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已发表论文
共病老年患者出院过渡期的不确定性困境与服务需求：一项定性研究
Authors Wu X, Lv J, Feng Y, Qiu T, Liang T, Yan P
Received 20 August 2025
Accepted for publication 11 November 2025
Published 17 November 2025 Volume 2025:19 Pages 3657—3671
DOI https://doi.org/10.2147/PPA.S561781
Checked for plagiarism Yes
Review by Single anonymous peer review
Peer reviewer comments 2
Editor who approved publication: Dr Johnny Chen
Xing Wu,1,2 Jiahui Lv,3 Yajuan Feng,3 Tian Qiu,4 Tingting Liang,5 Ping Yan3
1Administrative Management Department, The Seventh Affiliated Hospital of Xinjiang Medical University, Urumqi, Xinjiang, People’s Republic of China; 2Health Care Research Center for Xinjiang Regional Population, Urumqi, Xinjiang, People’s Republic of China; 3School of Nursing, Xinjiang Medical University, Urumqi, Xinjiang, People’s Republic of China; 4General Practice Department, The Seventh Affiliated Hospital of Xinjiang Medical University, Urumqi, Xinjiang, People’s Republic of China; 5Department of Cardiology, The Seventh Affiliated Hospital of Xinjiang Medical University, Urumqi, Xinjiang, People’s Republic of China
Correspondence: Xing Wu, Administrative Management Department, The Seventh Affiliated Hospital of Xinjiang Medical University, Urumqi, Xinjiang, People’s Republic of China, Email 1484597330@qq.com
Purpose: This study aims to explore the challenges and service needs faced by elderly patients with comorbidities during the transition from hospital discharge, and the study is proposing a way forward for transitioning the elderly patients with multimorbidity.
Patients and Methods: A purposive sampling approach was employed to select 12 elderly patients with comorbidities from the geriatric departments of two tertiary hospitals in the Xinjiang region between November 2024 and March 2025. A phenomenological research design was utilized to conduct semi-structured interviews with participants. Data were analyzed using the seven-step Colaizzi method for phenomenological analysis, supported by Nvivo 15.0 software.
Results: Three main themes and twelve subthemes were identified: (1) Support System Dilemma, (2) Guidance Needs for Discharge Information, (3) Demand for Continuous Services and Safeguards in Medical Institutions.
Conclusion: Elderly patients with comorbidities experience multiple challenges and unmet needs during the discharge transition period. Clinically, it is essential to establish a multidisciplinary transitional care team, conduct comprehensive pre-discharge assessments, enhance system support and polypharmacy management, develop tailored discharge guidance plans to improve the quality of life during the post-discharge transition period.
Keywords: elderly, comorbidity, discharge transition period, uncertain predicament, service needs, qualitative research
1Administrative Management Department, The Seventh Affiliated Hospital of Xinjiang Medical University, Urumqi, Xinjiang, People’s Republic of China; 2Health Care Research Center for Xinjiang Regional Population, Urumqi, Xinjiang, People’s Republic of China; 3School of Nursing, Xinjiang Medical University, Urumqi, Xinjiang, People’s Republic of China; 4General Practice Department, The Seventh Affiliated Hospital of Xinjiang Medical University, Urumqi, Xinjiang, People’s Republic of China; 5Department of Cardiology, The Seventh Affiliated Hospital of Xinjiang Medical University, Urumqi, Xinjiang, People’s Republic of China
Correspondence: Xing Wu, Administrative Management Department, The Seventh Affiliated Hospital of Xinjiang Medical University, Urumqi, Xinjiang, People’s Republic of China, Email 1484597330@qq.com
Purpose: This study aims to explore the challenges and service needs faced by elderly patients with comorbidities during the transition from hospital discharge, and the study is proposing a way forward for transitioning the elderly patients with multimorbidity.
Patients and Methods: A purposive sampling approach was employed to select 12 elderly patients with comorbidities from the geriatric departments of two tertiary hospitals in the Xinjiang region between November 2024 and March 2025. A phenomenological research design was utilized to conduct semi-structured interviews with participants. Data were analyzed using the seven-step Colaizzi method for phenomenological analysis, supported by Nvivo 15.0 software.
Results: Three main themes and twelve subthemes were identified: (1) Support System Dilemma, (2) Guidance Needs for Discharge Information, (3) Demand for Continuous Services and Safeguards in Medical Institutions.
Conclusion: Elderly patients with comorbidities experience multiple challenges and unmet needs during the discharge transition period. Clinically, it is essential to establish a multidisciplinary transitional care team, conduct comprehensive pre-discharge assessments, enhance system support and polypharmacy management, develop tailored discharge guidance plans to improve the quality of life during the post-discharge transition period.
Keywords: elderly, comorbidity, discharge transition period, uncertain predicament, service needs, qualitative research