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A Case of Grade III Obesity in the Elderly Combined with Multisystem Disease Patient Underwent Sleeve Gastrectomy Nursing Throughout Hospitalization

Received: 28 September 2024     Accepted: 18 October 2024     Published: 11 November 2024
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Abstract

Background: Obesity is a complex, multifactorial disease that has a negative impact on health. In 2020, obesity affects about 42% of the global population, and the prevalence of overweight and obesity in Chinese adults is expected to reach 61% by 2030. Methods: Summarize the nursing experience of a case of elderly grade III obesity combined with multisystem disease treated with laparoscopic sleeve gastrectomy. Nursing points include acute heart failure care, coronary heart disease care, obesity other related comorbidities care, skin care, medication care, SG perioperative care, nutritional care, pipeline care, anticipatory psychological care and health education. Results: After the patient underwent individualized treatment and nursing, his vital signs were stable, the abdominal incision healed well, no adverse events occurred during hospitalization, and he was discharged smoothly 11d after surgery. Conclusion: This patient has a variety of metabolic diseases, during hospitalization, we should track the patient's examination and laboratory tests, and pay attention to their physical and psychological care. Older people due to the degradation of various physiological systems, their metabolic function and the poor ability to respond to various diseases, the weight loss effect may be not as good as that of young patients. It is necessary to explain the patients and a longer follow-up time to observe the weight loss effect.

Published in American Journal of Nursing Science (Volume 13, Issue 6)
DOI 10.11648/j.ajns.20241306.11
Page(s) 118-124
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Grade III Obesity, Sleeve Gastrectomy, Perioperative, Nursing

References
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[2] Li R, Li W, Lun Z, et al. Prevalence of metabolic syndrome in Mainland China: a meta-analysis of published studies. [J]. BMC public health, 2016, 16: 296.
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[6] Arterburn D E, Telem D A, Kushner R F, et al. Benefits and Risks of Bariatric Surgery in Adults: A Review. [J]. JAMA, 2020, 324(9): 879-887.
[7] Fernández-Ananín S, Ballester E, Gonzalo B, et al. Is Sleeve Gastrectomy as Effective in Older Patients as in Younger Patients? A Comparative Analysis of Weight Loss, Related Comorbidities, and Medication Requirements. [J]. Obesity surgery, 2022, 32(6): 1909-1917.
[8] Eisenberg D, Shikora S A, Aarts E, et al. 2022 American Society for Metabolic and Bariatric Surgery (ASMBS) and International Federation for the Surgery of Obesity and Metabolic Disorders (IFSO): Indications for Metabolic and Bariatric Surgery [J]. Surgery for Obesity and Related Diseases, 2022, 18(12): 1345-1356.
[9] Katta N, Loethen T, Lavie C J, et al. Obesity and Coronary Heart Disease: Epidemiology, Pathology, and Coronary Artery Imaging.[J]. Current problems in cardiology, 2021, 46(3): 100655.
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[13] Schamroth Pravda N, Cohen T, Klempfner R, et al. Temporal trends in the pre-procedural TIMI flow grade among patients with ST- segment elevation myocardial infarction - From the ACSIS registry. [J]. International journal of cardiology. Heart & vasculature, 2021, 36: 100868.
[14] Shumnalieva R, Kotov G, Ermencheva P, et al. Pathogenic Mechanisms and Therapeutic Approaches in Obesity-Related Knee Osteoarthritis. [J]. Biomedicines, 2023, 12(1).
[15] Tabesh M R, Eghtesadi M, Abolhasani M, et al. Nutrition, Physical Activity, and Prescription of Supplements in Pre- and Post-bariatric Surgery Patients: An Updated Comprehensive Practical Guideline. [J]. Obesity surgery, 2023, 33(8): 2557-2572.
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  • APA Style

    Hu, M., Lin, Q., Lai, H., Liu, M., Yang, J., et al. (2024). A Case of Grade III Obesity in the Elderly Combined with Multisystem Disease Patient Underwent Sleeve Gastrectomy Nursing Throughout Hospitalization. American Journal of Nursing Science, 13(6), 118-124. https://doi.org/10.11648/j.ajns.20241306.11

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    ACS Style

    Hu, M.; Lin, Q.; Lai, H.; Liu, M.; Yang, J., et al. A Case of Grade III Obesity in the Elderly Combined with Multisystem Disease Patient Underwent Sleeve Gastrectomy Nursing Throughout Hospitalization. Am. J. Nurs. Sci. 2024, 13(6), 118-124. doi: 10.11648/j.ajns.20241306.11

