{"title":"Assessing Discharge Readiness and Factors in Peripherally Inserted Central Catheter Carriers with Malignant Tumors: A Meta-Analysis.","authors":"Wenyan Pan, Feng Zheng, Yangzhuo Shi","doi":"10.18502/ijph.v54i5.18630","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>The aim of this meta-analysis was to assess the readiness for discharge of patients with malignancy when carrying a peripherally inserted central catheter (PICC) as well as to explore the associated factors affecting readiness for discharge.</p><p><strong>Methods: </strong>PubMed, EMBASE, Web of Science, CNKI, WanFang and VIP databases from inception to Mar 2024 were systematically searched to collect relevant cross-sectional studies. Fixed-effects and random-effects models were used for effect size synthesis, and the stability of the results was assessed by heterogeneity testing, sensitivity analysis, and publication bias detection.</p><p><strong>Results: </strong>Eight cross-sectional studies comprising 748 participants were included, and the mean score for patients' readiness to discharge was 146.98 (95% CI: 127.17, 166.79) under a random-effects model, but the analysis showed a very high degree of heterogeneity (I<sup>2</sup>=100%, <i>P</i><0.01). In our in-depth analysis of factors influencing discharge readiness, we found that literacy level (OR=1.30, 95% CI: 1.07, 1.59) and income level (OR=1.77, 95% CI: 1.13, 2.78) were significantly associated with better readiness for discharge, and that age had a non-significant effect on readiness for discharge, with a combined effect size (OR = 1.03, 95% CI: 0.97, 1.08).</p><p><strong>Conclusion: </strong>Among patients with malignant tumours, self-efficacy, distance from home to the hospital, and income level have a significant impact on discharge readiness in their PICC carriers. Optimising discharge instructions and patient education strategies for these factors may improve patients' readiness for discharge, reduce the risk of PICC-related complications, and improve outcomes.</p>","PeriodicalId":14685,"journal":{"name":"Iranian Journal of Public Health","volume":"54 5","pages":"951-962"},"PeriodicalIF":1.6000,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12319451/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Iranian Journal of Public Health","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.18502/ijph.v54i5.18630","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"Medicine","Score":null,"Total":0}
引用次数: 0
Abstract
Background: The aim of this meta-analysis was to assess the readiness for discharge of patients with malignancy when carrying a peripherally inserted central catheter (PICC) as well as to explore the associated factors affecting readiness for discharge.
Methods: PubMed, EMBASE, Web of Science, CNKI, WanFang and VIP databases from inception to Mar 2024 were systematically searched to collect relevant cross-sectional studies. Fixed-effects and random-effects models were used for effect size synthesis, and the stability of the results was assessed by heterogeneity testing, sensitivity analysis, and publication bias detection.
Results: Eight cross-sectional studies comprising 748 participants were included, and the mean score for patients' readiness to discharge was 146.98 (95% CI: 127.17, 166.79) under a random-effects model, but the analysis showed a very high degree of heterogeneity (I2=100%, P<0.01). In our in-depth analysis of factors influencing discharge readiness, we found that literacy level (OR=1.30, 95% CI: 1.07, 1.59) and income level (OR=1.77, 95% CI: 1.13, 2.78) were significantly associated with better readiness for discharge, and that age had a non-significant effect on readiness for discharge, with a combined effect size (OR = 1.03, 95% CI: 0.97, 1.08).
Conclusion: Among patients with malignant tumours, self-efficacy, distance from home to the hospital, and income level have a significant impact on discharge readiness in their PICC carriers. Optimising discharge instructions and patient education strategies for these factors may improve patients' readiness for discharge, reduce the risk of PICC-related complications, and improve outcomes.
期刊介绍：
Iranian Journal of Public Health has been continuously published since 1971, as the only Journal in all health domains, with wide distribution (including WHO in Geneva and Cairo) in two languages (English and Persian). From 2001 issue, the Journal is published only in English language. During the last 41 years more than 2000 scientific research papers, results of health activities, surveys and services, have been published in this Journal. To meet the increasing demand of respected researchers, as of January 2012, the Journal is published monthly. I wish this will assist to promote the level of global knowledge. The main topics that the Journal would welcome are: Bioethics, Disaster and Health, Entomology, Epidemiology, Health and Environment, Health Economics, Health Services, Immunology, Medical Genetics, Mental Health, Microbiology, Nutrition and Food Safety, Occupational Health, Oral Health. We would be very delighted to receive your Original papers, Review Articles, Short communications, Case reports and Scientific Letters to the Editor on the above mentioned research areas.
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