THE EFFECT OF SELF-CARE AGENCY ENHANCEMENT PROGRAM ON POSTOPERATIVE BARIATRIC SURGERY SELF-CARE BEHAVIORS AMONG MORBID OBESITY PATIENTS

Main Article Content

Sipaphan Lavasut

Abstract

Purpose: 1) To study the effect of self-care agency enhancement program on postoperative bariatric surgery self-care behaviors among morbid obesity patients.


2) To compare the self-care behaviors after bariatric surgery among control group and experimental group.


Design: Quasi-experimental research.


Methods: The sample were male and female with morbid obesity patients, aged between 18 – 59 years old, undergone bariatric surgery at King Chulalongkorn Memorial Hospital.  30 patients were assigned to control and experimental group (15 persons in each group). They were matched pair by gender, age and type of operation. The experimental group received self-care agency program based on Orem’s self-care, which consisted of 1) Estimative operations, 2) Transitional operations, 3) Production operations, while the control group received conventional care. Data was collected 8 weeks by 1) the demographic data form, 2) Self-care behaviors after bariatric surgery questionnaire. The instruments were tested for content validity and cronbach’s alpha coefficient was .81. Descriptive statistics and T-test were used for the data analysis.


Results: 1) After bariatric surgery, morbid obesity patients who received the self-care agency enhancement program had a good level of self-care behaviors (Mean = 4.13, SD = 0.25).


2) The mean score of self-care behaviors in morbid obesity patients who undergoing bariatric surgery after received the self-care enhancement program (Mean = 4.13, SD = 0.25) were significantly higher than the control group (Mean = 3.68, SD = 0.31) (p<.05) 


Conclusion: This program can be used to enhance self-care behaviors among morbid obesity patients at postoperative bariatric surgery.


Keywords: Morbid obesity / Bariatric surgery / Self-care agency enhancement program / Self-care behaviors

Article Details

Section
Research articles

References

References
1. Nightingale CE, Margarson MP, Shearer E, Redman JW, Lucas DN, Cousins JM, et al. Guidelines Peri-operative management of the obese surgical patient 2015. Anesthesia. 2015;70:859-76.
2. Weingarten TN, Flores AS, McKenzie JA, Nguyen LT, Robinson WB, Kinney TM, et al. Obstructive sleep apnoea and perioperative complications in bariatric patients. BJA: The British Journal of Anaesthesia. 2011;106(1):131-9.
3. Sutdhachit Leenananda. Preoperative Management and Patient Selection. In: Teerapol Aungkulpakdeekul, Preeda Sumritpradit, Paisal Pongchaiyaruk, editors. Salayasardwiwat 44 (Surgery for Metabolic and Morbid Obesity). Bangkok: Bangkok Vejchasarn. 2011. [In Thai].
4. Doolen JL, Miller SK. Primary care management of patients following bariatric surgery. Journal of the American Academy of Nurse Practitioners. 2005;17(11):446-50 5p.
5. Zhang L, Tan WH, Chang R, Eagon JC. Perioperative risk and complications of revisional bariatric surgery compared to primary Roux-en-Y gastric bypass. Surgical Endoscopy. 2015;29(6):1316-20.
6. Puchong Timrat. Bariatric and Metabolic Surgery: An Overview. In Teerapong Aungkulpakdeekul, Preeda Sumritpradit and Pisal Pongchairuk, editors. Salayasardwiwat 44 (Surgery for Metabolic and Morbid Obesity). Bangkok: Bangkok Vejchasarn. 2011. [In Thai].
7. Medical Records of King Chulalongkorn Memorial Hospital. Data of Bariatric Surgery at Sirindhorn Operating Theatre King Chulalongkorn Memorial Hospital. King Chulalongkorn Memorial Hospital; 2016 1 Jan 2016 - 31 Aug 2016. [In Thai].
8. Suriya Phanchai. Bariatric Surgery. Srinagarind Med J. 2013;28:116-26. [In Thai].
9. Maggard MA, Shugarman LR, Suttorp M, Maglione M, Sugarman HJ, Livingston EH, et al. Meta-analysis: Surgical treatment of obesity. New England Journal of Medicine. 2005;142(7):547-59.
10. Mechanick JI, Kushner RF, Sugerman HJ, Gonzalez-Campoy JM, Collazo-Clavell ML, Spitz AF, et al. American Association of Clinical Endocrinologists, The Obesity Society, and American Society for Metabolic & Bariatric Surgery medical guidelines for clinical practice for the perioperative nutritional, metabolic, and nonsurgical support of the bariatric surgery patient. Obesity (19307381). 2009;17:S1-v.
11. Herzog SA. Bariatric patients' knowledge of postoperative complications and lifestyle change. Bozeman, Montana: Montana State University; 2010.
12. Aguilera M. Post-surgery support and the long-term success of bariatric surgery. Practice Nursing. 2014;25(9):455-9 5p.
13. Orem DE. Nursing: Concepts of Practice. 6 th ed. St. Louis: Mosby; 2001.
14. Suwannee Chobkarnrai, Wallada Chanruangvahich, Orapan Tosingha etc. Factors in Prediction of Self-Care Behavior among Post-Lumbar Surgery Degenerative Spine Patients. The Journal of Nursing Council. 2013;28(3):68 - 79. [In Thai].
15. Tippawan Yamsribua. Factor Affecting Self-care Behaviors of Coronary Artery Disease Patients Receiveing Coronary Artery Bypass Graft at Phramongkutklao Hospital. Bangkok: Kasetsard University; 2009. [In Thai].
16. Paranee Thapsongsang. Predictors of Self-care Deficit in Patients Undergone Coronary Artery Bypass Grafting. Changmai: Changmai University; 1998. [In Thai].
17. Rudolph A, Hilbert A. Post-operative behavioural management in bariatric surgery: a systematic review and meta-analysis of randomized controlled trials. Obesity reviews. 2013;14:292 - 302.
18. Evers G, et al. Appraisal of self-care agency scale. Netherland: Van Gorcum Assent Mastricht; 1989.