Objective To construct a discharge preparation program for patients after total laryngectomy led by specialist nurses and explore its application effects.

Methods A multidisciplinary team was established to construct a discharge preparation program for patients after total laryngectomy led by specialist nurses based on Meleis's transition theory. A total of 120 patients who underwent total laryngectomy from April 2023 to October 2024 were selected as the study subjects. A total of 60 patients admitted from April to December 2023 were set as control group, and 60 patients admitted from January to October 2024 were set as intervention group. The intervention group implemented the discharge preparation program for patients after total laryngectomy led by specialist nurses, while the control group received conventional perioperative management after total laryngectomy. The discharge readiness, quality of discharge instruction, and incidence of complications during hospitalization on the day of discharge were compared between the two groups. Additionally, the scores of home health care experience at 1 and 3 months after discharge were compared between the two groups.

Results On the day of discharge, the scores of each dimension and the total score of the discharge readinessscale in the intervention group were higher than those in the control group. The scores of the dimensions ("Actually received content" and "Discharge instruction skills and effects") and the total score of the Quality of Discharge Instruction Scale in the intervention group were higher than those in the control group, with statistically significant differences (P < 0.05). The total incidence of complications during hospitalization in the intervention group was lower than that in the control group, with a statistically significant difference (P < 0.05). At 1 and 3 months after discharge, the scores of the home health care experience scale in the intervention group were higher than those in the control group, with statistically significant differences (P < 0.05).

Conclusion The construction of a discharge preparation service program for patients after total laryngectomy led by specialist nurses based on Meleis's transition theory can effectively improve the discharge readiness and quality of discharge instruction of patients undergoing total laryngectomy, reduce the incidence of complications, and improve the prognosis and early home health care level.