Understanding the real experiences of elderly patients with chronic diseases during hospital-to-home transition and their expectations of care services can help promote the quality improvement of care services during the transition. In recent years, qualitative studies on real experiences of elderly patients with chronic diseases during the hospital-to-home transition and their experience of care services have gradually increased, however, the results of single qualitative study may not be generalizable and representative.

To systematically evaluate qualitative studies on the real experiences of elderly patients with chronic diseases during the hospital-to-home transition and their experience of care services.

In May 2022, PubMed, Web of Science Core Collection, EmBase, CINAHL, CNKI, and Wanfang Data Knowledge Service Platform were searched for the qualitative studies on the real experiences of elderly patients with chronic diseases during hospital-to-home transition and their experience of care services from inception to May 2022. Two researchers separately screened the literature and extracted data, evaluated the quality of included studies according to the Critical Appraisal Skills Programme (CASP) developed by evidence-based medicine center of University of Oxford. Meta synthesis was applied to integrate the results of the studies.

A total of 13 studies were included with 45 research results extracted, and 3 synthesized findings were integrated from 8 categories grouped by similar findings, including barriers to care services during hospital-to-home transition for elderly patients with chronic diseases; facilitators of care services during hospital-to-home transition for elderly patients with chronic diseases; expectations of elderly patients with chronic diseases for care services during hospital-to-home transition.

Hospital-to-home transition of elderly patients with chronic diseases is a challenging process, and there is still much room for improvement in the quality of care services during the transition. Families, communities, medical institutions, government, and society should actively improve the transition conditions for elderly patients at the individual, community, and social levels. The safe hospital-to-home transition of elderly patients with chronic diseases can be promoted by enhancing education for patients during transition, improving self-management abilities of patients, and providing nurse-led care services during transition.

了解老年慢性病患者在医院-家庭过渡期的真实经历和对护理服务的体验与期望，可以促进过渡期护理服务的改善和质量的提升。近年来，有关老年慢性病患者医院-家庭过渡期真实经历和对护理服务体验的质性研究逐渐增多，但单一的质性研究结果可能不具有概括性和代表性。

系统评价老年慢性病患者从医院到家庭的过渡时期的真实感受和对护理服务的体验。

于2022年5月，计算机检索PubMed、Web of Science核心合集、EmBase、CINAHL、中国知网和万方数据知识服务平台等中英文数据库，搜索关于老年慢性病患者医院-家庭过渡期真实感受和对护理服务体验的质性研究，检索时限均为建库至2022年5月。由两名研究者独立筛选文献、提取资料，并根据英国牛津大学循证医学中心制定的文献质量评价项目（CASP）对纳入文献质量进行评价，运用Meta整合法对研究结果进行整合。

共纳入13篇文献，提炼出45个研究结果，将相似的研究结果归纳为8个类别，并综合得出3个整合结果，分别为：老年慢性病患者医院-家庭过渡期护理的障碍因素；老年慢性病患者医院-家庭过渡期护理的促进因素；老年慢性病患者对医院-家庭过渡期护理的期待。

老年慢性病患者从医院到家庭的过渡是一个充满挑战的过程，过渡期护理服务质量仍有较大的提升空间。家庭、社区、医疗机构、政府、社会应积极改善老年慢性病患者在个人、家庭、社区、社会等层面的过渡条件。可通过强化对过渡期患者的教育、提升患者自我管理能力、提供护士主导的过渡期护理服务等举措，帮助老年慢性病患者实现从医院到家庭的安全过渡。