Effectiveness of nurse-led discharge planning for hospital inpatients with chronic disease: a Meta-analysis
10.3760/cma.j.issn.1672-7088.2015.23.016
- VernacularTitle:护士主导的出院计划对慢性病住院患者效果的Meta分析
- Author:
Qinmei ZHU
;
Hongyi HU
;
Jia LIU
;
Su WANG
- Publication Type:Journal Article
- Keywords:
Patient discharge;
Nurses;
Chronic disease;
Meta-analysis;
Continuity of patient care
- From:
Chinese Journal of Practical Nursing
2015;31(23):1764-1769
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the effectiveness of nurse-led discharge planning for hospital inpatients with chronic disease.Methods The Cochrane Library,PubMed,Medline,EMBASE,Chinese Biomedical Literature Database Database(CBM),China National Kmowledge Infrastructure (CNKI),VIP Chinese full text database (VIP) and Wanfang Data were searched for randomized controlled trials assessing nurse-directed discharge planning for hospital inpatients with chronic disease.Two reviewers independently extracted data and assessed risk of bias.Meta-analysis was conducted for the eligible studies by RevMan 5.3.4.Results Seventeen randomized controlled trials and 5 331 participants were included.Meta-analysis demonstrated that,compared to standard care,nurse-led discharge planning were effective in reducing hospital readmission [risk radio (RR)=0.73,95％ confidence interval (CI) 0.64-0.84,P＜0.01],duration of inpatient readmissions [mean difference (MD)=-2.48,95％CI-3.68--1.29,P＜0.01],and all-cause mortality (RR=0.78,95％CI 0.62-0.97,P＜ 0.05).However,no reduction in the length of stay of the index admission (MD=-0.18,95％CI-0.64-0.27,P ＞ 0.05) was demonstrated.Conclusions Nurse-led discharge planning has a positive impact on several aspects of care for hospital inpatients with chronic disease,including reducing readmission,readmission length of stay,and all-cause mortality.It is worth being popularized.
