Shan Min, Xu Yan, Xi Guangdi, Ding Yaoyao
Qingdao Hospital, University of Health and Rehabilitation Sciences (Qingdao Municipal Hospital), Qingdao, Shandong Province, China.
The Qingdao University School of Nursing, Qingdao, Shandong Province, China.
BMC Nurs. 2025 Aug 12;24(1):1058. doi: 10.1186/s12912-025-03715-4.
This study aimed to evaluate the effects of the interventions on the readiness for hospital discharge in elderly patients with chronic heart failure. The primary outcome was the readiness for hospital discharge. The secondary outcomes were the quality of discharge teaching and the quality of life. The clinical outcomes included the results of the 6-minute walk test and the rate of unplanned readmissions.
A randomized controlled trial was conducted.
A total of 92 participants admitted with heart failure were recruited from the Department of Cardiology at a tertiary hospital in Qingdao. They were randomly allocated to the control group and the intervention group. All participants received usual care. Participants in the intervention group received discharge preparation interventions. Data were collected at baseline, and at 1 month, 3 months follow-up visits.
Compared to the control group, participants in the intervention group had significantly higher levels of the readiness for hospital discharge (P<0.001) at 1-month and 3-month follow-up (P<0.001). Patients in the intervention group had significantly higher quality of life than those in the control group at 3-month follow-up (P<0.001). Participants in the intervention group got higher scores in the 6-minute walk test than those in the control group at 3-month follow-up (P<0.001). The respective rates of unplanned readmissions in the intervention group were 11.4% and 6.8% at 1-month and 3-month follow-up. The rates for the control group were 37.2% and 32.6% at 1-month and 3-month follow-up, respectively (P = 0.005, P = 0.002).
Discharge preparation interventions can effectively improve the readiness for hospital discharge, the quality of discharge teaching and the quality of life, as well as reduce the rate of unplanned readmission.
本研究旨在评估干预措施对老年慢性心力衰竭患者出院准备情况的影响。主要结局是出院准备情况。次要结局是出院指导质量和生活质量。临床结局包括6分钟步行试验结果和非计划再入院率。
进行了一项随机对照试验。
从青岛一家三级医院的心内科招募了92名因心力衰竭入院的参与者。他们被随机分配到对照组和干预组。所有参与者均接受常规护理。干预组的参与者接受出院准备干预措施。在基线、1个月和3个月随访时收集数据。
与对照组相比，干预组参与者在1个月和3个月随访时的出院准备水平显著更高（P<0.001）。干预组患者在3个月随访时的生活质量显著高于对照组（P<0.001）。干预组参与者在3个月随访时的6分钟步行试验得分高于对照组（P<0.001）。干预组在1个月和3个月随访时的非计划再入院率分别为11.4%和6.8%。对照组在1个月和3个月随访时的相应比率分别为37.2%和32.6%（P = 0.005，P = 0.002）。
出院准备干预措施可有效提高出院准备情况、出院指导质量和生活质量，并降低非计划再入院率。
