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T管引流患者的出院准备情况:影响因素与干预措施综述

Readiness for Hospital Discharge Among Patients with T-Tubes: A Review of Influencing Factors and Interventions.

作者信息

Zhou Xiaojuan, Huang Shuai, Gu Jiani

机构信息

Department of General Surgery, Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, 200082, People's Republic of China.

Nursing Department, Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, 200082, People's Republic of China.

出版信息

J Multidiscip Healthc. 2025 Sep 6;18:5581-5590. doi: 10.2147/JMDH.S543372. eCollection 2025.

Abstract

OBJECTIVE

This review aimed to summarizes existing research on readiness for hospital discharge among patients discharged with T-tubes, with a focus on assessment tools, influencing factors, and intervention strategies, to establish a theoretical foundation for improving discharge preparation in this population.

METHODS

A structured literature review was conducted to identify and synthesize studies examining determinants of discharge readiness in patients with drainage tubes, particularly T-tubes.

RESULTS

Multiple factors were found to influence readiness for hospital discharge among patients with T-tubes, including age, living conditions, educational background, and the clarity and comprehensiveness of discharge instructions. In addition, external elements such as the availability of social support significantly impacted discharge readiness.

CONCLUSION

Discharge preparation for patients with T-tubes remains suboptimal in current clinical practice. Future research should prioritize the identification of key influencing factors and the development of individualized discharge plans or decision-support protocols to promote smooth transitions from hospital to home, reduce unplanned readmissions, and improve both patient-reported outcomes and health-related quality of life.

摘要

目的

本综述旨在总结现有关于带T管出院患者出院准备情况的研究,重点关注评估工具、影响因素和干预策略,为改善该人群的出院准备工作奠定理论基础。

方法

进行了一项结构化文献综述,以识别和综合研究引流管患者,特别是T管患者出院准备的决定因素。

结果

发现多个因素影响带T管患者的出院准备情况,包括年龄、生活条件、教育背景以及出院指导的清晰度和全面性。此外,社会支持的可获得性等外部因素对出院准备情况有显著影响。

结论

在当前临床实践中,带T管患者的出院准备情况仍不理想。未来研究应优先确定关键影响因素,并制定个性化出院计划或决策支持方案,以促进从医院到家庭的顺利过渡,减少计划外再入院,并改善患者报告的结果和与健康相关的生活质量。

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