Zhou Junya, Zhao Junping, Xin Juhua, Guo Yali, Jiang Enshe, Chen Chaoran
School of Nursing and Health, Henan University, Kaifeng, Henan, 475004, People's Republic of China.
Department of Cardiology, Henan Provincial Key Medicine Laboratory of Nursing, Henan Provincial People's Hospital, Zhengzhou University People's Hospital, Zhengzhou, Henan, 450003, People's Republic of China.
J Multidiscip Healthc. 2025 Sep 3;18:5505-5519. doi: 10.2147/JMDH.S537560. eCollection 2025.
To explore the transitional care experiences of patients with heart failure (HF) in China, identifying the challenges they face and their needs during the transition from hospital to home.
A qualitative approach was employed, recruiting 18 participants from a tertiary hospital cardiology department between June and October 2023. Data were collected through semi-structured interviews and analysed using thematic analysis.
Among the participants, 83% (15/18) reported feeling inadequately prepared for self-monitoring, with rural patients facing additional difficulties; 67% (12/18) relied on unverified online resources for health information, and 78% (14/18) surrendered medication management to family members. Finally, 89% (16/18) expressed a need for extended hospital guidance, with rural participants highlighting financial difficulty as a significant concern.
The study concludes that there is an urgent need for transitional care reform in China, including standardised discharge protocols, hospital-led telehealth platforms and government-subsidised rehabilitation programmes. These interventions should address urban-rural disparities and reduce caregiver dependency to improve the quality of life for patients with HF during the transition from hospital to home.
探讨中国心力衰竭（HF）患者的过渡性护理体验，确定他们在从医院过渡到家庭期间面临的挑战及其需求。
采用定性研究方法，于2023年6月至10月从一家三级医院心内科招募了18名参与者。通过半结构化访谈收集数据，并采用主题分析法进行分析。
在参与者中，83%（15/18）报告称对自我监测准备不足，农村患者面临更多困难；67%（12/18）依靠未经核实的在线资源获取健康信息，78%（14/18）将药物管理交给家庭成员。最后，89%（16/18）表示需要延长医院指导，农村参与者强调经济困难是一个重大问题。
该研究得出结论，中国迫切需要进行过渡性护理改革，包括标准化出院方案、医院主导的远程医疗平台和政府补贴的康复项目。这些干预措施应解决城乡差距，减少对护理人员的依赖，以改善HF患者从医院过渡到家庭期间的生活质量。
