Key result
Elderly hospital-to-home transitions require multidimensional support spanning self-care, professional guidance, and psychosocial resources.
Why the study?
Elderly patients risk fragmented care and adverse outcomes during hospital-to-home transitions, and China lacks effective transitional support services to guide this period.
Elderly patients transitioning from hospital to home have multidimensional care needs that require comprehensive assessment and team-based interventions to ensure safe and effective self-care.
Answers are grounded in this paper and cite their sources.
Requires comprehensive transitional care assessment; leaves open optimal team-based interventions.
Background: Elderly patients, due to their complex medical conditions and extensive care needs, are at risk of experiencing low-quality or fragmented care during transitions between different healthcare settings. After transitioning from hospital to home, inadequate self-care abilities may result in further health deterioration and increased risks of adverse outcomes. Currently, China lacks effective transitional support services from hospital to home, hindering the smooth transition for elderly patients. Therefore, understanding the specific care needs of elderly patients during this period provides a scientific basis for establishing reasonable transitional support services. Objective: This study aims to explore the transitional care needs of elderly patients during the hospital-to-home transition, as perceived by key stakeholders-patients, caregivers, and nurses-using Shanxi Province as a case example. Methods: A descriptive phenomenological method was employed in this study. Purposeful sampling selected 10 elderly patients, 5 caregivers, and 5 nursing staff from a tertiary hospital in Shanxi Province, China, for semi-structured in-depth interviews. The Colaizzi's analysis was used in data analysis. Results: The transitional care needs of elderly patients from hospital to home can be summarized into four themes: the need to enhance self-care abilities, the need for professional guidance, the need for social and psychological support, and the need for healthcare service resources. Conclusion: Elderly patients have diverse care needs during the hospital-to-home transition, which require urgent attention and support. To address these needs, healthcare professionals should conduct comprehensive assessments during the patients' hospitalization, accurately identifying care issues and implementing team-based interventions. By fulfilling these needs, healthcare providers can ensure that elderly patients are well-prepared psychologically, possess sufficient knowledge and self-care skills, and have access to comprehensive support services from hospitals and communities as they transition from professional hospital care to home self-care.
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Li et al. (2024) studied Elderly patients transitioning from hospital to home (n=20). Elderly patients transitioning from hospital to home have multidimensional care needs, including enhancing self-care abilities, professional guidance, social and psychological support, and healthcare service resources.
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