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Stabilizing family life after gastric bypass surgery
Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences. Karolinska Institutet;Ersta Hospital.ORCID iD: 0000-0001-7118-4933
Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences. (Ctr Collaborat Palliat Care)ORCID iD: 0000-0002-9714-4056
Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences. (Ctr Collaborat Palliat Care)ORCID iD: 0000-0002-3155-575x
2017 (English)In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 12, no 1, article id 1325674Article in journal (Refereed) Published
Abstract [en]

Weight-loss surgery requires lifelong lifestyle modifications for the maintenance of weight loss and health effects, and can affect both the individual and family. Earlier research indicates that the quality of social relationships has positive and negative influences on wellbeing and health. There is little research on family-life after a member has undergone gastric bypass (GBP) against obesity. Thus, this study aimed to develop a classic grounded theory about families with a member treated with GBP against obesity. The study design used classic grounded theory and included data from 16 interviews. Families’ shared a main concern of unexpected changes 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. The social process develops differently which entail families: attaining unity, returning to old patterns, or disconnecting to find stability, depending on the discrepancy in expectations and knowledge. This is affected by the overall life situation, life-stage and relationship quality. The theory highlights unexpected change as a potential challenge for the family, as well as how they resolve this. Hence, the theory can be applied in care strategies for families. Identification of families needing support to stabilize family life after GBP requires further research.

Place, publisher, year, edition, pages
Taylor & Francis, 2017. Vol. 12, no 1, article id 1325674
Keywords [en]
Grounded theory, Obesity, Remodelling family patterns, Weight loss, Weight loss surgery
National Category
Nursing
Research subject
Health and Caring Sciences, Caring Science
Identifiers
URN: urn:nbn:se:lnu:diva-60686DOI: 10.1080/17482631.2017.1325674ISI: 000419643400001OAI: oai:DiVA.org:lnu-60686DiVA, id: diva2:1074206
Note

Ingår i avhandling "Wait for us to catch up" Aspects of family functioning after gastric bypass surgery

Available from: 2017-02-14 Created: 2017-02-14 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, EvaSandgren, Anna

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