Construction and verification of discharge preparation and guidance checklist for patients requiring home enteral nutrition: A randomized control trial

Abstract Background To develop, implement, and evaluate a structured discharge preparation and guidance checklist for patients requiring home enteral nutrition (HEN). Methods The HEN discharge preparation and guidance checklist was developed through a multiphase process by literature review, qualitative interview, and Delphi consultation. A randomized controlled trial was conducted with 90 patients (45 intervention, 45 control) requiring HEN at a tertiary hospital in China. The intervention group received checklist‐assisted discharge education, whereas the control group received conventional verbal instructions. Outcomes were assessed using validated tools: Quality of Discharge Teaching Scale (QDTS), Readiness for Hospital Discharge Scale (RHDS), Patient Satisfaction Questionnaire‐18 (PSQ‐18), NutriQoL, Self‐Rating Anxiety Scale (SAS), 30‐day unplanned readmission rates, and patient‐initiated inquiries. Results The intervention group demonstrated significant improvements in QDTS total scores ( P < 0.001), content received ( P < 0.001), and delivery skills and effects ( P = 0.007). RHDS scores for personal status, knowledge, perceived coping ability, and expected support were significantly higher in the intervention group (all P < 0.05). PSQ‐18 ( P < 0.001) and daily life and social activity domains of NutriQoL ( P = 0.036) also improved. However, no significant differences were observed in physical functioning domains of NutriQoL ( P = 0.217), SAS ( P = 0.160), or unplanned readmission rates ( P = 0.343). The intervention group reported fewer online searches for HEN management ( P = 0.035). Conclusion The HEN discharge preparation and guidance checklist effectively standardized discharge education, enhanced patient preparedness, and improved satisfaction. Although short‐term physiological and psychological outcomes showed limited effects, the tool addresses critical gaps in transitional care. Future studies should explore long‐term impacts and integrate financial/psychosocial support.