{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,12]],"date-time":"2026-06-12T17:58:07Z","timestamp":1781287087325,"version":"3.54.1"},"reference-count":35,"publisher":"Public Library of Science (PLoS)","issue":"6","license":[{"start":{"date-parts":[[2026,6,12]],"date-time":"2026-06-12T00:00:00Z","timestamp":1781222400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Medical Science Research Project of Hebei","award":["20240214"],"award-info":[{"award-number":["20240214"]}]}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS One"],"abstract":"<jats:sec id=\"sec001\">\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To describe the health education needs and experiences of patients with skeletal-related events due to bone metastasis from solid tumours upon discharge and to provide a reference for the formulation of discharge health education plans for this population.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec002\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A qualitative descriptive design and purposive sampling method were used to select patients with skeletal-related events due to bone metastasis from solid tumours who were hospitalized in the orthopaedic department of a Class III Grade A cancer hospital in Hebei Province from June to July 2024 for in-depth semistructured interviews. A Colaizzi 7-step analysis method was used to refine the themes of the patients\u2019 needs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec003\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The needs of solid tumour bone metastasis patients with skeletal-related events for discharge health education provided by medical staff were refined into five themes: 1) bone health knowledge needs: patients were eager to obtain in-depth knowledge beyond the definition of the disease, such as the specific warning of pathological fracture and the early identification of bone metastasis progression; 2) bone health self-management needs: the focus was on specific operation guidance, including the home application of analgesic stepwise therapy and the protection skills for bone destruction sites; 3) coping with daily life needs: patients were concerned about how to safely go to the toilet, take a bath and other daily activities under the risk of disability; 4) coping with psychological pressure needs: manifested as the counselling needs for fear of disability and psychological support to combat the \u201cburden feeling\u201d during long-term pain; and 5) family and social support needs: patients need a collaborative nursing model that includes family participation, as well as a remote consultation channel for continuous access to professional medical care after discharge. Three themes were extracted from the information experience: 1) barriers to understanding medical terms: the professional words used by medical staff (such as \u201cskeletal-related events\u201d and \u201cbone scan\u201d) confused patients, leading to incorrect interpretation or neglect of health education; 2) passive acceptance: patients were unable to obtain targeted information, and the existing education is mostly one-way indoctrination, which fails to consider the differences in personalized care after bone metastasis of different primary cancers (such as lung cancer, breast cancer and prostate cancer); and 3) the large amount of information leads to poor satisfaction: the large amount of fragmented data provided before discharge leads to information overload and cognitive fatigue among patients, and the actual mastery rate and application satisfaction after discharge are low.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec004\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Patients with skeletal-related events due to bone metastasis from solid tumours face challenges such as a lack of bone health knowledge, psychological distress and a lack of self-management ability when discharged from the hospital. Medical staff should formulate a personalized discharge health education plan according to the needs of patients.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1371\/journal.pone.0341790","type":"journal-article","created":{"date-parts":[[2026,6,12]],"date-time":"2026-06-12T17:26:26Z","timestamp":1781285186000},"page":"e0341790","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":0,"title":["Discharge health education needs and experiences of patients with skeletal-related events from bone metastases: A qualitative 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