Seguimento de pacientes submetidos à cirurgia bariátrica: avaliação da qualidade de vida, estresse e depressão
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Data
2016-08-11
Autores
Fadini, João Paulo [UNESP]
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Universidade Estadual Paulista (Unesp)
Resumo
Qualidade de vida (QV) implica não somente em ausência de doença, mas também ter boa capacidade física, bem-estar psicológico e funcionamento social adequado. Indivíduos que estão sob condição de estresse costumam apresentar baixa QV. Quando a condição estressora se faz presente em muitos momentos da vida de alguém, pode levá-la a exibir sintomas depressivos. Essa associação acarreta grandes problemas à saúde do indivíduo, fazendo-se necessário o estudo detalhado no âmbito clínico e geral, com o propósito de trazer novos benefícios e perspectivas. Na atualidade, a obesidade está associada com diversas condições de patologia não somente física, mas também psicológica tais como o estresse e a depressão. Uma possibilidade de reverter a obesidade é por meio da cirurgia bariátrica. O objetivo do presente estudo foi descrever e comparar a QV, indicadores de estresse e depressão do paciente obeso no período anterior e após cirurgia bariátrica. A pesquisa de caráter longitudinal contou com uma amostra de 32 pessoas, de ambos os sexos, com idade superior a 18 anos e que se submeteram à cirurgia bariátrica. Os inventários aplicados foram o Quality of Life-BREF (WHOQOL-BREF), o inventário de sintomas de estresse para adultos de Lipp (ISSL) e a Escala Baptista de Depressão Versão Hospital/Ambulatório (EBADEP/HOSP-AMB), em avaliação pré-cirúrgica e em acompanhamento pós-cirúrgico em dois e seis meses. Todos os cuidados éticos foram tomados e os dados foram analisados estatisticamente e tratados pelo teste Kruskall-Wallis para investigar diferenças de médias de respostas nos instrumentos entre três ou mais grupos, considerando as diferenças significativas para valores de p < 0,05. Foi feita análise inferencial e descritiva por meio de frequência e porcentagem e estatística não paramétrica, para possíveis diferenças de médias de respostas entre grupos e correlações. Constatou-se que a QV dos participantes submetidos à cirurgia bariátrica apresentou piora significativa em todos os domínios avaliados no acompanhamento de seis meses, apresentando resultados inferiores à primeira e segunda avaliações. Em relação ao estresse, os dados indicaram elevação no último acompanhamento de modo significativo se comparados às duas primeiras avaliações. No que corresponde à depressão, os participantes acometidos pela obesidade e candidatos a cirurgia bariátrica possuíam sintomas leves. Sugere-se novos estudos sobre a obesidade que apresenta consequências prejudiciais tanto para a saúde física do indivíduo quanto para seu bem-estar psicossocial.
Quality of life (QOL) implies not only absence of disease but also good physical ability, psychological well-being and adequate social functioning. Individuals who are under stress condition usually have low QOL. When the stressful condition is present at many times in someone's life, it can lead to depressive symptoms. This association causes great problems to the health of the individual, making necessary the detailed study in the clinical and general scope, in order to bring new benefits and perspectives. At present, obesity is associated with several conditions of not only physical but also psychological pathology such as stress and depression. One possibility of reversing obesity is through bariatric surgery. The objective of the present study was to describe and compare the QOL, indicators of stress and depression of the obese patient in the previous period and after bariatric surgery. The longitudinal research consisted of a sample of 32 people of both sexes, aged over 18 years and who underwent bariatric surgery. The inventories applied were the Quality of Life-BREF (WHOQOL-BREF), the Lipp Adult Stress Symptom Inventory (ISSL) and the Hospital / Ambulatory Depression Baptist Scale (EBADEP / HOSP-AMB) Surgical and post-surgical follow-up in two and six months. All ethical care was taken and data were statistically analyzed and treated by the test for two groups Kruskall-Wallis to investigate differences in means of responses in the instruments between three or more groups, considering the significant differences for values p <0,05. Inferential and descriptive analysis was performed by means of frequency and percentage and non - parametric statistics, for possible differences between means of responses between groups and correlations. It was verified that the QOL of the participants submitted to bariatric surgery presented significant worsening in all domains evaluated in the six-month follow-up, presenting inferior results to the first and second evaluations. Regarding stress, the data indicated a significant increase in follow-up in a significant way when compared to the first two evaluations. Concerning depression, participants with obesity and candidates for bariatric surgery had mild symptoms. Further studies on obesity are suggested that have detrimental consequences for both the individual's physical health and his / her psychosocial well-being.
Quality of life (QOL) implies not only absence of disease but also good physical ability, psychological well-being and adequate social functioning. Individuals who are under stress condition usually have low QOL. When the stressful condition is present at many times in someone's life, it can lead to depressive symptoms. This association causes great problems to the health of the individual, making necessary the detailed study in the clinical and general scope, in order to bring new benefits and perspectives. At present, obesity is associated with several conditions of not only physical but also psychological pathology such as stress and depression. One possibility of reversing obesity is through bariatric surgery. The objective of the present study was to describe and compare the QOL, indicators of stress and depression of the obese patient in the previous period and after bariatric surgery. The longitudinal research consisted of a sample of 32 people of both sexes, aged over 18 years and who underwent bariatric surgery. The inventories applied were the Quality of Life-BREF (WHOQOL-BREF), the Lipp Adult Stress Symptom Inventory (ISSL) and the Hospital / Ambulatory Depression Baptist Scale (EBADEP / HOSP-AMB) Surgical and post-surgical follow-up in two and six months. All ethical care was taken and data were statistically analyzed and treated by the test for two groups Kruskall-Wallis to investigate differences in means of responses in the instruments between three or more groups, considering the significant differences for values p <0,05. Inferential and descriptive analysis was performed by means of frequency and percentage and non - parametric statistics, for possible differences between means of responses between groups and correlations. It was verified that the QOL of the participants submitted to bariatric surgery presented significant worsening in all domains evaluated in the six-month follow-up, presenting inferior results to the first and second evaluations. Regarding stress, the data indicated a significant increase in follow-up in a significant way when compared to the first two evaluations. Concerning depression, participants with obesity and candidates for bariatric surgery had mild symptoms. Further studies on obesity are suggested that have detrimental consequences for both the individual's physical health and his / her psychosocial well-being.
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Palavras-chave
Obesidade, Cirurgia Bariátrica, Qualidade de Vida, Estresse, Depressão, Obesity, Bariatric surgery, Quality of life, Stress, Depression