系统分析延续性护理对减重代谢术后患者健康状况的干预效果，以期为临床护理工作者开展相关干预提供参考依据。

依据PRISMA-ScR报告规范，全面而系统检索Embase、CINAHL Plus、PubMed、Web of Science、Cochrane Library、中国知网、万方、维普及中国生物医学文献数据库，检索时限为建库至2025年5月1日，按照纳排标准对相关研究进行筛选、归纳总结、分析并报告结果。

共纳入19篇文献，延续性护理干预流程可归纳总结为6个环节，包括成立延续性护理管理小组、建立健康档案并制定护理干预方案、建立延续性护理医护患减重交流平台、健康宣教标准化可视化、心理护理和定期追踪随访，结局指标主要涉及减重效果（BMI、体质量、腰围、臀围、血压）、生活质量、血糖变化、心理状态（焦虑、抑郁）、护理满意度、饮食行为控制情况及依从性等。

减重代谢术后患者的延续性护理干预内容形式多样，对维持患者减重代谢手术的减重效果，改善其身心健康，提高其生活质量具有积极作用，但其结局指标及其评价工具存在较大异质性，随访时间尚未明确统一。未来应探究适合减重代谢术后患者的规范化延续性护理干预流程并进一步验证，为临床实践应用提供循证参考。

To systematically analyze the intervention effect of continuing care on the health status of patients with metabolic and bariatric surgery (MBS), in order to provide a reference basis for clinical nursing staff to formulate relevant interventions.

In accordance with the PRISMA-ScR reporting guidelines, a comprehensive and systematic search was conducted in Embase, CINAHL Plus, PubMed, Web of Science, Cochrane Library, CNKI, Wanfang, VIP and CBM databases. The retrieval time was from inception of the database to May 1, 2025. Relevant studies were screened, summarized, analyzed, and reported according to the inclusion and exclusion criteria.

A total of 19 studies were included. The process of continuing care intervention could be summarized into six steps, including the establishment of a continuing care management team, establishment of health records and formulation of nursing plans, establishment of a communication platform for weight loss among doctors, nurses and patients in continuous nursing, standardization and visualization of health education, psychological care and regular follow-up visits. The outcome indicators mainly involved weight loss effects (BMI, body weight, waist circumference, hip circumference, blood pressure), quality of life, changes in blood glucose, psychological status (anxiety, depression), nursing satisfaction, dietary behavior control and compliance.

The content and form of continuing care intervention for MBS patients are diverse. It plays a positive role in maintaining the weight loss effect of MBS patients, improving the physical and mental health, and enhancing the quality of life. However, there is significant heterogeneity in the outcome indicators and their measure tools, and the follow-up time has not been clearly unified. In the future, the standardized process suitable for MBS patients should be explored and further verified, so as to provide evidence-based basis for clinical practice applications.