Obesity and Health Practices / Diabetes, Cardiovascular Risks, and Lipoproteins · Journal article
Frontiers in Nutrition · September 9, 2026
Early or partial results. Treat as a signal, not a conclusion.
This qualitative descriptive study explores patient experiences and perceptions across the bariatric surgery pathway at a single Turkish hospital, identifying five thematic areas: decision-making, preoperative diet, postoperative strategies, challenges, and information sharing. The findings underscore the need for structured nursing support and long-term follow-up but do not quantify outcomes or measure the effectiveness of any intervention.
Qualitative descriptive study with focus group discussions and individual semi-structured interviews. Individuals who had undergone metabolic bariatric surgery at least 12 months previously at a private hospital in Türkiye.. Intervention: Metabolic bariatric surgery (type not specified). Private hospital in Türkiye.
Five main themes emerged: decision-making for surgery, preoperative dietary habits, post-operative nutritional strategies, postoperative challenges, and information sharing Preoperatively, high-calorie and irregular eating patterns were common; post-operative adaptation involved portion control, slow eating, and meal planning Early postoperative challenges included physical symptoms, difficulties with dietary adherence, and limited social support
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The findings emphasize that bariatric surgery requires coordinated physical, behavioral, psychological, and social support. Clinicians should recognize the value of structured nursing counseling and long-term follow-up to support patient adaptation, though the evidence base is experiential rather than outcomes-based.
A single-centre qualitative descriptive study with no quantitative outcomes, control group, or statistical analysis; provides exploratory insights into patient experiences but cannot establish efficacy or guide clinical practice.
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The findings emphasize that bariatric surgery requires coordinated physical, behavioral, psychological, and social support. Clinicians should recognize the value of structured nursing counseling and long-term follow-up to support patient adaptation, though the evidence base is experiential rather than outcomes-based.
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Background Although metabolic bariatric surgery is an effective treatment for obesity, qualitative evidence exploring patients’ experiences across both pre- and post-operative periods remains limited. This study aimed to examine patients’ decision-making experiences, nutritional behaviors, and perceptions of nursing care throughout this process. Methods This qualitative descriptive study included individuals who had undergone metabolic bariatric surgery at least 12 months previously at a private hospital in Türkiye. Data were collected through focus group discussions (FGDs) followed by individual semi-structured interviews (ISIs) to obtain both shared and in-depth individual perspectives. All FGDs and ISIs were audio-recorded and transcribed verbatim. The FGD and ISI data were initially analyzed separately using inductive qualitative content analysis and subsequently compared and integrated during the later stages of analysis. Codes were grouped into categories, subthemes, and overarching themes through an iterative coding process. The coding process was independently reviewed by a second qualitative researcher, and discrepancies were resolved through consensus. Results Five main themes emerged: decision-making for surgery, preoperative dietary habits, post-operative nutritional strategies, postoperative challenges, and information sharing. Participants reported that physical, psychological, and social factors influenced their decision to undergo surgery. Preoperatively, high-calorie and irregular eating patterns were common, whereas post-operative adaptation involved portion control, slow eating, and meal planning. Early postoperative challenges included physical symptoms, difficulties with dietary adherence, and limited social support. Structured education and regular nursing counseling were found to enhance patients’ confidence and facilitate adaptation. Conclusion Metabolic bariatric surgery represents a comprehensive care process requiring physical, behavioral, psychological, and social adaptation throughout the surgical journey. The findings highlight the importance of structured nursing support, including individualized education, psychosocial guidance, and long-term follow-up, to facilitate patients’ adaptation after surgery.
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