Predicament of readiness for discharge among heart transplant recipients: a qualitative study

YUAN Binbin; WANG Yanping; SUN Jing; ZHU Liming; TIAN Guo

doi:10.16460/j.issn2097-6569.2025.13.072

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Journal of Nursing ›› 2025, Vol. 32 ›› Issue (13) : 72-78. DOI: 10.16460/j.issn2097-6569.2025.13.072

Predicament of readiness for discharge among heart transplant recipients: a qualitative study

YUAN Binbin^a, WANG Yanping^a, SUN Jing^b, ZHU Liming^c, TIAN Guo^a

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Abstract

Objective To explore the predicament during discharge readiness among heart transplant recipients and to provide reference for establishing discharge readiness service program. Methods Purposive sampling was used to select 14 heart transplant recipients from a tertiary grade-A hospital in Henan province for semi-structured interviews. Colaizzi’s method of phenomenological analysis was used to extract themes. Results Two themes and ten sub-themes were extracted: self-perceived experiential predicament (discharge decision-making, multidimensional negative emotion, transplant-related symptom management, long-term self-monitoring, lifestyle reconstruction, standardized medication management, and role adaptation）and objective support system predicament（medical support, family support and social support）. Conclusion Heart transplant recipients face dual challenges of subjective perception experience and objective support system during discharge readiness, highlighting the interactive influence of internal pressure and external resource shortage. Healthcare providers should conduct comprehensive assessments and implement targeted interventions to facilitate safe hospital-to-home transitions.

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heart transplantation / readiness for discharge / predicament / qualitative research

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YUAN Binbin, WANG Yanping, SUN Jing, ZHU Liming, TIAN Guo. Predicament of readiness for discharge among heart transplant recipients: a qualitative study[J]. Journal of Nursing. 2025, 32(13): 72-78 https://doi.org/10.16460/j.issn2097-6569.2025.13.072

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