ORIGINAL RESEARCH article
Front. Med.
Sec. Gastroenterology
Volume 12 - 2025 | doi: 10.3389/fmed.2025.1595361
This article is part of the Research TopicNew Trends in Managing Obesity in Primary CareView all 4 articles
The experience and Discharge Readiness of Patients Undergoing Metabolic and Bariatric Surgery: a qualitative study
Provisionally accepted
- 1Department of Hepatobiliary and Pancreatic Surgery, Zhongnan Hospital, Wuhan University, Wuhan, China
- 2Clinical Medicine Research Center for Minimally Invasive Procedure of Hepatobiliary and Pancreatic Diseases of Hubei Province, Wuhan, Hebei Province, China
- 3Department of Nursing, Zhongnan Hospital, Wuhan University, Wuhan, Hebei Province, China
- 4College of Nursing, Florida State University, Tallahassee, Florida, United States
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Abstract Background: The discharge readiness for metabolic and bariatric surgery (MBS) patients are designed to facilitate their transition from hospital to home and support early rehabilitation, ultimately improving discharge quality and outcomes. Objectives: This study aimed to describe the experiences and discharge readiness of patients undergoing MBS. Setting: A Tertiary hospital, China. Methods: An empirical phenomenological approach was used. Eighteen participants were recruited in Wuhan using convenience sampling. Semi-structured, in-depth, face-to-face interviews were conducted in May 2024. Each interview was transcribed verbatim, and Colaizzi's method was used to analyze the data. Results: Five themes emerged from data analysis: post-surgical adaptation and expectations; negative emotions and stigma; knowledge gaps and ongoing education needs; post-discharge self-management and support needs; navigating physical recovery and long-term life planning. Patients faced both physiological and psychological discomfort. Insufficient social support was due to gaps in self-management knowledge and biased perceptions of reintegration. The surgery also impacted their reintegration into society and family life, while the long-term effect encouraged patients to adopt positive coping strategies and seek external support. Family provided primary support, but ongoing professional medical guidance was crucial for successful recovery and reintegration. Conclusion: The discharge readiness of the patient needs to be appreciated and improved. Developing a specific scale to assess readiness for MBS patients are crucial. A multidisciplinary, patient-centered discharge support system, supported by an information platform, should provide real-time, practical guidance for rehabilitation. Furthermore, establishing an effective post-discharge linkage mechanism will enhance self-management and ensure access to appropriate medical and social support.
Keywords: Metabolic and Bariatric Surgery (MBS), Discharge readiness, experience, qualitative study, Nursing
Received: 18 Mar 2025; Accepted: 02 Sep 2025.
Copyright: © 2025 Fang, Zhang, Wei, Li, Chen, Feng and Du. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence:
Jie Chen, College of Nursing, Florida State University, Tallahassee, 32306-4310, Florida, United States
Bilong Feng, Department of Nursing, Zhongnan Hospital, Wuhan University, Wuhan, Hebei Province, China
Li Du, Department of Hepatobiliary and Pancreatic Surgery, Zhongnan Hospital, Wuhan University, Wuhan, China
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