探讨同伴教育联合家庭康复指导在青少年减重代谢术后患者延续性护理中的应用效果分析。

选择江苏省人民医院于2021年5月至2023年4月收治的青少年肥胖行减重手术的80例患者作为研究对象，随机分为对照组和观察组各40例，对照组给予常规护理，观察组在常规护理的基础上实施以减重沙龙为模板的同伴教育联合家庭康复指导，比较两组护理效果。

两组患者干预前生活质量中的躯体、角色、情绪、认知、社会功能评分差异不具有统计学意义（t分别为0.954、1.324、0.401、1.250、0.265；P分别为0.343、0.189、0.690、0.215、0.992）。干预后评分在两组中均有所提高，观察组的躯体、角色、情绪、认知、社会功能评分均优于对照组，差异有统计学意义（t分别为4.104、6.736、3.064、4.430、13.518，P除情绪功能为0.004外，其余均<0.001）。观察组患者护理满意度高于对照组（χ²=7.671，P=0.012）。

同伴教育联合家庭康复指导在青少年减重代谢术后患者的延续性护理中具有显著效果，能够提高患者生活质量，促进其健康行为的建立，增强其接受体重管理知识的主观能动，可为患者提供更好的护理服务。在青少年减重代谢手术患者逐年增多趋势下，未来可借鉴本研究为患者提供规范化的延续性护理。

To explore the effect of peer education combined with family rehabilitation guidance among adolescent patients after bariatric and metabolic surgery.

A total of 80 obese adolescents undergoing bariatric surgery from May 2021 to April 2023 in the First Affiliated Hospital of Nanjing Medical University were randomly assigned to either a control group receiving standard care or an observation group receiving additional peer education combined with family rehabilitation guidance, based on the weight loss salon model, in addition to usual care. The effects of nursing interventions were then compared between the two groups.

There were no significant differences in the scores of physical, role, emotional, cognitive, and social functions in the quality of life before intervention between the two groups (t= 0.954, 1.324, 0.401, 1.250, and 0.265; P= 0.343, 0.189, 0.690, 0.215, and 0.992). After the intervention, the scores of both groups were improved. The scores of physical, role, emotional, cognitive, and social functions in the observation group were better than those in the control group, and the differences were statistically significant (t= 4.104, 6.736, 3.064, 4.430, and 13.518; P was < 0.001, except for emotional function was 0.004). The nursing satisfaction of the observation group patients is higher than that of the control group (χ²=7.671, P=0.012).

Peer education combined with family rehabilitation guidance significantly improves the continuum of care for adolescent patients after bariatric surgery, enhancing patients' quality of life, promoting the establishment of healthy behaviors, and increasing their engagement with weight management knowledge. Given the rising trend of bariatric surgeries among adolescents, this approach offers superior care services for patients and provides a model for standardized postoperative care.