Quality of life before and after bariatric
					surgery

A cross-sectional and prospective study that included 16 obese patients who underwent bariatric surgery. The survey instrument was the Whoqol-bref translated and validated for the Portuguese language. Data were collected before and after the bariatric surgery. The SPSS 19.0 was used for data analysis with application of the McNemar's test for related samples, considering p<0.05 significant.

Results:

Before surgery 25% of participants considered their quality of life and health as bad or very bad, showing dissatisfaction. After surgery, all assessed their quality of life and satisfaction with health as good or very good. The percentages found in relation to negative feelings were better; it was observed that 62.5% did not express negative feelings anymore or only sometimes had these feelings.

Conclusion:

The results showed that the quality of life, health, feelings, satisfaction and ability to do things has improved after bariatric surgery.

Quality of life/psychology; Bariatric surgery; Obesity, morbid/surgery; Obesity, morbid/psychology; Questionnaires

Evaluation
Before	Very bad n(%)	Bad n(%)	Neither bad nor good n(%)	Good n(%)	Very good n(%)
Assessment of quality of life	1(6.25)	3(18.75)	6(37.5)	6(37.5)	0(0)
Satisfaction with health	Very dissatisfied n(%)	Dissatisfied n(%)	Neither satisfied nor dissatisfied n(%)	Satisfied n(%)	Very satisfied n(%)
	1(6.25)	3(18.75)	6(37.5)	6(37.5)	0(0)
Frequency of negative feelings such as bad mood, despair, anxiety, depression	Never n(%)	Sometimes n(%)	Frequently n(%)	Very frequently n(%)	Always n(%)
	0(0)	6(37.5)	3(18.75)	6(37.5)	1(6.25)
After	Very bad n(%)	Bad n(%)	Neither bad nor good n(%)	Good n(%)	Very good n(%)
Assessment of quality of life	0(0)	0(0)	0(0)	5(31.25)	11(68.75)
Satisfaction with health	Very dissatisfied n(%)	Dissatisfied n(%)	Neither satisfied nor dissatisfied n(%)	Satisfied n(%)	Very satisfied n(%)
	0(0)	0(0)	0(0)	7(43.75)	9(56.25)
Frequency of negative feelings such as bad mood, despair, anxiety, depression	Never n(%)	Sometimes n(%)	Frequently n(%)	Very frequently n(%)	Always n(%)
	4(25)	6(37.5)	1(6.25)	4(25)	1(6.25)
Before	None n(%)	Very little n(%)	More or less n(%)	Very much n(%)	Extremely n(%)
Impediment of activities because of physical pain	0(0)	1(6.25)	7(43.75)	7(43.75)	1(6.25)
Need for medical treatment to lead the daily life	2(12.5)	3(18.75)	6(37.5)	4(25)	1(6.25)
Enjoyment of life	0(0)	4(25)	8(50)	4(25)	0(0)
Meaning of life	2(12.5)	0(0)	6(37.5)	5(31.25)	3(18.75)
Amount of concentration	1(6.25)	2(12.5)	8(50)	4(25)	1(6.25)
Security in life	1(6.25)	2(12.5)	9(56.25)	3(18.75)	1(6.25)
Health of physical environment (climate, noise, pollution, leisure)	0(0)	2(12.5)	10(62.5)	3(18.75)	1(6.25)
After	None n(%)	Very little n(%)	More or less n(%)	Very much n(%)	Extremely n(%)
Impediment of activities because of physical pain	5(31.25)	8(50)	2(12.5)	1(6.25)	0(0)
Need for medical treatment to lead the daily life	4(25)	6(37.50)	5(31.25)	1(6.25)	0(0)
Enjoyment of life	0(0)	0(0)	1 (6,25)	13(81.25)	2(12.5)
Meaning of life	0(0)	0(0)	0 (0)	8 (50)	8(50)
Amount of concentration	0(0)	0(0)	4(25)	11(68.75)	1(6.25)
Security in life	0(0)	0(0)	2(12.5)	11(68.75)	3(18.75)
Health of physical environment (climate, noise, pollution, leisure)	0(0)	3(18.75)	3(18.75)	8(50)	2(12.50)
Before	Nothing n(%)	Very little n(%)	Average n(%)	Very much n(%)	Completely n(%)
Enough energy for daily living	1(6.25)	4(25)	10(62.5)	1(6.25)	0(0)
Acceptance of physical appearance	5(31.25)	6(37.5)	2(12.5)	3(18.75)	0(0)
Enough money to meet the needs	0(0)	4(25)	11(68.75)	1(6.25)	0(0)
Availability of information needed in day by day	0(0)	2(12.5)	5(31.25)	6(37.5)	3(18.75)
Opportunity to do leisure activity	0(0)	11(68.75)	5(31.25)	0(0)	0(0)
After	Nothing n(%)	Very little n(%)	Average n(%)	Very much n(%)	Completely n(%)
Enough energy for daily living	0(0)	0(0)	5(31.25)	7(43.75)	4(25)
Acceptance of physical appearance	0(0)	0(0)	1(6.25)	4(25)	11(68.75)
Enough money to meet the needs	0(0)	2(12.5)	10(62.5)	2(12.5)	2(12.5)
Availability of information needed in day by day	1(6.25)	0(0)	2(12.5)	10(62.5)	3(18.75)
Opportunity to do leisure activity	0(0)	2(12.5)	5(31.25)	7(43.75)	2(12.5)

