Effect of Psycho-educational Intervention for Obese Women Post Bariatric Surgery on Body Image and Self-esteem

Document Type : Original Article

Authors

1 Assistant Lecturer of Psychiatric and Mental Health Nursing, Faculty of Health Sciences/ Al Saeed University

2 Professor of Psychiatric Nursing and Mental Health, Faculty of Nursing / Alexandria University

3 Professor of Psychiatric Nursing and Mental Health, Faculty of Nursing / Tanta University

4 Assistant professor of Psychiatric and Mental Health Nursing, Faculty of Nursing/ Benha University

Abstract

Background: Bariatric is a branch of medicine dealing with the causes, prevention, and treatment of obesity. It leads to massive and rapid weight loss in severely obese patients. This may result in numerous complications that affect body image satisfaction and self-esteem. Aim of the study: this study sought to evaluate the effect of a psycho-educational intervention for obese women after bariatric surgery on body image and self-esteem. Study design: A quasi-experimental design was followed. Study setting: This study was conducted in two settings namely the surgical department at University Hospital in Benha and the Gastroenterology ward in the Main University hospital in Alexandria. Subject: A convenient sample of 40 women who had bariatric surgery constituted the study subject. They were divided into two equal groups randomly; a study group that received the nursing psychological educational intervention and a control group that was exposed to routine care only. Tools of the study: Rosenberg Self-Esteem Scale and The Multidimensional body selfrelations questionnaire appearance scale (MBSRQ-AS) and sociodemographic and clinical characteristics sheet. Results: Study group who received psychoeducational program show higher mean in self-esteem scale than the control group with Mean ± SD (33.55±2.25 and 29.10±2.59 respectively) with highly statistical significant difference between the study and control group. Also, the Mean ± SD of different domains of body image satisfaction in study group were higher than control group with highly statistical significant differences. Conclusion: The psychoeducational program implementation had a positive effect in selfesteem and all domains of body image satisfaction for studied subjects undergoing bariatric surgery. The study recommended that the Psychoeducational programs should be offered for obese women’ undergoing bariatric surgery as a regular and integral component of health care.