Zhang Lingping, He Junjie, Zhou Yue, Li Xiaomei
School of Nursing, Health Science Center, Xi'an Jiaotong University, Xi'an, Shaanxi, People's Republic of China.
Department of Neonatology, Children's Medical Center, the Affiliated Hospital of Southwest Medical University, Luzhou, Sichuan, People's Republic of China.
J Multidiscip Healthc. 2025 May 8;18:2551-2563. doi: 10.2147/JMDH.S515110. eCollection 2025.
The study aimed to systematically search, screen, evaluate, and synthesize evidence regarding the effectiveness of discharge education in enhancing family preparedness for premature infants. The ultimate goal was to provide evidence-based references for implementing discharge education for family caregivers, thereby improving families' discharge readiness and enhancing home care and infant health.
Systematic searches were conducted across BMJ Best Practice, UpToDate, the Cochrane Library, and other relevant databases from October 2014 to October 2024. The collected literature comprised clinical decisions, guidelines, expert consensuses, systematic reviews, meta-analyses, best practices, and randomized controlled trials related to discharge education for enhancing family preparedness for premature infants. Relevant evaluation tools were selected based on the type of literature to assess methodological quality, and the evidence was extracted, summarized, and organized.
A total of 1724 documents were searched. Ultimately, ten pieces of literature were selected based on the inclusion and exclusion criteria, comprising one clinical decision, one guideline, one expert consensus, two systematic reviews, one meta-analysis, one best practice, and three randomized controlled trials. From these literature, a total of thirty-three pieces of evidence were extracted and synthesized across five domains: assessment, planning, implementation, evaluation, and support.
This study synthesized evidence on discharge education for premature infant' families, revealing key insights for clinical practice. It emphasized tailored education plans, early family involvement, multidisciplinary collaboration, and diverse teaching methods. Implementing these practices is expected to improve families' discharge readiness, thereby promoting better infant health.
本研究旨在系统检索、筛选、评估和综合关于出院教育在提高家庭对早产儿准备程度方面有效性的证据。最终目标是为家庭照顾者实施出院教育提供循证参考，从而提高家庭的出院准备度，加强家庭护理和婴儿健康。
于2014年10月至2024年10月在BMJ最佳实践、UpToDate、Cochrane图书馆及其他相关数据库中进行系统检索。收集的文献包括与出院教育相关的临床决策、指南、专家共识、系统评价、荟萃分析、最佳实践以及随机对照试验，这些出院教育旨在提高家庭对早产儿的准备程度。根据文献类型选择相关评估工具以评估方法学质量，并提取、总结和整理证据。
共检索到1724篇文献。最终，根据纳入和排除标准选择了10篇文献，包括1篇临床决策、1篇指南、1篇专家共识、2篇系统评价、1篇荟萃分析、1篇最佳实践和3篇随机对照试验。从这些文献中，在评估、计划、实施、评价和支持五个领域共提取并综合了33条证据。
本研究综合了关于早产儿家庭出院教育的证据，揭示了对临床实践的关键见解。强调了量身定制的教育计划、家庭早期参与、多学科协作和多样化的教学方法。实施这些做法有望提高家庭的出院准备度，从而促进婴儿更健康。
