Summary of the best evidence for discharge preparation services for patients undergoing lung cancer surgery

JI Wenying; SHEN Yonghong; ZHANG Yan; PU Zhiyan; YAO Rong

doi:10.12102/j.issn.2095-8668.2024.13.001

Abstract：Objective:To systematically search,evaluate,and summarize the best evidence for discharge preparation services for patients undergoing lung cancer surgery to provide a basis for clinical practice.Methods:Relevant literature of guidelines,evidence summaries,best practices,clinical decision-making,systematic reviews,standards,and expert consensus on discharge preparation services for patients undergoing lung cancer surgery was retrieved from UpToDate,BMJ Best Practice,JBI,NICE,NGC,the Cochrane Library,PubMed,Yimaitong,CNKI,SinoMed,WanFang Database,VIP,and other domestic and foreign websites and databases.The search period was from the establishment of the database to November 30,2023.The literature was evaluated according to the literature quality evaluation tool,and the evidence was extracted,summarized,and graded.Results:A total of 18 articles were included,including 3 clinical decision-making articles,4 guidelines,2 evidence summaries,4 systematic reviews,3 expert consensus articles,and 2 standards.Finally,the best evidence for discharge preparation services for lung cancer surgery patients was formed with 28 recommendations on 5 topics,including admission assessment,discharge plan formulation,discharge preparation,discharge follow-up,and effect evaluation.Conclusions:When applying the summarized evidence,clinical medical staff need to combine the national conditions,department characteristics,and actual patient conditions to develop a localized and personalized discharge preparation service plan for patients undergoing lung cancer surgery to improve the patients discharge readiness and reduce the patients postoperative complications and readmission rate effectively.