Complementary elements of support after gastric‐bypass surgery perceived by adults with previous type 2 diabetes: A qualitative study 2 years after bariatric surgery

Author:

Randell Eva1ORCID,Katsogiannos Petros2,Leksell Janeth2,Eriksson Jan W.2,Sundbom Magnus3ORCID,Engström Maria Svedbo45

Affiliation:

1. Department of Social Work Uppsala University Uppsala Sweden

2. Department of Medical Sciences, Clinical Diabetology and Metabolism Uppsala University Uppsala Sweden

3. Department of Surgical Sciences Uppsala University Uppsala Sweden

4. School of Health and Welfare Dalarna University Falun Sweden

5. Center for Clinical Research Dalarna Uppsala University Falun Sweden

Abstract

SummaryBariatric surgery is the most medically and cost‐effective treatment for adults with obesity and type 2 diabetes mellitus (T2DM). Our findings suggest initial improvements in health‐related quality of life that may decline as support from follow‐up care ends. How patients experience long‐term support is not well described. This study therefore aimed to investigate how adults with previous T2DM perceived different sources of support 2 years after bariatric surgery. In this qualitative study, individual interviews were conducted with 13 adults (10 women) 2 years after surgery. Using thematic analysis, one overarching theme (compiling complementary elements of support after gastric‐bypass surgery), four themes and nine subthemes emerged. The results show that support was given and received from various sources, support needs varied over time depending on where the patient was in the process and that the sources of support were complementary. To conclude, our results show that support needs change in adults who have undergone bariatric surgery. Long‐term professional and day‐to‐day support from family and other networks are essential and complementary elements of support. Healthcare staff should consider these findings, especially during the early follow‐up period.

Publisher

Wiley

Subject

Endocrinology, Diabetes and Metabolism

Reference41 articles.

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2. World Health Organization.Diabetes country profiles Sweden. 15032023.2016https://cdn.who.int/media/docs/default-source/country-profiles/diabetes/swe_en.pdf?sfvrsn=1e85f6dd_38&download=true

3. European Guidelines for Obesity Management in Adults

4. 8. Obesity and Weight Management for the Prevention and Treatment of Type 2 Diabetes: Standards of Medical Care in Diabetes—2022

5. Metabolic surgery for the treatment of type 2 diabetes in obese individuals

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