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Iranian Journal of Public Health، جلد ۵۴، شماره ۵، صفحات ۹۵۱-۹۶۲
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عنوان انگلیسی Assessing Discharge Readiness and Factors in Peripherally Inserted Central Catheter Carriers with Malignant Tumors: A Meta-Analysis
چکیده انگلیسی مقاله 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.
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نویسندگان مقاله | Wenyan Pan
Department of Interventional Radiotherapy, Huzhou Central Hospital, Affiliated Central Hospital of Huzhou University, Huzhou City, Zhejiang Province, 313000, China


| Feng Zheng
Department of Oncology, Haining Traditional Chinese Medicine Hospital, Haining City, Zhejiang Province, 314400, China


| Yangzhuo Shi
Department of Oncology, The First Affiliated Hospital of Shaanxi University of Chinese Medicine, Xianyang City, Shaanxi Province, 712000, China
نشانی اینترنتی https://ijph.tums.ac.ir/index.php/ijph/article/view/35506
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