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BACKGROUNDPostoperative patients in gastrointestinal surgery often face interrupted professional care and insufficient rehabilitation guidance after discharge.Digital out-of-hospital health monitoring can provide remote monitoring and abnormality alerts, yet its effectiveness depends on patients' adequate cognition of the service.Currently, there is a lack of research on the cognitive status and influencing factors in this population. AIMTo investigate the cognitive status of digital out-of-hospital health monitoring among postoperative patients in gastrointestinal surgery and analyze its influencing factors. CONCLUSIONPostoperative patients in gastrointestinal surgery exhibit generally low cognition of digital out-of-hospital health monitoring, characterized by a "value recognition preceding basic cognition" pattern and prevalent concerns.Digital contact experience predicts cognitive level better than demographic characteristics.Stratified health education should be implemented to strengthen service concept awareness, while technical optimization should be adopted to alleviate patient concerns.
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Gao et al. (2026) studied this question.
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