青少年减重代谢手术后依从性管理是一项涉及生理、心理、社会的系统工程，家庭作为最核心的支持系统，其参与度直接决定手术长期效果。家庭-医院协同管理模式通过术前共建认知、术中强化支持、术后动态随访，将家庭的情感与行为支持转化为青少年的依从性动力，同时以医院的专业能力为家庭提供科学指导，形成“1+1>2”的管理效能。尊重青少年的主体性，理解家庭的现实困境，才能构建真正可持续的协同生态，为青少年肥胖的长期防治提供坚实保障。
Abstract
Adolescent compliance management after metabolic and bariatric surgery is a systematic project involving physiological, psychological, and social aspects. The family, as the most central support system, plays a decisive role in determining the long-term effectiveness of the surgery. The family-hospital collaborative management model enhances preoperative cognitive building, intraoperative support, and postoperative dynamic follow-up. It transforms the emotional and behavioral support from families into motivation for adolescents’ compliance, while hospitals provide scientific guidance to families with their professional expertise, creating a synergistic effect where “1+1>2”. Only by respecting the autonomy of adolescents and understanding the practical challenges faced by families can a truly sustainable collaborative ecosystem be established, offering solid support for the long-term prevention and management of adolescent obesity.
关键词
家庭参与度 /
青少年 /
减重代谢手术 /
术后依从性 /
家庭-医院协同管理模式
Key words
family involvement /
adolescents /
metabolic and bariatric surgery /
postoperative compliance /
family-hospital collaborative management model
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