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Creating a New Sense of We-ness: Family Functioning in Relation to Gastric Bypass Surgery
Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.ORCID iD: 0000-0001-7118-4933
Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.ORCID iD: 0000-0002-9714-4056
Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.ORCID iD: 0000-0002-1876-213X
2013 (English)In: BARIATRIC SURGICAL PRACTICE AND PATIENT CARE, ISSN 2168-023X, Vol. 8, no 4, p. 152-160Article in journal (Refereed) Published
Abstract [en]

Background: Gastric bypass surgery (GBP) is the most common treatment for morbid obesity (body mass index 35). To date, the person with obesity has been the main focus in bariatric nursing and research, although the person coexists within their family. Aim: The aim of this study was to describe family functioning in relation to GBP. Methods: Open ended questions were used. Nine families were interviewed on two occasions within 2 weeks 3 months after surgery. The interviews were transcribed and analyzed according to a hermeneutic method. Main Findings: An ongoing process of alterations related to family functioning was identified. Before, GBP families experienced distance and disengagement. Immediately after GBP, there were changes within relationships. Families experienced a period of difficulty, in interactions, while adapting to the lifestyle changes and altered positions. After 3 months, families experienced enhanced closeness in inter-relations within the family and increased social interactions as a whole family with friends and relatives. Conclusions: To better support families and enhance family functioning, bariatric nursing care needs to shift focus from an individual to a family perspective. Further studies are needed to gain a longitudinal perspective and improve understanding of family functioning after GBP.

Place, publisher, year, edition, pages
2013. Vol. 8, no 4, p. 152-160
National Category
Health Sciences
Research subject
Health and Caring Sciences
Identifiers
URN: urn:nbn:se:lnu:diva-32108DOI: 10.1089/bari.2013.0008ISI: 000328567800008Scopus ID: 2-s2.0-84890753502OAI: oai:DiVA.org:lnu-32108DiVA, id: diva2:694063
Available from: 2014-02-05 Created: 2014-02-05 Last updated: 2018-12-11Bibliographically approved
In thesis
1. "Wait for us to catch up": Aspects of family functioning after gastric bypass surgery
Open this publication in new window or tab >>"Wait for us to catch up": Aspects of family functioning after gastric bypass surgery
2017 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

Aim: To investigate aspects of family functioning when a family member has undergone Gastric Bypass surgery (GBP).

Methods: Study I explored experiences of family functioning three months after GBP, based on nine family interviews, analyzed using Gadamerian hermeneutics. Using Classic grounded theory, Study II focused on how families resolve their primary concerns after GBP, through interviews with 16 families. Study III evaluated the reliability and validity of the General Functioning Scale (GFS) based on 163 self-reported questionnaires, and used psychometric analyses. Study IV explored associations between family functioning, weight loss, sex and Health Related-Quality of Life (HR-QoL), based on self-reported questionnaires from 153 participants and utilized descriptive statistics and binary logistic regression.

Results: Study I revealed a process of three intertwined changes in family functioning three months after GBP: Living in ambiguous relationship, rewriting family patterns and strengthening family cohesion. Study II showed that families shared a main concern of unexpected change after GBP, resulting in the theory Stabilizing family life, explained as a social process to decrease uncertainty and find stability and well-being in family interactions. This resulted in attaining unity, returning to old family patterns or disconnecting. Study III suggested GFS as a promising tool for assessing family functioning in a Swedish bariatric sample, showing satisfactory reliability and validity. Study IV showed associations between family functioning and the mental dimensions of HR-QoL, two years after GBP. Percent weight loss was associated with the physical dimension. Sex showed no associations to HR-QoL.

Conclusion: Families experienced unexpected challenges after GBP affecting family functioning. Mutual remodeling of family life to incorporate changes was seen. Families underwent a social process, indicating that families may represent a resource in bariatric nursing care. A family-system nursing perspective as complement to standard care may be beneficial. As family functioning influence HR-QoL identifying available family resources and giving tailored information to support self-care strategies after GBP, may result in sustainable family functioning and individual health. Studies aimed at identify families that may benefit from family-system nursing interventions are suggested for future inquiry. 

Place, publisher, year, edition, pages
Växjö: Linnaeus University Press, 2017. p. 166
Series
Linnaeus University Dissertations ; 272/2017
Keywords
Family functioning, Family system theory, Obesity, Gastric bypass, Family Interviews, Self-reported Questionnaires
National Category
Nursing
Research subject
Health and Caring Sciences, Caring Science
Identifiers
urn:nbn:se:lnu:diva-60684 (URN)978-91-88357-53-3 (ISBN)
Public defence
2017-01-20, V159, Storken, Kalmar, 10:00 (Swedish)
Opponent
Supervisors
Available from: 2017-02-15 Created: 2017-02-15 Last updated: 2018-12-11Bibliographically approved

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Bylund, AmiBenzein, EvaPersson, Carina

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