{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T00:19:53Z","timestamp":1792541993199,"version":"4.5.0"},"reference-count":73,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2026,5,15]],"date-time":"2026-05-15T00:00:00Z","timestamp":1778803200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,5,15]],"date-time":"2026-05-15T00:00:00Z","timestamp":1778803200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int J of Nursing Practice"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To evaluate the effectiveness of the Smart Post\u2010Discharge Elderly Health Management Platform on health\u2010related quality of life and self\u2010management after hospital discharge.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The global aging population has increased challenges in post\u2010discharge care for older adults, particularly due to chronic conditions and the need for continuous care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Cluster randomised controlled trial.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The trial enrolled 383 elderly patients assigned to a platform\u2010based intervention or standard telephone follow\u2010up, with health\u2010related quality of life, self\u2010management, usability and economic outcomes assessed over 6\u2009months. This study was reported in accordance with the CONSORT guidelines.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Repeated measures analyses showed significantly greater improvements in HRQoL in the intervention group over 6\u2009months (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.026), with significant improvements across multiple physical and mental health domains (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.002\u20130.021). Self\u2010management total scores increased significantly (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). Platform usability was rated highly by 96.35% of users, and 70.83% reported reduced healthcare costs.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Providing a practical framework for integrating technology into nursing practice for aging populations, this platform shows promise for post\u2010discharge elderly care by strengthening nurse\u2010led digital health delivery, care continuity, self\u2010management and health outcomes beyond hospital settings.<\/jats:p>\n                    <jats:p>\n                      <jats:bold>Trial Registration:<\/jats:bold>\n                      ChiCTR2400089720\n                    <\/jats:p>\n                  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