Variables	Very bad n(%)	Bad n(%)	Neither bad nor good n(%)	Good n(%)	Very good n(%)
Before surgery
Mobility	0(0)	7(43.75)	3(18.75)	6(37.5)	0(0)
Satisfaction in relation to sleep	1(6.25)	1(6.25)	10(62.5)	4(25)	0(0)
Satisfaction with the ability to perform day-to-day activities	0(0)	8(50)	5(31.25)	2(12.5)	1(6.25)
Satisfaction with the ability to perform work.	0(0)	7(43.75)	4(25)	3(18.75)	2(12.5)
Self-satisfaction	2(12.5)	5(31.25)	7(43.75)	1(6.25)	1(6.25)
Satisfaction with personal relationships (friends, relatives, acquaintances, colleagues)	0(0)	1(6.25)	4(25)	6(37.5)	5(31.25)
Satisfaction with sex life	3(18.75)	1(6.25)	7(43.75)	3(18.75)	2(12.5)
Satisfaction with the support received from friends	0(0)	1(6.25)	3(18.75)	5(31.25)	7(43.75)
Satisfaction with the conditions of the place of residence	1(6.25)	1(6.25)	2(12.5)	5(31.25)	7(43.75)
Satisfaction with access to health services	0(0)	1(6.25)	2(12.5)	8 (50)	5(31.25)
Satisfaction with means of transportation	0(0)	1(6.25)	4(25)	8 (50)	3(18.75)
After surgery
Mobility	0(0)	0(0)	0(0)	5(31.25)	11(68.75)
Satisfaction in relation to sleep	0(0)	0(0)	3(18.75)	6(37.5)	7(43.75)
Satisfaction with the ability to perform day-to-day activities	0(0)	1(6.25)	0(0)	6(37.5)	9(56.25)
Satisfaction with the ability to perform work	0(0)	0(0)	1(6.25)	5(31.25)	10(62.50)
Self-satisfaction	0(0)	0(0)	4(25)	3(18.75)	9(56.25)
Satisfaction with personal relationships (friends, relatives, acquaintances, colleagues)	0(0)	0(0)	2(12.5)	7(43.75)	7(43.75)
Satisfaction with sex life	0(0)	1(6.25)	2(12.5)	7(43.75)	6(37.5)
Satisfaction with the support received from friends	0(0)	0(0)	0(0)	7(43.75)	9(56.25)
Satisfaction with the conditions of the place of residence	1(6.25)	0(0)	1(6.25)	7(43.75)	7(43.75)
Satisfaction with access to health services	0(0)	0(0)	0(0)	11(68.75)	5(31.25)
Satisfaction with means of transportation	0(0)	0(0)	0(0)	8(50)	8(50)

Variables	Percentage of satisfaction in surgery
Variables	Before %	After %	p-value
Quality of life and health
Assessment of quality of life	37.50	100.00	0.01
Satisfaction with health	37.50	100.00	0.01
Feelings in the two previous weeks
Impediment of activities because of physical pain	50.00	81.25	0.02
Need for medical treatment to lead the daily life	31.25	62.50	0.08
Enjoyment of life	25.00	93.75	0.01
Meaning of life	50.00	100.00	0.01
Amount of concentration	31.25	75.00	0.21
Security in life	25.00	87.50	0.01
Health of physical environment (climate, noise, pollution, leisure)	25.00	62.50	0.03
Satisfaction in the two previous weeks
Enough energy for daily living	6.25	68.75	0.04
Acceptance of physical appearance	18.75	93.75	0.03
Enough money to meet the needs	6.25	25.00	0.08
Availability of information needed in day by day	56.25	81.25	0.27
Ability to do things	37.50	100.00	0.03
Mobility
Satisfaction in relation to sleep.	25.00	81.25	0.01
Satisfaction with the ability to perform day-to-day activities	18.75	93.75	0.02
Satisfaction with the ability to perform work.	31.25	93.75	0.18
Self-satisfaction	12.50	75.00	0.02
Satisfaction with personal relationships (friends, relatives, acquaintances, colleagues)
Satisfaction with sex life	31.25	81.25	0.01
Satisfaction with the support received from friends	75.00	100.00	0.08
Satisfaction with the conditions of the place of residence	75.00	87.50	0.58
Satisfaction with access to health services	81.25	99.25	0.16
Satisfaction with means of transportation	68.75	100.00	0.04
Negative feelings
Frequency of negative feelings such as bad mood, despair, anxiety, depression	43.75	31.25	0.10

Escola Paulista de Enfermagem, Universidade Federal de São Paulo R. Napoleão de Barros, 754, 04024-002 São Paulo - SP/Brasil, Tel./Fax: (55 11) 5576 4430 - São Paulo - SP - Brazil
E-mail: actapaulista@unifesp.br

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