Abstract:

Objective To select,evaluate and summarize the best available evidence for key tasks of discharge planning in all hospitalized patients,so as to provide references for clinical practice of discharge planning.Methods We searched National Institute for Health and Clinical Excellence,New Zealand Guidelines Group,Scottish Intercollegegiate Guidelines Network,National Guideline Clearinghouse,Guidelines International Network,Joanna Briggs Institute,Registered Nurses’ Association of Ontario,Centers for Medicare Medicaid Services,Health Service Executive,medlive,UpToDate,Cochrane library,CINAHL,Pubmed,CNKI,Wanfang Database,CBM,CQVIP,to collect literature of discharge planning,including standards,guidelines,expert consensuses,government documents,best/recommended practices,summary of evidence,systematic evaluation,systematic reviews. 3 researchers independently evaluated quality of literature and extracted the evidence that met the quality standards.Results 19 articles were enrolled,including 3 standards,5 guidelines,3 expert consensuses,1 expert opinion,2 government documents,1 recommended practice toolkit,1 evidence summary,1 clinical decision,and 2 systematic reviews. Totally 33 pieces of evidence were selected from admission to discharge based on 5 periods of the timeline,including in 24 hours after admission,during hospitalization,in 24 hours before discharge,on discharge day and after discharge.Conclusion This study summarized the best evidence for key tasks of discharge planning for inpatients,and hospitals can develop personalized discharge plans for various diseases to promote safe and effective discharge of patients.

Key words: Inpatients, Discharge Planning, Key Tasks, Evidence-Based Nursing

摘要：

目的 检索、评价和整合出院计划实践方案关键任务相关证据,为出院计划的临床实践提供参考。方法 计算机检索英国国家卫生与临床优化研究所、新西兰指南工作组、苏格兰校际指南网、美国国立指南库、加拿大指南库、英国指南库、国际指南协作网、澳大利亚乔安娜布里格斯研究所（Joanna Briggs Institute,JBI）卫生保健数据库、加拿大安大略护理学会、美国医疗保险和医疗补助服务中心、爱尔兰国家医疗服务中心、医脉通、UpToDate、Cochrane协作网、CINAHL、PubMed、中国知网、万方数据库、中国生物医学文献数据库和维普数据库中关于出院计划的有关标准、指南、专家共识、政府文件、最佳/推荐实践、证据总结、系统评价。由3名研究者对文献质量进行评价和资料提取,对符合质量标准的文献进行证据提取。采用临床指南研究与评价系统和澳大利亚JBI循证卫生保健中心的文献评价标准和证据分级系统,对各类研究进行文献质量评价及证据级别评定。结果 共纳入19篇文献,包括3篇标准、5篇指南、3篇专家共识、1篇专家意见、2篇政府文件、1篇推荐实践信息册、1篇证据总结、1篇临床决策、2篇系统评价。沿患者入院至出院时间轴,分入院24 h、住院期间、出院前24 h、出院当日、出院后5个时间段共提取33条证据。结论 出院计划实践方案关键任务的证据总结科学规范,各级医院、各病种可在此基础上发展个性化的出院计划实践方案,以促进患者安全有效出院。

关键词: 住院患者, 出院计划, 关键任务, 循证护理