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Implementation and Evaluation of Discharge Planning for Patients Undergoing Umbilical Cord Blood Transplantation.
Huang, Lu; Zhu, Yan; Wu, Yun; Wang, Ying-Ying; Song, Gui-Qi; Song, Kai-di; Wu, Yao-Hua; Zhang, Yong-Liang.
Afiliación
  • Huang L; School of Management, University of Science and Technology of China, Hefei, Anhui, China (mainland).
  • Zhu Y; Department of Hematology, The First Affiliated Hospital of USTC, Division of Life Sciences and Medicine, University of Science and Technology of China, Hefei, Anhui, China (mainland).
  • Wu Y; Department of Hematology, The First Affiliated Hospital of USTC, Division of Life Sciences and Medicine, University of Science and Technology of China, Hefei, Anhui, China (mainland).
  • Wang YY; Department of Hematology, The First Affiliated Hospital of USTC, Division of Life Sciences and Medicine, University of Science and Technology of China, Hefei, Anhui, China (mainland).
  • Song GQ; Department of Hematology, The First Affiliated Hospital of USTC, Division of Life Sciences and Medicine, University of Science and Technology of China, Hefei, Anhui, China (mainland).
  • Song KD; Department of Education, The First Affiliated Hospital of USTC, Division of Life Sciences and Medicine, University of Science and Technology of China, Hefei, Anhui, China (mainland).
  • Wu YH; Department of Hematology, The First Affiliated Hospital of USTC, Division of Life Sciences and Medicine, University of Science and Technology of China, Hefei, Anhui, China (mainland).
  • Zhang YL; School of Management, University of Science and Technology of China, Hefei, Anhui, China (mainland).
Ann Transplant ; 29: e943770, 2024 Jun 18.
Article en En | MEDLINE | ID: mdl-38887010
ABSTRACT
BACKGROUND Umbilical cord blood transplantation (UCBT) patients have high rates of unplanned readmissions and poor quality of life (QoL). The aim of this study was to evaluate the effects of discharge planning on unplanned readmissions, self-efficacy, QoL, and clinical outcomes. MATERIAL AND METHODS Patients who received their first UCBT from April 2022 to March 2023 were included. Participants (n=72) were assigned to a control group (CG received usual care) or an intervention group (IG received discharge planning from admission to 100 days after UCBT). The cumulative readmission rates 30 days after discharge and 100 days after UCBT were analyzed using the log-rank test. Self-efficacy and QoL were assessed at admission and 100 days after UCBT using the General Self-Efficacy Scale and FACT-BMT version 4, clinical outcomes derived from medical records. RESULTS Sixty-six patients completed the study. Discharge planning did not reduce readmission rates 30 days after discharge (20.59% vs 31.25%, P=0.376) or 100 days after UCBT (29.41% vs 34.38%, P=0.629). However, the IG showed significantly better self-efficacy (P<0.001), and except for social and emotional well-being, all the other dimensions and 3 total scores of FACT-BMT in the IG were higher than for the controls at 100 days after UCBT (P<0.05). CONCLUSIONS The discharge planning program can improve self-efficacy and QoL of UCBT recipients. The implementation of discharge planning for patients undergoing UCBT was necessary for successful hospital-to-home transitions.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Alta del Paciente / Readmisión del Paciente / Calidad de Vida / Trasplante de Células Madre de Sangre del Cordón Umbilical Límite: Adult / Female / Humans / Male / Middle aged Idioma: En Revista: Ann Transplant Asunto de la revista: TRANSPLANTE Año: 2024 Tipo del documento: Article Pais de publicación: Estados Unidos
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Alta del Paciente / Readmisión del Paciente / Calidad de Vida / Trasplante de Células Madre de Sangre del Cordón Umbilical Límite: Adult / Female / Humans / Male / Middle aged Idioma: En Revista: Ann Transplant Asunto de la revista: TRANSPLANTE Año: 2024 Tipo del documento: Article Pais de publicación: Estados Unidos