Optimal Evidence Summary for Discharge Preparation in Elderly Chemotherapy Patients

Meng Zheng,1 Chongfang Meng,2 Qi Zhang,3 Xiang Yan,1 Na Li1 1Dermatology Department of the First Affiliated Hospital of Kunming Medical University, Kunming, Yunan, People’s Republic of China; 2Department of Oncology, First Affiliated Hospital of Kunming Medical University, Kunming, Yunan, People’s Republic of China; 3Nursing Department of Zhongshan Hospital Affiliated to Fudan University, Shanghai, People’s Republic of ChinaCorrespondence: Na Li, Dermatology Department of the First Affiliated Hospital of Kunming Medical University, 295 Xichang Road, Wuhua District, Kunming, Yunnan, People’s Republic of China, Email [email protected]: This study aims to systematically search, screen, evaluate, and synthesize evidence related to discharge preparation for elderly chemotherapy patients, providing an evidence-based reference for implementing discharge preparation services for this demographic.Methods: Systematic searches were conducted on databases including BMJ Best Clinical Practice, JBI Library, UpToDate Clinical Advisor, Cochrane Library, and relevant guideline websites. The collected literature comprised thematic summaries, clinical practice guidelines, technical reports, expert consensus, and systematic reviews related to discharge preparation for elderly chemotherapy patients. Relevant evaluation tools were selected based on the type of literature to assess methodological quality, and the evidence was extracted, summarized, and organized.Results: Fifteen pieces of evidence were selected according to inclusion and exclusion criteria, including one clinical decision, two expert consensuses, six systematic reviews, two meta-analyses, and four guidelines. Twenty-nine pieces of evidence were summarized across four domains: assessment, planning, implementation, and evaluation.Conclusion: The summarized evidence provides a reliable basis for implementing evidence-based discharge preparation services for elderly chemotherapy patients, laying a foundation for future clinical practice applications. Based on the evidence content and relevant literature, this paper explores the screening and evaluation tools applicable for use in clinical practice.Keywords: elderly, chemotherapy, discharge preparation, evidence-based nursing, evidence synthesis, review