Skip to main content
SpringerLink
Log in

Nursing and Psychological Issues in Obese Patients

  • Chapter
  • First Online:
The Globesity Challenge to General Surgery

  • 709 Accesses

Abstract

To understand the complexity of the obese condition, this article reports all the aspects involved in the care and treatment of obese people. In the first part are retrieved practical, technical, and medical features. Even though it seems obvious, an adequate setting and devices are essential in the proper planning of care. Also a qualified and adequate medical team composed not only of medicals and nurses but other health professionals, such as dietitians, psychologists, and physical trainers, is fundamental. In the second part are examined the psychological aspects, both in the obese situation and during weight loss. Obese people present low self-esteem, a negative body image, depression, and anxiety. They are victims of discriminations, prejudice, and bullying. It is important, during weight loss, to help them to control their eating impulse, in particular the binge eating, and prevent relapse.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
eBook
USD 16.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 54.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 54.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Anaya DA, Dellinger EP (2006) The obese surgical patient: a susceptible host for infection. Surg Infect (Larchmt) 7(5):473–480. Review. PubMed PMID:17083313

    Article  Google Scholar 

  2. Graling P, Elariny H (2003) Perioperative care of the patient with morbid obesity. AORN J 77(4):802–805; 808–819; quiz 820–821, 823–824. Review. PubMed PMID: 12705735

    Article  PubMed  Google Scholar 

  3. Smeltzer SC (2010) Brunner/Suddarth textbook of medical-surgical nursing handbook of lab/DX tests + Abrams, clinical drug therapy Pkg. Lippincott Williams & Wilkins

    Google Scholar 

  4. Chiari P, Santullo A (2010) L’infermiere case manager. McGraw-Hill, Milano

    Google Scholar 

  5. Guay J (2000) Il case management comunitario. Liguori editore, Napoli

    Google Scholar 

  6. Ide P, Farber ES, Lautz D (2008) Perioperative nursing care of the bariatric surgical patient. AORN J 88(1):30–54; quiz 55–58. Review. PubMed PMID: 18677849

    Article  PubMed  Google Scholar 

  7. Mulligan AT, McNamara AM, Boulton HW, Trainor LS, Raiano C, Mullen A (2009) Best practice updates for nursing care in weight loss surgery. Obesity (Silver Spring) 17(5):895–900. doi:10.1038/oby.2008.579. Epub 2009 Feb 19. Review. PubMed PMID: 19396069

    Article  Google Scholar 

  8. Whittemore AD, Kelly J, Shikora S, Cella RJ, Clark T, Selbovitz L, Flint L (2005) Specialized staff and equipment for weight loss surgery patients: best practice guidelines. Obes Res 13(2):283–289. Review. PubMed PMID: 15800285

    Article  PubMed  Google Scholar 

  9. Echols J (2010) Obesity weight management and bariatric surgery case management programs: a review of literature. Prof Case Manag 15(1):17–26; quiz 27–8. doi:10.1097/NCM.0b013e3181b5ebeb. Review. PubMed PMID: 20029316

    Article  PubMed  Google Scholar 

  10. World Health Organization, Regional Office for Europe Copenhagen (1998) Therapeutic patient education – continuing education programmes for health care, providers in the field of prevention of chronic diseases. Report of a WHO Working Group

    Google Scholar 

  11. Karnon J, Ali Afzali HH, Gray J, Holton C, Banham D, Beilby J (2013) A risk adjusted cost-effectiveness analysis of alternative models of nurse involvement in obesity management in primary care. Obesity (Silver Spring) 21(3):472–479. doi:10.1002/oby.20100. PubMed PMID: 23592655

    Article  CAS  Google Scholar 

  12. Tamayo T, Christian H, Rathmnn W (2012) Impact of early psychosocial factors (childhood socioeconomics factors and adversities) on future risk on type 2 diabetes, metabolic disturbances and obesity: a systematic review. BMC Public Health 10:525

    Article  Google Scholar 

  13. Kawakami K, Phills PCE, Greenwald AG, Simard D, Pontiero J, Brnjas A, Khan B, Mills J, Dovidio J (2012) In perfect harmony: synchronizing the self to activated social categories. J Pers Soc Psychol 102(3):562–575

    Article  PubMed  Google Scholar 

  14. Mills JS, Jadd R, Key BL (2012) Wanting a body that’s better than average: the effect of manipulated body norms on ideal body size perception. Body Image 9:365–372

    Article  PubMed  Google Scholar 

  15. Kallgren CA, Reno R, Cialdini RB (2000) A focus theory of normative conduct: when norms do and do not affect behavior. Pers Soc Psychol Bull 26:1002–1012

    Article  Google Scholar 

  16. Hagreaves DA, Tiggemann M (2009) Muscular ideal media images and men’s body image: social comparison processing and individual vulnerability. Psychol Men Masc 10:109–119

    Article  Google Scholar 

  17. Andrews RA, Lowe R, Claire A (2011) The relation between basic need satisfaction and emotional need in obesity. Aust J Psychol 63:207–213

    Article  Google Scholar 

  18. Timmerman GM, Acton GJ (2001) The relationship between basic need satisfaction and emotional eating. Issues Ment Health Nurs 22(7):691–701

    Article  CAS  PubMed  Google Scholar 

  19. Maxwell MA, Cole DA (2012) Development and initial validation of the adolescent responses to body dissatisfaction measure. Psychol Assess 24(3):721–737

    Article  PubMed  Google Scholar 

  20. Friedman MA, Brownell KD (1995) Psychological correlates of obesity: moving to the next research generation. Psychol Bull 117(1):3–20

    Article  CAS  PubMed  Google Scholar 

  21. Kaminsky J, Gadaleta D (2002) A study of discrimination within the medical community as viewed by obese patients. Obes Surg 12(1):14–18

