Effect of an Educational Instructions on Lifestyle Modification and Self-esteem in Morbid Obese Patients undergoing Bariatric Surgery

Document Type : Original Article

Authors

1 Medical-Surgical Nursing, Faculty of Nursing, Helwan University, Egypt

2 Community Health Nursing, Faculty of Nursing, Mansoura University, Egypt

3 Psychiatric Nursing, Faculty of Nursing, South Valley University, Egypt

4 Medical surgical Nursing, Faculty of Nursing, Helwan University, Egypt

Abstract

Background: Obesity is a widespread health issue worldwide, linked to various medical conditions.
Bariatric surgery is recognized as an effective and safe intervention for individuals with morbid obesity.
However, the surgery to be successful and patients maintain long-term weight loss without relapses,
significant changes in lifestyle habits are essential. Aim: To evaluate the effect of educational instructions
on lifestyle modification and self-esteem in morbid obese patients undergoing bariatric surgery. Method:
The study employed a quasi-experimental design, selecting 42 patients as a purposive sample. Tools: I).
A structured Interview Sheet, II). A knowledge Assessment Questionnaire, III). A Lifestyle
Modifications Tool, & IV). The Rosenberg Self-Esteem Scale (RSE). Results: There was a statistically
significant improvement in patients’ knowledge about morbid obesity, bariatric surgery, lifestyle
modifications, and self-esteem following the educational intervention compared to their pre-intervention
levels. Conclusion: Application of an educational instructions’ intervention led to a marked improvement
in patients' knowledge, self-esteem, and adherence to lifestyle modifications at both one- and six-months
post-intervention as compared to their pre-intervention. Recommendation: Bariatric educational
programs should be delivered by a multidisciplinary healthcare team to support sustained and effective
weight loss following bariatric surgery. Utilizing digital communication tools such as social media,
telephone support, and online platforms can help overcome common barriers including cost, time
constraints, and geographic distance.

Keywords