Conz CA, Jesus MCPD, Kortchmar E, Braga VAS, Machado RET, Merighi MAB. Path taken by morbidly obese people in search of bariatric surgery in the public health system.
Rev Lat Am Enfermagem 2020;
28:e3294. [PMID:
32696927 PMCID:
PMC7365606 DOI:
10.1590/1518-8345.3579.3294]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/17/2019] [Accepted: 03/12/2020] [Indexed: 11/21/2022] Open
Abstract
Objective:
to understand the path taken in the public health system by people with
morbid obesity in the search for bariatric surgery.
Method:
qualitative research based on the social phenomenology of Alfred Schütz, with
17 hospitalized morbidly obese people, with a scheduled date for bariatric
surgery. The phenomenological interview with open questions was used and the
statements were analyzed in the light of the theoretical-methodological
framework and literature related to the theme.
Results:
the participants were able to schedule bariatric surgery by referring
friends, family and public people. The waiting list for the procedure
generated anguish and anxiety due to fear of surgery, weight gain, risk of
worsening health and physical limitations, but it helped prepare for its
performance. The experience lived in the search for bariatric surgery led
these people to want continuity of care in the Basic Health Unit, after the
surgery, by professionals trained to meet their needs.
Conclusion:
the aspects inscribed in the path of people in search of bariatric surgery
signal the need to strengthen the assistance-related flows of the public
health system and to invest in professional training to reduce the social
inequalities in access to bariatric surgery and increased quality of
services.
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