Evaluation of the Effectiveness of the Smart Post-Discharge Elderly Health Management Platform for Older Patients' Health-Related Quality of Life: A Cluster Randomised Controlled Trial.
Tongtong Fu, Linlin Xing, Hanxiao Luo, Qi Sun, Yangyang Lv, Xinyi Cui, Yufei Du, Chunling Xia, Ling Fan
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Abstract
Aim: To evaluate the effectiveness of the Smart Post-Discharge Elderly Health Management Platform on health-related quality of life and self-management after hospital discharge.
Background: The global aging population has increased challenges in post-discharge care for older adults, particularly due to chronic conditions and the need for continuous care.
Design: Cluster randomised controlled trial.
Methods: The trial enrolled 383 elderly patients assigned to a platform-based intervention or standard telephone follow-up, with health-related quality of life, self-management, usability and economic outcomes assessed over 6 months. This study was reported in accordance with the CONSORT guidelines.
Results: Repeated measures analyses showed significantly greater improvements in HRQoL in the intervention group over 6 months (p = 0.026), with significant improvements across multiple physical and mental health domains (p = 0.002-0.021). Self-management total scores increased significantly (p < 0.001). Platform usability was rated highly by 96.35% of users, and 70.83% reported reduced healthcare costs.
Conclusions: Providing a practical framework for integrating technology into nursing practice for aging populations, this platform shows promise for post-discharge elderly care by strengthening nurse-led digital health delivery, care continuity, self-management and health outcomes beyond hospital settings.
期刊介绍：
International Journal of Nursing Practice is a fully refereed journal that publishes original scholarly work that advances the international understanding and development of nursing, both as a profession and as an academic discipline. The Journal focuses on research papers and professional discussion papers that have a sound scientific, theoretical or philosophical base. Preference is given to high-quality papers written in a way that renders them accessible to a wide audience without compromising quality. The primary criteria for acceptance are excellence, relevance and clarity. All articles are peer-reviewed by at least two researchers expert in the field of the submitted paper.
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