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Trabalho de Conclusão de Curso - Graduação
Associação entre a percepção da qualidade de vida, percepção do apoio familiar e recidiva de peso em mulheres com mais de 24 meses de cirurgia bariátrica
Background: The bariatric surgery is indicated to treat clinically severe obesity when conventional treatment does not offer satisfactory results in weight loss and control of associated comorbidities. However, longterm weight recurrence is common to be observed, which can affect p...
Autor principal: | FERNANDES, Flavia Aline Lages |
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Grau: | Trabalho de Conclusão de Curso - Graduação |
Publicado em: |
2023
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Assuntos: | |
Acesso em linha: |
https://bdm.ufpa.br:8443/jspui/handle/prefix/5953 |
Resumo: |
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Background: The bariatric surgery is indicated to treat clinically severe obesity when
conventional treatment does not offer satisfactory results in weight loss and control of
associated comorbidities. However, longterm weight recurrence is common to be
observed, which can affect patients' perception of quality of life. Studies suggest that
social support after bariatric surgery, with emphasis on family support, may be related to
the maintenance of results and, thus, promote impact on the perception of quality of life
of these patients. Objective: To test the association among perception of quality of life,
perception of family support and weight recurrence in women that had the bariatric
surgery over more than 24 months. Method: This is a crosssectional, descriptive and
analytical study developed with 50 adult women who underwent bariatric surgery (Roux enY gastric bypass or sleeve) at least 24 months ago. Anthropometric data was collected,
considering the occurrence of weight recurrence when it reached ≥15% of the lowest
weight after surgery and success in losing excess weight when the loss was higher than
or equal 50%. The Item Short Form Healthy Survey (SF36) was used as an instrument
to evaluate the perception of quality of life, and a questionnaire to evaluate the perception
and satisfaction with family support in the postoperative period. Results: Satisfactory
weight loss was observed after surgery. However, 46.0% of the sample (n=23) had
significant weight recurrence (16.1± 4.5%). Perception and satisfaction with family
support after surgery were good. Participants had better perception of quality of life in
domains related to physical aspects and worse scores in domains related to emotional
aspects (p<0.000). The general emotional component and general physical component of
quality of life were directly associated with the perception of family support and with the
%PEP, and inversely associated with weight recurrence. Conclusion: It is important to
encourage the family support network during treatment after the bariatric surgery, in
addition to maintaining longterm multidisciplinary followup and monitoring of weight
recurrence, in order to ensure the maintenance of the positive results achieved with the
surgery and better perception of quality of life. |