Effects of clinical nursing pathway in bariatric surgery patients efficacy and impact on quality of life
临床护理路径在减重代谢手术患者中效果及对生活质量的影响

摘要

目的 分析临床护理路径对接受减重代谢手术患者的疗效并评估其对术后康复进程及患者生活质量的影响。方法 选取2024年6月-2025年5月142例减重代谢手术患者，通过随机分配将患者分为各71例患者的对照组和观察组。对照组实施常规护理，观察组则采用临床护理路径干预，通过对比两组在各指标上的差异来评估两种护理方式的具体效果。结果 相较于对照组观察组的手术时间和术后住院同时明显更短、术中出血量明显更少且并发症发生率明显更低（p<0.05），代谢改善情况：身体质量指数(BMI)、空腹血糖值（FPG）、糖化血红蛋白(HbA1c）优于对照组（p<0.05），生活质量情况：身体机能、身体职能、躯体疼痛、总体健康显著高于对照组（p<0.05）。结论 临床护理路径可优化围手术期管理，促进代谢指标改善并全面提升患者生活质量，值得临床推广。

Abstract

Objective To analyze the therapeutic effect of clinical nursing pathway on patients undergoing weight loss metabolic surgery and evaluate its impact on postoperative rehabilitation process and patient quality of life.
Methods 142 patients who underwent weight loss metabolic surgery from June 2024 to May 2025 were selected and randomly assigned to a control group and an observation group of 71 patients each. The control group received routine nursing care, while the observation group received clinical nursing pathway intervention. The specific effects of the two nursing methods were evaluated by comparing the differences in various indicators between the two groups.
Results Compared with the control group, the observation group had significantly shorter surgery time and postoperative hospitalization, significantly less intraoperative bleeding, and a significantly lower incidence of complications (p<0.05). Metabolic improvement: Body mass index (BMI), fasting blood glucose (FPG), and glycated hemoglobin (HbA1c) were better than those of the control group (p<0.05). Quality of life: physical function, physical pain, and overall health were significantly higher than those of the control group (p<0.05).
Conclusion   The clinical nursing pathway can optimize perioperative management, promote metabolic index improvement, and comprehensively enhance patients' quality of life, which is worthy of clinical promotion.