Facilitating and Hindering Factors in Discharge Preparation During the Hospital-to-Home Transition Period for Newly Diagnosed Tuberculosis Patients: A Qualitative Study.

OBJECTIVE

The aim of this study is to identify the barriers and facilitating factors affecting discharge preparation during the hospital-to-home transition period for treatment-naïve tuberculosis patients, thereby providing a basis for the development of personalised interventions.

METHODS

This study employed a qualitative descriptive research design. Using purposive and maximum diversity sampling strategies, 15 treatment-naïve tuberculosis patients were selected from an infectious diseases hospital in western China to participate in semi-structured in-depth interviews. The interview data was then organised, analysed and distilled using the Colaizzi 7-step analysis method.

RESULTS

The discharge experience during the hospital-to-home transition period for newly diagnosed TB patients comprised two themes and seven subthemes. These included facilitating factors for discharge preparedness diverse home-based treatment supervision methods, plentiful digital healthcare resources, strong desire to return to work, and robust social support and impeding factors for discharge preparednessLack of disease knowledge, Unmet needs regarding patient self-management and a heavy psychological burden.

CONCLUSION

This study demonstrates that the discharge preparedness of newly diagnosed TB patients during the hospital-to-home transition is influenced by multiple factors. Healthcare professionals should conduct precise assessments of patients' discharge preparedness challenges, utilizing these factors to deliver targeted discharge preparation training.