<?xml version="1.0"?>
<Articles JournalTitle="Iranian Journal of Public Health">
  <Article>
    <Journal>
      <PublisherName>Tehran University of Medical Sciences</PublisherName>
      <JournalTitle>Iranian Journal of Public Health</JournalTitle>
      <Issn>2251-6085</Issn>
      <Volume>54</Volume>
      <Issue>5</Issue>
      <PubDate PubStatus="epublish">
        <Year>2025</Year>
        <Month>04</Month>
        <Day>30</Day>
      </PubDate>
    </Journal>
    <title locale="en_US">Assessing Discharge Readiness and Factors in Peripherally  Inserted Central Catheter Carriers with Malignant Tumors: A Meta-Analysis</title>
    <FirstPage>951</FirstPage>
    <LastPage>962</LastPage>
    <AuthorList>
      <Author>
        <FirstName>Wenyan</FirstName>
        <LastName>Pan</LastName>
        <affiliation locale="en_US">Department of Interventional Radiotherapy, Huzhou Central Hospital, Affiliated Central Hospital of Huzhou University, Huzhou City, Zhejiang Province, 313000, China</affiliation>
      </Author>
      <Author>
        <FirstName>Feng</FirstName>
        <LastName>Zheng</LastName>
        <affiliation locale="en_US">Department of Oncology, Haining Traditional Chinese Medicine Hospital, Haining City, Zhejiang Province, 314400, China</affiliation>
      </Author>
      <Author>
        <FirstName>Yangzhuo</FirstName>
        <LastName>Shi</LastName>
        <affiliation locale="en_US">Department of Oncology, The First Affiliated Hospital of Shaanxi University of Chinese Medicine, Xianyang City, Shaanxi Province, 712000, China</affiliation>
      </Author>
    </AuthorList>
    <History>
      <PubDate PubStatus="received">
        <Year>2024</Year>
        <Month>05</Month>
        <Day>13</Day>
      </PubDate>
      <PubDate PubStatus="accepted">
        <Year>2024</Year>
        <Month>12</Month>
        <Day>29</Day>
      </PubDate>
    </History>
    <abstract locale="en_US">Background: The aim of this meta-analysis was to assess the readiness for discharge of patients with malignancy when carrying a peripherally inserted central catheter (PICC) as well as to explore the associated factors affecting readiness for discharge.
Methods: PubMed, EMBASE, Web of Science, CNKI, WanFang and VIP databases from inception to Mar 2024 were systematically searched to collect relevant cross-sectional studies. Fixed-effects and random-effects models were used for effect size synthesis, and the stability of the results was assessed by heterogeneity testing, sensitivity analysis, and publication bias detection.
Results: Eight cross-sectional studies comprising 748 participants were included, and the mean score for patients' readiness to discharge was 146.98 (95% CI: 127.17, 166.79) under a random-effects model, but the analysis showed a very high degree of heterogeneity (I&#xB2;=100%, P&lt;0.01). In our in-depth analysis of factors influencing discharge readiness, we found that literacy level (OR=1.30, 95% CI: 1.07, 1.59) and income level (OR=1.77, 95% CI: 1.13, 2.78) were significantly associated with better readiness for discharge, and that age had a non-significant effect on readiness for discharge, with a combined effect size (OR = 1.03, 95% CI: 0.97, 1.08).
Conclusion: Among patients with malignant tumours, self-efficacy, distance from home to the hospital, and income level have a significant impact on discharge readiness in their PICC carriers. Optimising discharge instructions and patient education strategies for these factors may improve patients' readiness for discharge, reduce the risk of PICC-related complications, and improve outcomes.</abstract>
    <web_url>https://ijph.tums.ac.ir/index.php/ijph/article/view/35506</web_url>
    <pdf_url>https://ijph.tums.ac.ir/index.php/ijph/article/download/35506/8541</pdf_url>
  </Article>
</Articles>
