title: Patients' daily life experiences five years after gastric bypass surgery--a qualitative study.
abstract: OBJECTIVE
  The objective was to explore and describe patients' daily life experiences five years after gastric bypass surgery.
  
  
  BACKGROUND
  Bariatric surgery markedly decreases body weight. Previous studies describe positive consequences, as well as physical, social and emotional challenges during the first few years after surgery. An understanding of how patients adjust to and cope with postsurgical changes in the long term is crucial to help them obtain a successful outcome after bariatric surgery.
  
  
  METHODS
  A qualitative method was employed. In-depth interviews with 10 men and women were conducted five years after bariatric surgery in a Norwegian hospital.
  
  
  RESULTS
  One overarching theme--a multitude of daily life changes following bariatric surgery--was developed based on three main themes: relational aspects related to weight loss, the new body and changes in self-esteem. Six sub-themes are described.
  
  
  CONCLUSIONS
  Those who undergo gastric bypass surgery experience enormous changes in their daily lives. Their social lives, their relationship to their body and their self-esteem may be altered by the weight loss.
  
  
  CONCLUSIONS
  The results of this study suggest directions for patient education, health staff education and peer education. A patient education programme focusing on changes in daily life experiences when undergoing gastric bypass surgery is suggested due to the changes experienced by the patients involved in this study.
authors.affiliation: Section of Mental Health Research, Haugesund Hospital, Helse Fonna HF, Haugesund, Norway.
authors.forename: Haldis Økland
authors.initials: HØ
authors.lastname: Lier
authors.affiliation: Department of Nursing, Umeå University, Umeå, Sweden.|Department of Nursing Health and Culture, University West, Trollhättan, Sweden.
authors.forename: Sture
authors.initials: S
authors.lastname: Aastrom
authors.affiliation: Psychiatric Nursing, Stavanger District Psychiatric Centre, Stavanger University Hospital, Stavanger, Norway.
authors.forename: Kristine
authors.initials: K
authors.lastname: Rørtveit
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D005260:Female; D015390:Gastric Bypass; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D008875:Middle Aged; D009664:Norway; D009767:Obesity, Morbid / Q000523:psychology / Q000601:surgery*; D011788:Quality of Life / Q000523:psychology*; D017741:Survivors / Q000523:psychology*
keywords: gastric bypass surgery; in-depth interviews; qualitative method; weight loss