Integrative review of follow-up practices in post-bariatric surgery patients
10.3760/cma.j.cn115682-20250109-00148
- VernacularTitle:减重代谢术后患者随访现状的整合性综述
- Author:
Xuefei LI
1
;
Ke WANG
;
Lili MA
;
Xibei JIA
;
Cong FU
Author Information
1. 河北大学附属医院麻醉科，保定 071000
- Publication Type:Journal Article
- Keywords:
Evidence-based medicine;
Bariatric surgery;
Postoperative follow-up;
Integrative review
- From:
Chinese Journal of Modern Nursing
2025;31(11):1401-1408
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To conduct an integrative review of follow-up practices in post-bariatric surgery patients, clarify current follow-up strategies and influencing factors, and provide references for clinical practice and future research.Methods:An integrative review approach was employed. Systematic searches were conducted in PubMed, Web of Science, Cochrane Library, CINAHL, China National Knowledge Infrastructure, Wanfang, and VIP for studies related to post-bariatric surgery follow-up. The search period extended up to December 1, 2024. Data extraction and synthesis were performed by two independent researchers.Results:A total of 30 studies were included, comprising 12 non-randomized quantitative studies, 11 descriptive quantitative studies, three randomized controlled trials, three qualitative studies, and one mixed-method study. Among them, 15 studies explored factors contributing to loss to follow-up, which were mainly categorized into subjective psychological factors, objective barriers, demographic characteristics, and medical-related factors. A total of 12 studies evaluated the effectiveness of various follow-up strategies, showing that telemedicine and IoT-based remote follow-up models could improve patient adherence and reduce the risk of postoperative complications. Additionally, multidisciplinary collaborative models demonstrated superior outcomes in increasing follow-up rates, lowering complication rates, and improving excess weight loss compared to traditional management approaches. The use of financial incentives exhibited short-term effectiveness, with quantitative studies indicating sustained adherence for up to six months; however, qualitative studies suggested that while patients acknowledged financial incentives as a supportive measure, they perceived their impact on long-term motivation to be limited. Furthermore, routine monitoring, continuity of care led by dedicated personnel, and efficient team communication were identified as effective strategies to enhance follow-up adherence and postoperative management.Conclusions:Multiple factors influence follow-up adherence in post-bariatric surgery patients. Technology-driven remote follow-up and personalized support strategies have shown significant advantages in enhancing follow-up rates. Future efforts should focus on standardizing post-bariatric surgery follow-up protocols.
