmaz P & Yılmaz M. Effect on quality of life of the changing body ımage of ındividuals with obesity surgery. Bariatric Surgical Practice and Patient Care, 2019, 14(2), 74-80. https://doi.org/10.1089/bari.2018.0034
- 14. Silva J, Vasconcelos H, Figueiredo-Braga M & Carneiro S. How is bariatric surgery improving the quality of life of obese patients: a portuguese cross-sectional study. Acta Med Port., 2018, 31(7-8), 391-398. http://dx.doi.org/10.20344/amp.9133.
- 15. Akkayaoğlu H & Çelik S. Eating attitudes, perceptions of body image and patient quality of life before and after bariatric surgery. Appl Nurs Res., 2020, 53151270. https://doi.org/10.1016/j.apnr.2020.151270
- 16. Cengiz Açıl H, Doğu Kökçü Ö, Usta E, Çelik Yılmaz A, Karaman K & Aygin D. Development of the post bariatric surgery quality of life scale. Bariatric Surgical Practice and Patient Care. 2020, Vol. 15, No. 4. http://doi.org/10.1089/bari.2020.0014
- 17. Güven B &Akyolcu N. Effects of nurse-lededucation on quality of life and weight loss in patients undergoing bariatric surgery. Bariatric Surgical Practice and Patient Care, 2020, 15(2), 81-87. https://doi.org/10.1089/bari.2019.0025
- 18. Aksayan S & Gözüm S. Olumlu sağlık davranışlarının başlatılması ve sürdürülmesinde Öz etkililik algısının önemi. [The importance of perceived self-efficacy in being initiated and maintained of positive health behavior]. Cumhuriyet Üniversitesi HYO Dergisi, 1998, 2, 35-42.
- 19. Bandura A. Self-efficacy. In V.S. Ramachaudran (Ed.), Encyclopedia of human behavior. 1994, vol. 4, pp.71-81. New York: Academic Press.
- 20. Lombardo C, Cerolini S, Alivernini F, Ballesio A, Violani C, Fernandes M et al. Eating self-efficacy: validation of a new brief scale. Eat Weight Disord., 2020, 1-9. https://doi.org/10.1007/s40519-020-00854-2
- 21. Batsis JA, Clark MM, Grothe K, Lopez-Jimenez F, Collazo-Clavell ML, Somers VK et al. Self-efficacy after bariatric surgery for obesity. A population-based cohort study. Appetite, 2009, 52(3), 637-645. https://doi.org/10.1016/j.appet.2009.02.017
- 22. Nickel F, Schmidt L, Bruckner T, Büchler MW, Müller-Stich BP & Fischer L. Influence of bariatric surgery on quality of life, body image, and general self-efficacy within 6 and 24 months—a prospective cohort study. Surg Obes Relat Dis., 2017, 13(2),313-319.https://doi.org/10.1016/j.soard.2016.08.017
- 23. Daniels J. Nursing Management: Obesity. Chaper 41. In: Levis, S., Dirksen, S., Bucher, L., Heitkemper, M., editors. Medical Surgical Nursing. 2014, Ninth edition.
- 24. Neil JA & Roberson DW. Enhancing nursing care by understanding the bariatric patient’s journey. AORN journal, 2015, 102(2), 132-140. http://dx.doi.org/10.1016/j.aorn.2015.05.014
- 25. Kolotkin RL, Crosby RD, Williams GR, Hartley GG & Nicol S. The relationship between health related quality of life and weight loss. Obes Res., 2001, 9(9), 564-571.https://doi.org/10.1038/oby.2001.73
- 26. Çömlekçi N. Kilonun Yaşam Kalitesi Üzerine Etkisi Ölçeği (IWQOL-LİTE) Türkçe Versiyonunun Psikometrik Değerlendirmesi. 2011, [Yüksek Lisans Tezi, İstanbul Üniversitesi, İstanbul].
- 27. Sherer M, Maddux JE, Mercandante B, Prentice-Dunn S, Jacobs B & Rogers RW. The self-efficacy scale: Construction and validation. Psychological reports, 1982, 51(2), 663-671. https://doi.org/10.2466/pr0.1982.51.2.663
- 28. Gözüm S & Aksayan S. Öz etkililik-yeterlik ölçeğinin Türkçe formunun güvenirlik ve geçerliliği. [The reliability and validity of turkish form of the self-efficacy scale]. Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi, 1999, 2(1), 21-34.
- 29. Zengin Eroğlu M, Sertçelik S, Gündüz A & Demirkol ME. Bariyatrik cerrahi adaylarında yaşam kalitesi ve benlik saygısı. [Self-esteem and quality of life in bariatric surgery candidates]. Anadolu Psikiyatri Derg., 2019, 20(1). https://doi.org/10.5455/apd.298864
- 30. Le Foll D, Lechaux D, Rascle O, Cabagno G. Weight loss and quality of life after bariatric surgery: a 2-year longitudinal study. Surg Obes Relat Dis., 2020, Volume 16, Issue 1, Pages 56-64, ISSN 1550-7289, https://doi.org/10.1016/j.soard.2019.10.010.
- 31. Kryvopustov MS. Assessment of quality of life of patients with morbid obesity in a two-stage approach to their surgical treatment. Medicni perspektivi (Medical perspectives), 2018, 23(3), 20-26. https://doi.org/10.26641/2307- 0404.2018.3.147949
- 32. Karlsson J., Taft C, Ryde´n A, Sjo¨stro¨m L and Sullivan M. Ten-year trends in health-related quality of life after surgical and conventional treatment for severe obesity: the SOS intervention study. International Journal of Obesity (2007) 31, 1248–1261. Doi:10.1038/sj.ijo.0803573
- 33. Conceição E, Mitchell JE, Vaz A, Bastos AP, Ramaldo S, Silva C, et al. The presence of maladaptive eating behaviors after bariatric surgery in a cross sectional study: importance of picking or nibbling on weight regain. Eating Behaviors. 2014; 15(4): 558-62
- 34. Gönenir Erbay L, Akyüz M, Şahin İ, Evren B, Kayaalp C, Karlıdağ R. Bariatrik cerrahi adayı morbid obezite hastalarının yaşam doyumunun beden algısı ve benlik saygısı ile ı̇lişkisi. [The Relation of Life Satisfaction with Body Perception and Self Esteem in Morbid Obesity Patients which are Candidates for Bariatric Surgery]. Firat Tıp Dergisi, 2018, 23(1).
Toplam 34 adet kaynakça vardır.
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Konular | Hemşirelik |
| Bölüm | Araştırma Makaleleri |
| Yazarlar | |
| Proje Numarası | - |
| Yayımlanma Tarihi | 15 Temmuz 2022 |
| Yayımlandığı Sayı | Yıl 2022 Cilt: 15 Sayı: 3 |
Dokuz Eylül Üniversitesi Hemşirelik Fakültesi Elektronik Dergisi ULAKBİM Türk Tıp Dizini, Türk Medline, Türkiye Atıf Dizini, Şubat 2021 tarihinden beri EBSCO Host ve 26 Ekim 2021 tarihinden itibaren DOAJ ve 18 Ocak 2022 tarihinden beri Index Copernicus tarafından indekslenmektedir.
