Pan Wenyan, Zheng Feng, Shi Yangzhuo
Department of Interventional Radiotherapy, Huzhou Central Hospital, Affiliated Central Hospital of Huzhou University, Huzhou City, Zhejiang Province, 313000, China.
Department of Oncology, Haining Traditional Chinese Medicine Hospital, Haining City, Zhejiang Province, 314400, China.
Iran J Public Health. 2025 May;54(5):951-962. doi: 10.18502/ijph.v54i5.18630.
The aim of this meta-analysis was to assess the readiness for discharge of patients with malignancy when carrying a peripherally inserted central catheter (PICC) as well as to explore the associated factors affecting readiness for discharge.
PubMed, EMBASE, Web of Science, CNKI, WanFang and VIP databases from inception to Mar 2024 were systematically searched to collect relevant cross-sectional studies. Fixed-effects and random-effects models were used for effect size synthesis, and the stability of the results was assessed by heterogeneity testing, sensitivity analysis, and publication bias detection.
Eight cross-sectional studies comprising 748 participants were included, and the mean score for patients' readiness to discharge was 146.98 (95% CI: 127.17, 166.79) under a random-effects model, but the analysis showed a very high degree of heterogeneity (I=100%, <0.01). In our in-depth analysis of factors influencing discharge readiness, we found that literacy level (OR=1.30, 95% CI: 1.07, 1.59) and income level (OR=1.77, 95% CI: 1.13, 2.78) were significantly associated with better readiness for discharge, and that age had a non-significant effect on readiness for discharge, with a combined effect size (OR = 1.03, 95% CI: 0.97, 1.08).
Among patients with malignant tumours, self-efficacy, distance from home to the hospital, and income level have a significant impact on discharge readiness in their PICC carriers. Optimising discharge instructions and patient education strategies for these factors may improve patients' readiness for discharge, reduce the risk of PICC-related complications, and improve outcomes.
本荟萃分析旨在评估携带外周静脉穿刺中心静脉导管（PICC）的恶性肿瘤患者的出院准备情况，并探讨影响出院准备的相关因素。
系统检索了从数据库建立至2024年3月的PubMed、EMBASE、Web of Science、中国知网、万方和维普数据库，以收集相关的横断面研究。采用固定效应模型和随机效应模型进行效应量合成，并通过异质性检验、敏感性分析和发表偏倚检测来评估结果的稳定性。
纳入了8项横断面研究，共748名参与者。在随机效应模型下，患者出院准备的平均得分为146.98（95%CI：127.17，166.79），但分析显示异质性程度非常高（I² = 100%，P < 0.01）。在对影响出院准备的因素进行深入分析时，我们发现识字水平（OR = 1.30，95%CI：1.07，1.59）和收入水平（OR = 1.77，95%CI：1.13，2.78）与更好的出院准备显著相关，而年龄对出院准备的影响不显著，合并效应量（OR = 1.03，95%CI：0.97，1.08）。
在恶性肿瘤患者中，自我效能感、家与医院的距离以及收入水平对携带PICC的患者出院准备有显著影响。针对这些因素优化出院指导和患者教育策略可能会提高患者的出院准备程度。降低PICC相关并发症的风险，并改善治疗效果。