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    AMA Style

    Hu M, Lin Q, Lai H, Liu M, Yang J, et al. A Case of Grade III Obesity in the Elderly Combined with Multisystem Disease Patient Underwent Sleeve Gastrectomy Nursing Throughout Hospitalization. Am J Nurs Sci. 2024;13(6):118-124. doi: 10.11648/j.ajns.20241306.11

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  • @article{10.11648/j.ajns.20241306.11,
      author = {Man Hu and Qingran Lin and Huixiang Lai and Min Liu and Jingge Yang and Lina Wu and Jinfen Han and Bingsheng Guan and Weige Li and Zhengpeng Wu},
      title = {A Case of Grade III Obesity in the Elderly Combined with Multisystem Disease Patient Underwent Sleeve Gastrectomy Nursing Throughout Hospitalization
    },
      journal = {American Journal of Nursing Science},
      volume = {13},
      number = {6},
      pages = {118-124},
      doi = {10.11648/j.ajns.20241306.11},
      url = {https://doi.org/10.11648/j.ajns.20241306.11},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajns.20241306.11},
      abstract = {Background: Obesity is a complex, multifactorial disease that has a negative impact on health. In 2020, obesity affects about 42% of the global population, and the prevalence of overweight and obesity in Chinese adults is expected to reach 61% by 2030. Methods: Summarize the nursing experience of a case of elderly grade III obesity combined with multisystem disease treated with laparoscopic sleeve gastrectomy. Nursing points include acute heart failure care, coronary heart disease care, obesity other related comorbidities care, skin care, medication care, SG perioperative care, nutritional care, pipeline care, anticipatory psychological care and health education. Results: After the patient underwent individualized treatment and nursing, his vital signs were stable, the abdominal incision healed well, no adverse events occurred during hospitalization, and he was discharged smoothly 11d after surgery. Conclusion: This patient has a variety of metabolic diseases, during hospitalization, we should track the patient's examination and laboratory tests, and pay attention to their physical and psychological care. Older people due to the degradation of various physiological systems, their metabolic function and the poor ability to respond to various diseases, the weight loss effect may be not as good as that of young patients. It is necessary to explain the patients and a longer follow-up time to observe the weight loss effect.
    },
     year = {2024}
    }
    

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  • TY  - JOUR
    T1  - A Case of Grade III Obesity in the Elderly Combined with Multisystem Disease Patient Underwent Sleeve Gastrectomy Nursing Throughout Hospitalization
    
    AU  - Man Hu
    AU  - Qingran Lin
    AU  - Huixiang Lai
    AU  - Min Liu
    AU  - Jingge Yang
    AU  - Lina Wu
    AU  - Jinfen Han
    AU  - Bingsheng Guan
    AU  - Weige Li
    AU  - Zhengpeng Wu
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    DO  - 10.11648/j.ajns.20241306.11
    T2  - American Journal of Nursing Science
    JF  - American Journal of Nursing Science
    JO  - American Journal of Nursing Science
    SP  - 118
    EP  - 124
    PB  - Science Publishing Group
    SN  - 2328-5753
    UR  - https://doi.org/10.11648/j.ajns.20241306.11
    AB  - Background: Obesity is a complex, multifactorial disease that has a negative impact on health. In 2020, obesity affects about 42% of the global population, and the prevalence of overweight and obesity in Chinese adults is expected to reach 61% by 2030. Methods: Summarize the nursing experience of a case of elderly grade III obesity combined with multisystem disease treated with laparoscopic sleeve gastrectomy. Nursing points include acute heart failure care, coronary heart disease care, obesity other related comorbidities care, skin care, medication care, SG perioperative care, nutritional care, pipeline care, anticipatory psychological care and health education. Results: After the patient underwent individualized treatment and nursing, his vital signs were stable, the abdominal incision healed well, no adverse events occurred during hospitalization, and he was discharged smoothly 11d after surgery. Conclusion: This patient has a variety of metabolic diseases, during hospitalization, we should track the patient's examination and laboratory tests, and pay attention to their physical and psychological care. Older people due to the degradation of various physiological systems, their metabolic function and the poor ability to respond to various diseases, the weight loss effect may be not as good as that of young patients. It is necessary to explain the patients and a longer follow-up time to observe the weight loss effect.
    
    VL  - 13
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