Abstract
Aim: The aim of this review was to describe and systemize existing literature on patient-experiences in the context of obesity treatment. The review question was: How do patients describe their experiences after obesity treatment? Background: Obesity problems vary on a continuum of intensity and types of problems during different periods of life. An increasing amount of available treatment requires patients and professionals to make choices concerning the suitability of the individual patient to undergo certain types of treatment. Surgical treatment is considered sustainable and more successful for weight loss than other interventions. Alternatively, conservative treatment of obesity may be a matter of dealing with mental issues as well as diet and exercise. In a qualitative context, a deeper understanding related to patients’ own posttreatment experiences is needed. Methods: A systematic qualitative literature review was conducted for the period from 2006 to November 2016. The search was done in Medline, Embase and CINAHL using the words: Obesity, binge eating, patient, experience or perspective, treat or therap or surgery or cognitive, intervention, programme. Results and discussion: 15 studies were included and an overview of the qualitative designs was presented. From the content analysis, one main theme, Struggle for a meaningful life during transition related to obesity treatment, was developed. The main theme was derived from three themes related to the patients’ challenges when searching for positive self-existence, for relevant treatment-support, and for a balance to obtain inner and outer control. Clinical implications: Different types of obesity treatment create processes of transitions. However, it is crucial that clinicians are aware of the potential existential struggle after obesity treatment that is experienced by the individual patients. Clearly, some patients need interventions targeting mental challenges at different levels. Future interventions should take into account that physical and mental treatment must work together.
Highlights
MethodsThis is an explorative and descriptive design [28] using a qualitative systematic review [29]
The review question was: How do patients describe their experiences after obesity treatment? Background: Obesity problems vary on a continuum of intensity and types of problems during different periods of life
One main theme, Struggle for a meaningful life during transition related to obesity treatment, was developed
Summary
This is an explorative and descriptive design [28] using a qualitative systematic review [29]. The perspective of the review was the patient view on how treatment was provided [30] [31]. Qualitative studies on treatment related to obesity based on interviews with patients were systematically identified, thoroughly read and analysed [29] [30] [31] [32] [33] to expand knowledge about patients’ experiences with obesity treatment. The review will provide implications for a future study-protocol. The review will provide implications for nursing and patient education as well as a group treatment intervention. The review was performed to ascertain the status of knowledge in published research during the past 10 years.
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