Aim To explore the relationship between the quality of discharge teaching, readiness for hospital discharge and postdischarge health outcomes in hysterectomy patients. Design Cross‐sectional online survey. Methods A cross‐sectional survey design was used to investigate 331 hysterectomy patients in a hospital in Chengdu. The results were analysed using Spearman's correlation and structural equation model. Results Spearman's correlation analysis revealed moderate‐to‐strong correlations among the quality of discharge teaching, readiness for hospital discharge and postdischarge health outcomes. The total and direct effects of the quality of discharge teaching on patients' readiness for hospital discharge were both 0.70 and readiness for hospital discharge on patients' postdischarge health outcomes were both 0.49. The total, direct and indirect effects of the quality of discharge teaching on patients' postdischarge health outcomes were 0.58, 0.24 and 0.34, respectively. Readiness for hospital discharge mediated the interaction mechanism.
Objective To discuss the impact of the “information platform + self-care model” on the health status of discharged patients following vaginal natural orifice transluminal endoscopic surgery (vNOTES). Methods Patients underwent vNOTES at a tertiary specialized women’s and children’s hospital in Chengdu. They were randomly assigned to one of two groups—the intervention group (29 patients) and the control group (29 patients). The control group received standard education after discharge, while the intervention group received guidance based on an “information platform + self-care model” on discharge; a questionnaire survey was conducted for both groups one month after discharge. Results The quality of life score in the intervention group was higher than that in the control group, and the difference was statistically significant ( P < 0.05); the scores of the intervention group on dimensions such as vitality, general health perceptions, physical role functioning, social role functioning, emotional role functioning, and mental health, except for physical functioning ( Z = 0.034, P = 0.973) and bodily pain ( Z = 1.470, P = 0.141), were higher than those in the control group one month after discharge, and the difference was statistically significant ( P < 0.05). There was no patient (0) in the intervention group who had an unscheduled visit/admission, and there was 1 patient (3.6%) in the control group who had unscheduled visit/admission; there were no statistical differences between the two groups in the number of patients who had an unscheduled visit/admission 1 month after discharge ( P = 0.491). Conclusion The application of the “information platform + self-care model” can, to a certain extent, improve the health status of patients following vNOTES after discharge, and it can also reduce unscheduled visits/admissions, but more research with a larger sample size is required.
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