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The decision of an obese woman to have bariatric surgery: the social phenomenology* * Extracted from the thesis “O processo de tomada de decisão da mulher obesa pela cirurgia bariátrica: uma abordagem compreensiva”, Nursing Faculty, São Paulo University, 2013

La decisión de la mujer obesa por la cirugía bariátrica a la luz de la fenomenología social

Objective

To understand the process by which an obese woman decides to have bariatric surgery.

Method

A qualitative survey with a social phenomenology approach, carried out in 2012, with 12 women, using the phenomenological interview.

Results

A woman bases the decision to have the surgery on: the inappropriateness of her eating habits; a physical appearance that is incompatible with an appearance that is standardized by society; the social prejudice that she has to live with; the limitations imposed by obesity; and her lack of success with previous attempts to lose weight. Outcomes that she hopes for from the decision to have the surgery include: restoring her health; achieving social inclusion; and entering the labor market.

Conclusion

This study allows one to reflect that prescriptive actions do not give a satisfactory response to a complexity of the subjective questions involved in the decision to have surgery for obesity. For this, what is called for is a program of work based on an interdisciplinary approach, and training that gives value to the bio-psycho-social aspects involved in a decision in favor of surgical treatment.

Obesity; Bariatric surgery; Women’s health; Qualitative research


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