Apoio Social e Reganho de Peso Pós-Cirurgia Bariátrica: Estudo de Caso sobre Intervenção com Cuidador

Abstract

The case study aimed to: implement a behavioral intervention for adequacy of social support in caregivers of patients with weight regain after bariatric surgery; verify the effects of the intervention by assessing the patient's perception of the availability and satisfaction with social support and body weight before (baseline), immediately after (moment 2) and one month after the intervention (moment 3 [M3]). The patient was a 20-year-old woman, having a 30% weight regain in relation to the minimum weight achieved after surgery. The caregiver was her mother a 43 year old with whom he resided. Semi structured interviews for the caregiver and patient and a validated scale to access social support were used for data collection. Interventions with the caregiver consisted of five weekly sessions including differential reinforcement techniques, self-monitoring of social support and problem-solving. Following the two moments, there was an increase in the frequency of social support provision by the caregiver in the four behavioral categories worked in intervention: adherence to diet, use of supplements, physical activity and stress management, along three weeks. The results showed that after the intervention, there was an increase in scores on the Social Support Scale answered by the patient compared to the baseline and weight reduction (LB= 185,1lb; M3= 180,7lb). The study indicates the possibility of application of behavioral techniques to improve social support for caregivers of patient's regained weight after bariatric surgery.