Abstract
Background: Bariatric is a branch of medicine dealing with the causes, prevention, and treatment of obesity. It leads to massive and rapid weight loss in severely obese patients. This may result in numerous complications that affect body image satisfaction and self-esteem. Aim of the study: this study sought to evaluate the effect of a psycho-educational intervention for obese women after bariatric surgery on body image and self-esteem. Study design: A quasi-experimental design was followed. Study setting: This study was conducted in two settings namely the surgical department at University Hospital in Benha and the Gastroenterology ward in the Main University hospital in Alexandria. Subject: A convenient sample of 40 women who had bariatric surgery constituted the study subject. They were divided into two equal groups randomly; a study group that received the nursing psychological educational intervention and a control group that was exposed to routine care only. Tools of the study: Rosenberg Self-Esteem Scale and The Multidimensional body selfrelations questionnaire appearance scale (MBSRQ-AS) and sociodemographic and clinical characteristics sheet. Results: Study group who received psychoeducational program show higher mean in self-esteem scale than the control group with Mean ± SD (33.55±2.25 and 29.10±2.59 respectively) with highly statistical significant difference between the study and control group. Also, the Mean ± SD of different domains of body image satisfaction in study group were higher than control group with highly statistical significant differences. Conclusion: The psychoeducational program implementation had a positive effect in selfesteem and all domains of body image satisfaction for studied subjects undergoing bariatric surgery. The study recommended that the Psychoeducational programs should be offered for obese women’ undergoing bariatric surgery as a regular and integral component of health care.
Highlights
Obesity is considered as a chronic disease, causing an increased likelihood of developing comorbidities, such as diabetes, hypertension, cardiovascular syndromes, respiratory abnormalities and psychiatric conditions [1] .Data published by the World Health Organization revealed that in 2016 more than 1.9 billion adults were overweight
Obese person usually exposure to weight stigma that effect negatively on body image satisfaction and self-esteem level [3], the obese women exposed to discrimination and sarcasm that lead to social isolation, loneliness, poor body image satisfaction, and low self-esteem[4,5]
It has been found that poor body image and low self-esteem are more common symptoms among people with obesity leading to psychological adverse effects Ivezaj and Grilo, (2018) [28]
Summary
Obesity is considered as a chronic disease, causing an increased likelihood of developing comorbidities, such as diabetes, hypertension, cardiovascular syndromes, respiratory abnormalities and psychiatric conditions [1] .Data published by the World Health Organization revealed that in 2016 more than 1.9 billion adults were overweight. Bariatric is a branch of medicine dealing with the causes, prevention, and treatment of obesity It leads to massive and rapid weight loss in severely obese patients. This may result in numerous complications that affect body image satisfaction and self-esteem. Aim of the study: this study sought to evaluate the effect of a psycho-educational intervention for obese women after bariatric surgery on body image and self-esteem. Subject: A convenient sample of 40 women who had bariatric surgery constituted the study subject They were divided into two equal groups randomly; a study group that received the nursing psychological educational intervention and a control group that was exposed to routine care only.
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