The Effect of Self-Care Enhancement Program on Post-Bariatric Surgery Self-Care Behaviors among Morbid Obese Patients

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Sipaphan Lavasut
Rungrawee Navicharern


Purpose: 1) To study the self-care behaviors post-bariatric surgery among morbid obese patients who received the self-care enhancement program. 2) To compared the self-care behaviors post-bariatric surgery among the control group and the experimental group.

Design: Quasi-experimental research.

Methods: The 30 patients were male and female with morbid obese patients, aged between 18–59 years old, receiving post-bariatric surgery at King Chulalongkorn Memorial Hospital. They were hospitalized and assigned to the control and the experimental group (15 persons in each group), and matched pair by gender, age and type of operation. The experimental group received the self-care enhancement program based on Orem’s self-care, consisted of 2 phases;1st) Educative-Supportive program in the hospital and 2nd) Supportive program with telephone called post discharge, while the control group received conventional care. The data were collected at 8th weeks by using 1) The demographic data form, and 2) Self-care behaviors post-bariatric surgery questionnaire. The instruments were tested for content validity and cronbach’s alpha coefficient was .81. Descriptive statistics and Independent t-test were used for the data analysis.

Results: 1) The self-care behaviors post-bariatric surgery among morbid obese patients who received the self-care enhancement program had a good level (Mean = 4.13). 2) The self-care behaviors post-bariatric surgery among the experimental group receiving the self-care enhancement program (Mean = 4.13 ± SD. = 0.25) were significantly better than the control group receiving the conventional care (Mean = 3.68 ± SD. = 0.31) (p<.05). 

Conclusion: This program can be used to enhance self-care behaviors among morbid obese patients on post-bariatric surgery.


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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(7): 859-76.

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.

Driscoll S, Gregory DM, Fardy JM, Twells LK. Long-Term Health-Related Quality of Life in Bariatric Surgery Patients: A Systematic Review and Meta-Analysis. Obesity 2016; 24(1): 60-70.

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.

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.

Puchong Timrat. Bariatric and Metabolic Surgery: An Overview. In Theerapol Angkoolpakdeekul, Preeda Samlitpradit and Paisal Pongchailert, editors. Salayasardwiwat 44 (Surgery for Metabolic and Morbid Obesity). Bangkok:Bangkok Vejchasarn; 2011. (In Thai)

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)

Kasama K, Mui W, Lee WJ, Lakdawala M, Naitoh T, Seki Y, et al. IFSO-APC consensus statements 2011. Obesity

surgery 2012; 22(5): 677-84.

Deitel M. Overview of operation for morbid obesity. World journal of surgery 1998;22(9): 913-8.

Bauchowitz A, Azarbad L, Day K, GonderFrederick L. Evaluation of expectations and knowledge in bariatric surgery patients. Surg Obese Relat Dis 2007;3(5): 554-8.

Aguilera M. Post-surgery support and the long-term success of bariatric surgery. Practice Nursing 2014; 25(9): 455-9.

Wykowski K, Krouse HJ. Self-Care Predictors for Success Post-Bariatric Surgery. Gastroenterology Nursing 2013; 36(2):129-35.

LePage CT. The lived experience of individuals following Roux-en-Y gastric bypass surgery: A phenomenological study. Bariatric Nursing and Surgical Patient Care 2010; 5(1): 57-64.

Sobhani Z, Amini M, Zarnaghash M, Hosseini SV, Foroutan HR. Self-Management Behaviors in Obese Patients Undergoing Surgery Base on General and Specific Adherence Scales. World journal of plastic surgery 2019; 8(1): 85-92.

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(4): 292-302.

McGrice M, Paul KD. Interventions to improve long-term weight loss in patients following bariatric surgery:

challenges and solutions. Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy 2015; 8: 263-74.

Doi: 10.2147/DMSO.S57054.

Orem DE. Nursing: Concepts of Practice. 6thed. St. Louis: Mosby; 2001.

Srisa - Ard B. Basic Research. Bangkok: Suriyasan; 2018.

Bloom S, Hand book on Formative and Summative Evaluation of Student Learning. New York: Mc Graw-Hill Book Company; 1971.

Chaiyawat W. Orem's Self-care. In: Waraporn Chaiyawat and Jintana Yunibhand, editor. Nursing Theory. Bangkok: Chulalongkorn University; 2550.