Protocolo de atenção biopsicossocial em cirurgia plástica pós-bariátrica
Data
2023-11-24
Autores
Martins, Angelica Cardoso 
Orientadores
Nicodemo, Denise
Tipo
Dissertação de mestrado
Título da Revista
ISSN da Revista
Título de Volume
Resumo
Introdução: A obesidade pode causar consequências físicas, psicológicas e sociais. A cirurgia bariátrica pode melhorar a condição biopsicossocial do paciente. No entanto, o excesso de pele pósperda de peso pode causar sofrimento psicológico. A cirurgia plástica, sendo o único procedimento capaz de remover o excesso de pele, tem condição de aprimorar a autoimagem, incentivando assim um relacionamento mais saudável consigo mesmo e com os demais. Objetivo: Desenvolver e validar um protocolo de atenção biopsicossocial em cirurgia plástica pósbariátrica. Método: Este estudo abrangeu duas etapas, o Design Thinking com as fases: descobrir, definir, desenvolver e entregar. Fase Descobrir, foi realizada a busca de anterioridade, levantamento bibliográfico, questionário e brainstorming com os especialistas participantes da pesquisa. A fase definir identificou e planejou o conteúdo do protocolo. Na fase desenvolver, o protocolo foi escrito e a partir disso o protocolo em versão Web App foi construído. A etapa Método Delphi consistiu na avaliação do conteúdo do protocolo. A validação se deu pelo Índice de Validade de Conteúdo (IVC) para calcular o grau de concordância das respostas dos especialistas. Fase Entregar, foi apresentado o protocolo em PDF e Web App. Resultados: A busca de anterioridade não encontrou protocolo relacionado à saúde mental e cirurgia plástica pósbariátrica. O levantamento bibliográfico incluiu 48 artigos que abordaram a relação entre aspectos psicológicos e cirurgia plástica pósbariátrica. O conteúdo do protocolo avaliado pelos especialistas, foi validado e alcançou 0,91 de IVC Global. Conclusão: Foi desenvolvido e validado o conteúdo do protocolo de atenção biopsicossocial em cirurgia plástica pósbariátrica.
Introduction: Obesity can cause physical, psychological and social consequences. Bariatric surgery can improve the patient's biopsychosocial condition. However, excess skin postweight loss can cause psychological distress. Plastic surgery, being the only procedure capable of removing excess skin, can improve selfimage, thus encouraging a healthier relationship with oneself and others. Objective: Develop and validate a biopsychosocial care protocol in postbariatric plastic surgery. Method: This study covered two stages, Design Thinking with the phases: discover, define, develop and deliver. Discover phase, a previous search, bibliographic survey, questionnaire and brainstorming were carried out with the experts participating in the research. The define phase identified and planned the content of the protocol. In the develop phase, the protocol was written and from that the Web App version protocol was built. The Delphi Method stage consisted of evaluating the content of the protocol. Validation was carried out using the Content Validity Index (CVI) to calculate the degree of agreement of the experts' responses. Deliver Phase, the protocol was presented in PDF and Web App. Results: The previous search did not find a protocol related to mental health and postbariatric plastic surgery. The bibliographic survey included 48 articles that addressed the relationship between psychological aspects and postbariatric plastic surgery. The content of the protocol evaluated by experts was validated and reached 0.91 from IVC Global. Conclusion: The content of the biopsychosocial care protocol in postbariatric plastic surgery was developed and validated.
Introduction: Obesity can cause physical, psychological and social consequences. Bariatric surgery can improve the patient's biopsychosocial condition. However, excess skin postweight loss can cause psychological distress. Plastic surgery, being the only procedure capable of removing excess skin, can improve selfimage, thus encouraging a healthier relationship with oneself and others. Objective: Develop and validate a biopsychosocial care protocol in postbariatric plastic surgery. Method: This study covered two stages, Design Thinking with the phases: discover, define, develop and deliver. Discover phase, a previous search, bibliographic survey, questionnaire and brainstorming were carried out with the experts participating in the research. The define phase identified and planned the content of the protocol. In the develop phase, the protocol was written and from that the Web App version protocol was built. The Delphi Method stage consisted of evaluating the content of the protocol. Validation was carried out using the Content Validity Index (CVI) to calculate the degree of agreement of the experts' responses. Deliver Phase, the protocol was presented in PDF and Web App. Results: The previous search did not find a protocol related to mental health and postbariatric plastic surgery. The bibliographic survey included 48 articles that addressed the relationship between psychological aspects and postbariatric plastic surgery. The content of the protocol evaluated by experts was validated and reached 0.91 from IVC Global. Conclusion: The content of the biopsychosocial care protocol in postbariatric plastic surgery was developed and validated.
Descrição
Citação
Martins, Angelica Cardoso. Protocolo de atenção biopsicossocial em cirurgia plástica pós-bariátrica. São Paulo, 2023. Dissertação (Mestrado Profissional em Ciência, tecnologia e gestão aplicadas à regeneração tecidual) - Escola Paulista de Medicina (EPM), Universidade Federal de São Paulo (UNIFESP), São Paulo, 2023.