The intervention effect of discharge planning on patients with gastrointestinal tumors:A Meta-analysis
Objective To evaluate the clinical effects of the formulation and implementation of discharge planning on self-care ability,complication incidence,discharge readiness and quality of life in patients with gas-trointestinal malignancies through Meta-analysis.Methods Randomized controlled trials related to discharge planning for patients with gastrointestinal malignancies were searched in PubMed,Web of Science,The Co-chrane Library,EMBASE,CINAHL,CNKI,Wanfang Data,VIP Database,and China Biology Medicine disc,and the references of the included literature were traced.The retrieval time limit was from the establishment of the databases to November 2023.Two researchers independently screened the literature,extracted data and conducted quality evaluation,and RevMan 5.4 software was used for statistical analysis.Results A total of 14 articles were included,involving a total of 1 332 patients.The Meta-analysis results showed that compared with routine care,discharge planning improved patients'readiness for hospital discharge[SMD=2.51,95％CI(0.88,4.15),Z=3.01,P＜0.001]and self-care ability[SMD=1.86,95％CI(1.40,2.31),Z=8.04,P＜0.001],and reduced the incidence of complications[OR=0.27,95％CI(0.17,0.43),Z=5.58,P＜0.001.In terms of quality of life,when evaluated using the QLQ-C30 scale,the difference was not statisti-cally significant[SMD=0.74,95％CI(-0.25,1.73),Z=1.47,P=0.140].However,when evaluated u-sing the Stoma Patient Quality of Life Scale,the difference was statistically significant[SMD=4.36,95％CI(2.83,5.89),Z=5.58,P＜0.001].Conclusion Discharge planning can effectively improve readiness for hospital discharge and self-care ability among patients with gastrointestinal cancer,and reduce the incidence of complications.However,its impact on quality of life remains uncertain and requires further validation through more high-quality studies.
万方数据
维普
