{"title":"护士主导的基于hapa的出院计划对双j支架尿石症患者术后预后的影响：一项随机对照试验方案","authors":"Jiangtao OuYang, Jia Li, Bin Wang, Jiali Wu, Jing Chen, Xujuan Zheng","doi":"10.1080/07853890.2025.2519676","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction: </strong>Patients with urolithiasis undergoing double-J stent placement often face challenges during the post-operative period, including insufficient discharge preparedness and difficulties in self-management. Discharge planning can assist patients during this critical period. However, the effects of delivering a nurse-led discharge planning program remain under-studied. This study aims to apply the Health Action Process Approach (HAPA) model to develop and evaluate a nurse-led discharge planning intervention.</p><p><strong>Aim: </strong>This randomized controlled trial evaluates the effectiveness of a nurse-led, HAPA-based discharge planning intervention in improving discharge preparedness, self-management behaviors, and quality of life in patients undergoing double-J stent placement for urolithiasis.</p><p><strong>Methods: </strong>A total of 86 patients with urolithiasis undergoing double-J stent placement will be randomly assigned to either the intervention group (HAPA-based discharge planning + usual care planning) or the control group (usual care planning). The intervention consists of four phases: assessment, planning, implementation, and evaluation, delivered during hospitalization, with a 30-day follow-up post-discharge. Primary outcomes include discharge readiness, self-management ability, and quality of life, which will be assessed at baseline, discharge, and 7 and 30 days post-discharge. Secondary outcomes include complications following double-J stent placement and unplanned healthcare service utilization rate.</p><p><strong>Discussion: </strong>The results of this study will provide empirical evidence supporting the application of the HAPA model in post-operative discharge planning for urolithiasis patients. If successful, this intervention could lead to significant improvements in self-management behaviors, reduce complications and unplanned healthcare service utilization rates, and ultimately enhance the quality of life for these patients.</p><p><strong>Trial registration number: </strong>Registered in the Chinese Clinical Trial Registry (ChiCTR2400093503).</p><p><strong>Version identifier: </strong>Version 1.0, 2024-11-07.</p>","PeriodicalId":93874,"journal":{"name":"Annals of medicine","volume":"57 1","pages":"2519676"},"PeriodicalIF":4.3000,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12175186/pdf/","citationCount":"0","resultStr":"{\"title\":\"The effects of a nurse-led HAPA-based discharge planning on post-operative outcomes in urolithiasis patients with double-J stents: protocol for a randomized controlled trial.\",\"authors\":\"Jiangtao OuYang, Jia Li, Bin Wang, Jiali Wu, Jing Chen, Xujuan Zheng\",\"doi\":\"10.1080/07853890.2025.2519676\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Introduction: </strong>Patients with urolithiasis undergoing double-J stent placement often face challenges during the post-operative period, including insufficient discharge preparedness and difficulties in self-management. Discharge planning can assist patients during this critical period. However, the effects of delivering a nurse-led discharge planning program remain under-studied. This study aims to apply the Health Action Process Approach (HAPA) model to develop and evaluate a nurse-led discharge planning intervention.</p><p><strong>Aim: </strong>This randomized controlled trial evaluates the effectiveness of a nurse-led, HAPA-based discharge planning intervention in improving discharge preparedness, self-management behaviors, and quality of life in patients undergoing double-J stent placement for urolithiasis.</p><p><strong>Methods: </strong>A total of 86 patients with urolithiasis undergoing double-J stent placement will be randomly assigned to either the intervention group (HAPA-based discharge planning + usual care planning) or the control group (usual care planning). The intervention consists of four phases: assessment, planning, implementation, and evaluation, delivered during hospitalization, with a 30-day follow-up post-discharge. Primary outcomes include discharge readiness, self-management ability, and quality of life, which will be assessed at baseline, discharge, and 7 and 30 days post-discharge. Secondary outcomes include complications following double-J stent placement and unplanned healthcare service utilization rate.</p><p><strong>Discussion: </strong>The results of this study will provide empirical evidence supporting the application of the HAPA model in post-operative discharge planning for urolithiasis patients. If successful, this intervention could lead to significant improvements in self-management behaviors, reduce complications and unplanned healthcare service utilization rates, and ultimately enhance the quality of life for these patients.</p><p><strong>Trial registration number: </strong>Registered in the Chinese Clinical Trial Registry (ChiCTR2400093503).</p><p><strong>Version identifier: </strong>Version 1.0, 2024-11-07.</p>\",\"PeriodicalId\":93874,\"journal\":{\"name\":\"Annals of medicine\",\"volume\":\"57 1\",\"pages\":\"2519676\"},\"PeriodicalIF\":4.3000,\"publicationDate\":\"2025-12-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12175186/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Annals of medicine\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1080/07853890.2025.2519676\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/6/16 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Annals of medicine","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1080/07853890.2025.2519676","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/6/16 0:00:00","PubModel":"Epub","JCR":"","JCRName":"","Score":null,"Total":0}
The effects of a nurse-led HAPA-based discharge planning on post-operative outcomes in urolithiasis patients with double-J stents: protocol for a randomized controlled trial.
Introduction: Patients with urolithiasis undergoing double-J stent placement often face challenges during the post-operative period, including insufficient discharge preparedness and difficulties in self-management. Discharge planning can assist patients during this critical period. However, the effects of delivering a nurse-led discharge planning program remain under-studied. This study aims to apply the Health Action Process Approach (HAPA) model to develop and evaluate a nurse-led discharge planning intervention.
Aim: This randomized controlled trial evaluates the effectiveness of a nurse-led, HAPA-based discharge planning intervention in improving discharge preparedness, self-management behaviors, and quality of life in patients undergoing double-J stent placement for urolithiasis.
Methods: A total of 86 patients with urolithiasis undergoing double-J stent placement will be randomly assigned to either the intervention group (HAPA-based discharge planning + usual care planning) or the control group (usual care planning). The intervention consists of four phases: assessment, planning, implementation, and evaluation, delivered during hospitalization, with a 30-day follow-up post-discharge. Primary outcomes include discharge readiness, self-management ability, and quality of life, which will be assessed at baseline, discharge, and 7 and 30 days post-discharge. Secondary outcomes include complications following double-J stent placement and unplanned healthcare service utilization rate.
Discussion: The results of this study will provide empirical evidence supporting the application of the HAPA model in post-operative discharge planning for urolithiasis patients. If successful, this intervention could lead to significant improvements in self-management behaviors, reduce complications and unplanned healthcare service utilization rates, and ultimately enhance the quality of life for these patients.
Trial registration number: Registered in the Chinese Clinical Trial Registry (ChiCTR2400093503).
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