RESUMO
In the word obesity, a clinical concept of chronic systemic disease pairs up with pejorative individual or social representations. Being obese is also facing situations of disability, organ failure, uncertainty of the fate and stigmatization. A care concept inspired by rehabilitation and therapeutic patient education could offer a new way and other purposes to the treatment of obesity. Restoring functions, learning how to adapt and change their environment, obese people may live better today, out of their isolation and develop partners in their projects of life and health. Rehabilitation of an obese patient is much more than weight loss!
Assuntos
Obesidade/reabilitação , Educação de Pacientes como Assunto , Redução de Peso , Índice de Massa Corporal , Doença Crônica , Humanos , Obesidade/psicologia , EstereotipagemRESUMO
Therapeutic patient education (TPE) has demonstrated its efficacy in treating numerous chronic conditions, including obesity. Currently, TPE has broadened its field of activity to the preparation of obese patients undergoing bariatric surgery. A preparative program allows informing patients about the surgery, the necessity of the follow-up and the risk of weight regain. It also aims to allow the patient to understand the behaviors which initially brought about its obesity and to help modify these behaviors in order to avoid weight regain after the surgery. A follow-up post surgery by trained health care providers is also recommended. Current literature suggests that patients are satisfied with such educational programs, and that they help them to lose weight before surgery. The efficacy on post surgery weight loss and compliance is yet to be proved.
