Patients' explanations for unsuccesful weight loss after laparoscopic adjustable gastric banding (LAGB)
| Autor: | Zijlstra, H., Boeije, H.R., Larsen, J.K., van Ramshorst, B., Geenen, R., Methodology and statistics for the behavioural and social sciences, Neurocognition and Psychophysiology of Health, Stress and self-regulation, Afd Klinische psychologie, Afd methoden en statistieken |
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| Přispěvatelé: | Methodology and statistics for the behavioural and social sciences, Neurocognition and Psychophysiology of Health, Stress and self-regulation, Afd Klinische psychologie, Afd methoden en statistieken |
| Rok vydání: | 2009 |
| Předmět: |
Adult
Male medicine.medical_specialty Food intake Health Knowledge Attitudes Practice Gastroplasty Body Mass Index Quality of life Weight loss medicine Postoperative outcome Humans Treatment Failure Internal-External Control Netherlands business.industry Stage of change Mean age General Medicine Feeding Behavior Middle Aged Psychologie (PSYC) Surgery Obesity Morbid Physical therapy Quality of Life Female medicine.symptom business Body mass index Laparoscopic adjustable gastric banding Developmental Psychopathology |
| Zdroj: | Patient Education and Counseling, 75, 108. Elsevier Ireland Ltd. Patient Education and Counseling, 75, 1, pp. 108-113 Patient Education and Counseling, 75, 108-113 |
| ISSN: | 0738-3991 |
| Popis: | Contains fulltext : 76692.pdf (Publisher’s version ) (Closed access) Objective: Not all morbidly obese patients attain sufficient weight loss after laparoscopic adjustable gastric banding (LAGB). We examined patients' explanations for unsuccessful weight loss and self-awareness regarding food intake. Methods: Interviews with 11 patients (10 female/1 male; mean age 46 years) with unsuccessful weight loss were transcribed and analyzed with the MAXqda2 program. Results: Interviewees were disappointed with the postoperative outcome. Some showed no awareness of their own role, while others were inefficacious to continue the actions needed to maintain weight loss, especially during times of stress. Typical statements that distinguished interviewees were: 'It didn’t work out', 'I don’t care anymore', 'I know I have to do it', 'I know I can do it'. Conclusion: Some patients with unsuccessful weight loss after LAGB are insufficiently aware that their own effort is needed to maintain weight loss. Others have self-awareness, but find it difficult to turn awareness into action. Practice implications: This group could perhaps be helped by tailoring postoperative guidance to the stage of change of an individual patient. Counseling could include increasing awareness of the need to self-control eating and offering assistance to turn intentions into action and to deal with stress, emotions and physical problems. 6 p. |
| Databáze: | OpenAIRE |
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