18 June 2024 : Original article
Implementation and Evaluation of Discharge Planning for Patients Undergoing Umbilical Cord Blood Transplantation
Lu Huang
12ABCDEFG, Yan Zhu2ABCDEF, Yun Wu2A, Ying-Ying Wang2A, Gui-qi Song3A, Kai-di Song2A, Yao-hua Wu1A, Yong-Liang Zhang4ADG*
DOI: 10.12659/AOT.943770
Ann Transplant 2024; 29:e943770
Table 1 Discharge planning based on the theory of “Timing It Right.”
| Phase | Time | Setting | Care content and patient needs |
|---|---|---|---|
| Event/UCBT | 5–7 days beforeAdmissionShort duration | Home | Information: preparation for admissionEmotional: psychological and social support assessmentTraining: physical activity level assessmentMethods: offering health education online, face-to-face assessment at admission |
| Stabilization | Acute phase of UCBTModerate duration | Hospital | Information: management of symptom and complicationsEmotional: mental and relaxation training, social supportTraining: moderate intensity exercise intervention, 3 days/weeklyMethods: individualized professional care, face-to-face coaching |
| Preparation | After engraftmentModerate duration | Hospital | Information: preparation for dischargeEmotional: mental and relaxation training, social supportTraining: moderate intensity exercise intervention, 5 days/weeklyMethods: individualized professional care, face to face coaching |
| Implementation | First few weeks after dischargeModerate duration | Home | Information: management of every-day home careEmotional: mental and relaxation training, social supportTraining: moderate intensity exercise intervention, 5 days/weeklyMethods: individualized home care guidance, telephone follow-up, home visit, online coaching via WeChat group and HSCT network consulting clinic |
| Adaptation | After a period of adjustment in the homeLong duration | Home | Information: returning to their communityEmotional: mental and relaxation training, social supportTraining: moderate to vigorous intensity exercise intervention, 5 days/weeklyMethods: individualized home care guidance, telephone follow-up, home visit, online coaching via WeChat group and HSCT network consulting clinic |