Abstract:

Objective To conduct a scoping review of the application of digital health technologies in the continuity of care for patients after bariatric and metabolic surgery，providing a reference for the practice of post-bariatric continuous care. Methods A systematic search was conducted in PubMed，Web of Science，Embase，CINAHL，Cochrane Library，CNKI，China Biomedical Literature Database，Wanfang Database，and VIP Database for studies on the application of digital health technologies in the continuity of care for post-bariatric and metabolic surgery patients，with the search period spanned from database inception to November 11，2025. The included literature was summarized and analyzed. Results A total of 21 studies were included. The application carriers of digital health technologies include application programs，monitoring devices and systems，and remote nursing services. They are mainly applied to health behavior management，dynamic physiological monitoring and early warning of complications，targeted interventions for psychosocial adaptation，and optimization of continuity of care services. Evaluation indicators include anthropometric indicators，metabolic and laboratory indicators，basic physiological monitoring indicators，behavior and self-management indicators，psychological and quality of life indicators，patient satisfaction，healthcare service efficiency indicators，clinical outcomes and efficacy evaluation indicators，and other indicators. Considerations involve patient assessment and adaptation，technology selection and security assurance，monitoring standards and usage guidance，and data management and follow-up systems. Conclusion Digital health technologies hold substantial promise for continuous care following metabolic surgery for weight loss. It is recommended that future initiatives should be guided by clinical needs，with the development of a hierarchical and standardized digital intervention system，the enhancement of multidimensional objective assessment indicators，and the integration of resources through regional medical collaboration platforms，to advance high-quality and intelligent development in this field.

Key words: Bariatric and Metabolic Surgery, Digital Health Technology, Continuity of Care, Scoping Review

摘要：

目的 对数字健康技术在减重与代谢手术后患者延续性护理中应用的研究进行范围审查，为减重与代谢手术后患者延续性护理实践提供参考。 方法 系统检索PubMed、Web of Science、Embase、CINAHL、Cochrane Library、中国知网、中国生物医学文献数据库、万方数据库与维普数据库中关于数字健康技术在减重与代谢手术后患者延续性护理中应用的相关研究，检索时限为建库至2025年11月11日，并对纳入文献进行汇总分析。 结果 共纳入21篇文献，数字健康技术的应用载体包括应用程序类、监测设备与系统类、远程护理服务类。主要应用于健康行为管理、动态生理监测与并发症早期预警、心理社会适应针对性干预、延续性护理服务的优化。评价指标包括人体测量学指标、代谢及实验室指标、基础生理检测指标、行为与自我管理指标、心理与生活质量指标、患者满意度、医疗服务效率指标、临床结局与疗效评估指标及其他指标。注意事项涉及患者评估与适配、技术选择与安全保障、监测规范与使用指导、数据管理与随访体系。 结论 数字健康技术在减重与代谢手术后延续性护理中具有良好的应用前景，建议未来以临床需求为导向，构建分层级、标准化的数字干预体系，完善多维度客观评价指标，并依托区域医疗协同平台整合资源，以推动该领域向高质量、智能化方向发展。

关键词: 减重与代谢手术, 数字健康技术, 延续性护理, 范围综述