    Article  PubMed  Google Scholar 

  22. Stunkard AJ, Wadden TA (1992) Psychological aspects of severe obesity. Am J Clin Nutr 55(2):524–532

    Google Scholar 

  23. Staffieri JR (1967) A study of social stereotype of body image in children. J Pers Soc Psychol 7:101–104

    Article  CAS  PubMed  Google Scholar 

  24. Cramer P, Steinwert T (1998) Thin is good, fat is bad: how early does it begin? J Appl Dev Psychol 19:429–451

    Article  Google Scholar 

  25. Fardouly J, Vartanian LR (2012) Changes in weight bias following weight loss: the impact of weight loss method. Int J Obes (Lond) 36(2):314–319

    Article  CAS  Google Scholar 

  26. Smith ER, Mackie DM (2004) Psicologia Sociale. Zanichelli (ed) Psicologia Sociale. Taylor & Francis, pp 193–195

    Google Scholar 

  27. Boutelle KL, Hannan P, Fulkerson JA, Crow SJ, Stice E (2010) Obesity as a prospective predictor of depression in adolescent females. Health Psychol 29(3):293–298

    Article  PubMed Central  PubMed  Google Scholar 

  28. Gariepy G, Wang JL, Lesage A, Schmitz N (2010) The interaction of obesity and psychological distress on disability. Soc Psychiatry Psychiatr Epidemiol 45:531–540

    Article  PubMed  Google Scholar 

  29. Vallis MT, Butler GS, Perey B, van Zanten SJO, MacDonald AS, Konok G (2001) The role of psychological functioning in morbid obesity and its treatment with gastroplasty. Obes Surg 11:716–725

    Article  CAS  PubMed  Google Scholar 

  30. Teixera PJ, Going SB, Sardinha LB, Lohman TG (2005) A review of psychosocial pre-treatment predictors of weight control. Obes Rev 6:43–65

    Article  Google Scholar 

  31. Rowe JL, Downey JE, Faust M (2000) Psychological and demographic predictors of successful weight loss following silastic ring vertical gastroplasty. Psychol Rep 86:1028–1036

    Article  CAS  PubMed  Google Scholar 

  32. Peace K, Dyne J, Russel G, Stewart R (1989) Psychological effects of gastric restriction surgery for morbid obesity. NZ Med J 102:76–78

    CAS  Google Scholar 

  33. Baker CW, Brownell KD (2000) Physical activity and maintenance of weight loss: physiological and psychological mechanisms. In: Bouchard C (ed) Physical activity and obesity. Human Kinetics, Champaign, pp 311–328

    Google Scholar 

  34. Zijlstra H, Larsen JK, de Ridder DTD, van Ramshorst B, Geenen R (2009) Initiation and maintenance of weight loss after laparoscopic adjustable gastric banding. The role of outcome expectation and satisfaction with the psychosocial outcome. Obes Surg 19:725–731

    Article  PubMed  Google Scholar 

  35. Annesi JJ, Marti CN (2011) Path analysis of exercise treatment-induced changes in psychological factors leading to weight loss. Psychol Health 26(8):1081–1098

    Article  PubMed  Google Scholar 

  36. Westenhoefer J, Engel D, Holst C, Lorenz J, Peacock M, Stubbs J, Whybrow S, Raats M (2012) Cognitive and weight-related correlates of flexible and rigid restrained eating behavior. Eat Behav 14:69–72

    Article  PubMed  Google Scholar 

  37. Werrij MQ, Mulkens S, Hospers HJ, Jansen A (2006) Overweight and obesity: the significance of a depressed mood. Patient Educ Couns 62:126–131

    Article  PubMed  Google Scholar 

  38. Werrij MQ, Jansen A, Mulkens S, Elgersma H, Ament AJHA, Hospers HJ (2009) Adding cognitive therapy to dietetic treatment is associated with less relapse in obesity. J Psychosom Res 67:319–324

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Psychoncolgy Unit, IOV-IRCCS, Padova, Italy

    Malihe Shams

  2. Nutritional Rehab Unit, Policlinico Abano Terme, Padova, Italy

    Irene Favara

  3. Dipartimento Scienze Oncologiche, Chirurgiche e Gastroenterologiche, Week Surgery Unit, Universita’ degli Studi di Padova, Padova, Italy

    Elisa Meneghello & Fabiola Barzon

  4. Dipartimento Scienze Oncologiche, Chirurgiche e Gastroenterologiche, Clinica Chirurgica 1, Universita’ degli Studi di Padova, Padova, Italy

    Alice Albanese

Authors
  1. Malihe Shams
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Irene Favara
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Elisa Meneghello
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Fabiola Barzon
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Alice Albanese
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Malihe Shams .

Editor information

Editors and Affiliations

  1. Clinica Chirurgica 1, Università degli Studi di Padova, Padova, Padova, Italy

    Mirto Foletto

  2. Department of General Surgery, Cleveland Clinic Florida, Weston, Florida, USA

    Raul J. Rosenthal

Rights and permissions

Reprints and permissions

Copyright information

© 2014 Springer-Verlag Italia

About this chapter

Cite this chapter

Shams, M., Favara, I., Meneghello, E., Barzon, F., Albanese, A. (2014). Nursing and Psychological Issues in Obese Patients. In: Foletto, M., Rosenthal, R. (eds) The Globesity Challenge to General Surgery. Springer, Milano. https://doi.org/10.1007/978-88-470-5382-3_3

Download citation

  • DOI: https://doi.org/10.1007/978-88-470-5382-3_3

  • Published:

  • Publisher Name: Springer, Milano

  • Print ISBN: 978-88-470-5381-6

  • Online ISBN: 978-88-470-5382-3

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation