---
title: "IMCHB-Based Discharge Preparation Improves Readiness and Self-Management After Laryngeal Cancer Su"
id: "pubmed-42764518"
canonical_url: "https://medichelpline.com/clinical-feed/pubmed-42764518"
content_type: "clinical_feed_article"
specialty: "Oncology"
source_name: "PubMed / NCBI"
source_url: "https://pubmed.ncbi.nlm.nih.gov/42764518/"
doi: "10.12659/MSM.953699"
published_at: "2026-09-21T00:00:00.000Z"
evidence_level: "Journal Article"
license: "CC-BY-NC-4.0 / Informational Use"
---
# IMCHB-Based Discharge Preparation Improves Readiness and Self-Management After Laryngeal Cancer Su
## Provenance & Clinical Metadata
- **Canonical URL:** https://medichelpline.com/clinical-feed/pubmed-42764518
- **Specialty:** [Oncology](https://medichelpline.com/clinical-feed/oncology.md)
- **Primary Source:** PubMed / NCBI
- **Source URL:** [Original Journal Publication](https://pubmed.ncbi.nlm.nih.gov/42764518/)
- **DOI:** [10.12659/MSM.953699](https://doi.org/10.12659%2FMSM.953699)
- **Published At:** 2026-09-21T00:00:00.000Z
- **Evidence Rating:** Journal Article
## Executive GIST (TL;DR)
- This quasi-experimental, non-randomized controlled study evaluated a discharge preparation program based on the **Cox Interaction Model of Client Health Behavior (IMCHB)** in patients undergoing laryngeal cancer surgery. - Convenience sampling recruited 65 patients at a tertiary hospital; 33 were assigned to the intervention group and 32 to the control group by admission order. - The control group received routine nursing care; the intervention group received IMCHB-based discharge preparation plus routine care. - Outcomes measured before the intervention, at discharge, and 1 month after discharge included **readiness for hospital discharge**, **self-management ability**, and **anxiety/depression**. - At discharge, the intervention group had higher readiness-for-discharge scores (99.97 ± 6.31 vs 88.09 ± 6.14; MD = 11.88, 95% CI: 8.65–14.71; Cohen’s d = 1.91). - At discharge, self-management ability was higher in the intervention group (174.73 ± 9.35 vs 152.13 ± 12.78; MD = 22.60, 95% CI: 17.05–28.15; Cohen’s d = 2.02). - Anxiety scores at discharge were lower in the intervention group (41.48 ± 2.89 vs 43.19 ± 3.70; MD = −1.71, 95% CI: −3.36 to −0.06; Cohen’s d = 0.51). - One month after discharge, self-management remained higher in the intervention group (median 189.00 [186.00, 191.50] vs 144.00 [133.00, 154.50]; Mann-Whitney r = 0.86). - One month after discharge, depression scores were lower in the intervention group (40.73 ± 3.18 vs 46.75 ± 3.09; MD = −6.02, 95% CI: −7.57 to −4.47; Cohen’s d = 1.92). - Authors conclude IMCHB-based discharge preparation was associated with improved readiness for discharge, greater self-management ability, and reduced anxiety and depression, but note results should be interpreted cautiously and that randomized controlled trials are needed to confirm effectiveness.
## Clinical Analysis & Structured Key Points
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Affiliations Expand ### Affiliations * 1 Department of Thoracic Surgery, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan, China. * 2 Department of Otorhinolaryngology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan, China. * PMID: **42764518** * DOI: [ 10.12659/MSM.953699 ](https://doi.org/10.12659/msm.953699) Item in Clipboard # Effects of a Discharge Preparation Program Based on the Cox Interaction Model of Client Health Behavior in Patients Undergoing Laryngeal Cancer Surgery Xingdan Li et al. Med Sci Monit. 2026. Show details Display options Display options Format Abstract PubMed PMID Med Sci Monit Actions * [ Search in PubMed ](https://pubmed.ncbi.nlm.nih.gov/?term=%22Med+Sci+Monit%22%5Bjour%5D&sort=date&sort_order=desc) * [ Search in NLM Catalog ](https://www.ncbi.nlm.nih.gov/nlmcatalog?term=%22Med+Sci+Monit%22%5BTitle+Abbreviation%5D) * [ Add to Search ](https://pubmed.ncbi.nlm.nih.gov/42764518/) . 2026 Sep 21:32:e953699. doi: 10.12659/MSM.953699. ### Authors [Xingdan Li](https://pubmed.ncbi.nlm.nih.gov/?term=Li+X&cauthor_id=42764518)[ 1 ](https://pubmed.ncbi.nlm.nih.gov/42764518/#short-view-affiliation-1 "Department of Thoracic Surgery, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan, China."), [Lin Ye](https://pubmed.ncbi.nlm.nih.gov/?term=Ye+L&cauthor_id=42764518)[ 1 ](https://pubmed.ncbi.nlm.nih.gov/42764518/#short-view-affiliation-1 "Department of Thoracic Surgery, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan, China.")[ 2 ](https://pubmed.ncbi.nlm.nih.gov/42764518/#short-view-affiliation-2 "Department of Otorhinolaryngology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan, China.") ### Affiliations * 1 Department of Thoracic Surgery, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan, China. * 2 Department of Otorhinolaryngology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan, China. * PMID: **42764518** * DOI: [ 10.12659/MSM.953699 ](https://doi.org/10.12659/msm.953699) Item in Clipboard Cite Display options Display options Format Abstract PubMed PMID ## Abstract BACKGROUND Readiness for hospital discharge is critical for rehabilitation outcomes, yet traditional discharge education often fails to meet individualized needs after laryngeal cancer surgery. The Cox Interaction Model of Client Health Behavior (IMCHB) provides a patient-centered framework emphasizing interaction and empowerment, but its application in this population is rarely reported. IMCHB-based discharge preparation intervention in patients undergoing laryngeal cancer surgery was evaluated. MATERIAL AND METHODS This quasi-experimental, non-randomized controlled study used convenience sampling to recruit patients undergoing laryngeal cancer surgery at a tertiary hospital. Sixty-five patients (33 intervention, 32 control) were assigned by admission order. The control group received routine nursing care; the intervention group received an IMCHB-based discharge preparation intervention plus routine care. Groups were compared for readiness for hospital discharge, self-management ability, and anxiety/depression before the intervention, at discharge, and 1 month after discharge. Effect sizes and 95% CIs were calculated for key between-group comparisons. RESULTS At discharge, the intervention group had higher readiness-for-discharge scores (99.97±6.31 vs 88.09±6.14; MD=11.88, 95% CI: 8.65-14.71; Cohen's d=1.91), higher self-management ability (174.73±9.35 vs 152.13±12.78; MD=22.60, 95% CI: 17.05-28.15; Cohen's d=2.02), and lower anxiety scores (41.48±2.89 vs 43.19±3.70; MD=-1.71, 95% CI: -3.36 to -0.06; Cohen's d=0.51). One month after discharge, self-management remained higher (189.00 [186.00, 191.50] vs 144.00 [133.00, 154.50]; Mann-Whitney r=0.86), and depression scores were lower (40.73±3.18 vs 46.75±3.09; MD=-6.02, 95% CI: -7.57 to -4.47; Cohen's d=1.92). CONCLUSIONS IMCHB-based discharge preparation was associated with higher readiness for discharge and self-management ability and lower anxiety/depression scores after laryngeal cancer surgery. These findings should be interpreted cautiously, and randomized controlled trials are needed to confirm its effectiveness and clinical utility. 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