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Postoperativt välmående efter överviktskirurgi
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
2012 (Swedish)Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
Abstract [sv]

Introduktion: Depression, ångest, stress och ätstörningsproblematik har visat sig ha en hög prevalens hos personer som lider av obesitas. Syfte: Att undersöka om och i så fall hur ångest och depression mätt i HADS förändras i en grupp som genomgått överviktskirurgi. Av intresse var också att undersöka om viktnedgång samt om preoperativa symtom på stress, hetsätning och känslomässigt ätande predicerar utfallet av symtom på ångest och depression postoperativt. Metod: 30 patienter som genomgått överviktskirurgi på Akademiska sjukhuset i Uppsala under våren 2011 inkluderades i studien. Dessa patienter hade innan genomgången operation och vid en uppföljning sex månader postoperativt besvarat olika screeningformulär avseende psykiskt välmående, ätstörningar och stress. Resultat: Preoperativa symtom på stress, hetsätning och känslomässigt ätande predicerar inte utfallet av symtom på ångest och depression sex månader postoperativt. Viktnedgång predicerar inte utfallet av symtom på ångest postoperativt, däremot kan viktnedgång predicera utfallet av symtom på depression sex månader efter operation. Ingen signifikant skillnad fanns mellan pre- och postoperativa symtom på ångest eller depression. Slutsats: I en grupp patienter där symtom på ångest och depression inte varit högt förekommande preoperativt kan det vara svårt att upptäcka förändringar i hur dessa patienter mår. Fler studier behövs för att kunna ge ett utökat professionellt stöd till denna patientgrupp.

 

Abstract [en]

Background: People with obesity have a high prevalence of depression, anxiety, stress and binge eating/emotional eating behaviours. Aim: To analyze if and how anxiety and depression measured with the Hospital and Anxiety Depression Scale change in a group of patients who have gone through Gastric Bypass surgery. Of interest was also to study if weight loss and preoperative symptoms in stress, binge- eating and emotional eating behaviours could predict anxiety and depression postoperatively. Method: 30 patients whom all gone through Gastric Bypass surgery in Uppsala University Hospital were included in the study. All patients had answered screening questionnaires about physically wellbeing, eating disorders and stress before surgery and six months postoperatively. Results: Preoperative symptoms of stress, binge eating and emotional eating disorders do not predict anxiety and depression postoperatively. Weight loss does not predict symptoms of anxiety postoperatively, but could predict symptoms of depression six months after Gastric Bypass surgery. There was no statistically significant difference between pre- and postoperative symptoms of anxiety and depression. Conclusion: Changes in wellbeing following Gastric Bypass surgery are difficult to identify in a group of patients where the occurrence of symptoms of anxiety and depression is low preoperatively. Further research is needed to find and develop professional support to this group of patients.

 

Place, publisher, year, edition, pages
2012. , 27 p.
Keyword [en]
obesity, Gastric Bypass surgery, postoperative wellbeing
Keyword [sv]
obesitas, överviktskirurgi, postoperativt välmående
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:uu:diva-165418OAI: oai:DiVA.org:uu-165418DiVA: diva2:473446
Subject / course
Caring Sciences
Educational program
Registered Nurse Programme
Uppsok
Medicine
Supervisors
Examiners
Available from: 2012-01-11 Created: 2012-01-06 Last updated: 2012-01-11Bibliographically approved

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