Factors Influencing Discharge Readiness After Total Knee Replacement

Causey-Upton, Renee; Howell, Dana M.; Kitzman, Patrick H.; Custer, Melba; Dressler, Emily V.

doi:10.1097/nor.0000000000000513

Cited by 15 publications

(18 citation statements)

References 58 publications

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“…erefore, healthcare providers should assess patients' social support early, and their support systems should be involved in the preoperative and postoperative processes. Journal of Ophthalmology Moreover, previous studies showed that social support is an important factor that impacts readiness for discharge [15]. When patients do not have enough social support, they are less prepared for discharge from hospital.…”

Section: Discussionmentioning

confidence: 99%

“…ere may be other mediating factors making a contribution between discharge teaching and readiness for discharge such as patient characteristics and patient self-care ability [15].…”

Section: Discussionmentioning

confidence: 99%

“…Evaluation of readiness for hospital discharge may prevent patients from being discharged prematurely, reduce the incidence of complications and readmission rates after discharge, can also save medical costs, and reduce the burden on medical resources [ 12 ]. Several research studies focused on the readiness for discharge among postpartum mothers who experienced an uneventful vaginal or cesarean birth of a healthy infant [ 13 ], adult patients in general ward [ 14 ], and patients who have surgery [ 15 , 16 ]. The readiness for discharge of patients with ocular fundus disease after day surgery has not been assessed.…”

Section: Introductionmentioning

confidence: 99%

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Exploring the Role of Social Support between Discharge Teaching and Readiness for Discharge in Ocular Fundus Disease Patients: A Cross-Sectional Study

Zhang

Yao

Huang

et al. 2021

Journal of Ophthalmology

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Background. This study aims to evaluate the quality of discharge teaching and readiness for discharge of fundus disease patients treated with day surgery and understand the role of social support between them. Methods. This was a cross-sectional descriptive correlational survey. Through convenient sampling, fundus disease patients treated with day surgery from Zhongshan Ophthalmic Center, China, were recruited. Data were collected using demographic and disease-related information, quality of discharge teaching scale, readiness for hospital discharge scale, and social support scale. Results. 255 fundus disease patients treated with day surgery were recruited at last. The mean total score of readiness for discharge, quality of discharge teaching, and social support in patients with fundus disease were 157.91 (SD = 26.68), 122.97 (SD = 21.55), and 36.32 (SD = 7.60), respectively. Participants with stronger social support had better discharge teaching and then had higher readiness for discharge. Social support played a partial mediator role in the relationship between discharge teaching and readiness for discharge. The mediation effect ratio was 5.5%. Conclusions. The quality of discharge teaching and social support among fundus disease patients who underwent day surgery was relatively high, and readiness for discharge was good. Social support is essential for the quality of discharge teaching and the improvement of discharge readiness. Clinical nurses need to provide appropriate guidelines to help patients seek effective support and improve quality of discharge teaching to enhance the readiness for discharge of fundus disease patients treated with day surgery.

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Section: Discussionmentioning

confidence: 99%

“…ere may be other mediating factors making a contribution between discharge teaching and readiness for discharge such as patient characteristics and patient self-care ability [15].…”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Exploring the Role of Social Support between Discharge Teaching and Readiness for Discharge in Ocular Fundus Disease Patients: A Cross-Sectional Study

Zhang

Yao

Huang

et al. 2021

Journal of Ophthalmology

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“…RHD is a self-perception of patients about whether they are ready to be discharged, it is related to medical satisfaction and safety after discharge closely. Studies [7,15] have shown that the higher RHD, the stronger ability to cope with health challenges after discharge. In this study, the RHD of patients after MIE was at a medium level.…”

Section: Discussionmentioning

confidence: 99%

Effectiveness of the Tailored, Early Comprehensive Rehabilitation Program (t-ECRP) Based on ERAS in Improving the Physical Function Recovery for Patients Following Minimally Invasive Esophagectomy: A Prospective Randomized Controlled Trial

Yang

et al. 2021

Preprint

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BackgroundPerioperative rehabilitation management is essential to enhanced recovery after surgery (ERAS). Few reports, however, focused on quantitative, detailed early activity plans for patients after minimally invasive esophagectomy (MIE). The purpose of this research was to estimate the Tailored, Early Comprehensive Rehabilitation Program (t-ECRP) based on ERAS inthe recovery of bowel function andphysical functionfor patients undergoingMIE. MethodsIn this single-blind, 2-arm, parallel-group, randomized pilot clinical trial, patients were selectedfrom June 2019 to February 2020 and assigned to the intervention group (IG) or the controlgroup(CG)randomly.The participants inIGreceived at-ECRPstrategy during theperioperative period, and the CG received routine care. The recovery of bowel andphysical function, readiness for hospital discharge (RHD) and postoperative hospital stay evaluated on the day of discharge. Results215 cases were enrolled and randomized to theIG (n=107)orCG (n=108). There was no significant difference between the two groups in terms of demographic and clinicalcharacteristics and baseline physical function.After the t-ECRP intervention,the IG group presented a significantly shorter time tofirst flatus(P<0.001) and to first bowel movement postoperative (P=0.024),and a better physical function recovery (P＜0.001), compared with theCG group.The analysis also showed thatparticipants in the IG have higherscores of RHD and shorter length of postoperative stay than the CG (P＜0.05).Conclusions The findings suggest that the t-ECRP can improve bowel andphysical functionrecovery,amelioratepatients'RHD, and shorten postoperative hospital stayfor patients undergoing MIE.Trial registrationClinicalTrials.gov (Identifier: NCT01998230)

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“…RHD is a self-perception of patients about whether they are ready to be discharged, it is related to medical satisfaction and safety after discharge closely. Studies [33,34] have shown that the higher RHD, the stronger ability to cope with health challenges after discharge. In this study, the RHD of patients after esophagectomy was at a medium level.…”

Section: Discussionmentioning

confidence: 99%

Development and Feasibility of the Early Rehabilitation Program on Postoperative Enhanced Recovery Following Minimally Invasive Esophagectomy: A Prospective Randomized Controlled Trial

Yang¹,

Li²,

Mi³

et al. 2020

Preprint

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Background: Perioperative rehabilitation management is essential to enhanced recovery after surgery. Few reports, however, focused on quantitative, detailed early activity plans for patients after esophagectomy. Aim: The purpose of this research was to estimate the effect of the Early Rehabilitation Program (ERP) on the recovery of bowel function and physical function for patients undergoing esophagectomy. Method: In this single-blind, 2-arm, parallel-group, randomized pilot clinical trial, patients were selected from June 2019 to February 2020 and assigned to the intervention group (IG) or the control group(CG) randomly. The participants in IG received an ERP strategy during the perioperative period, and the CG received routine care. The recovery of bowel and physical function, readiness for hospital discharge (RHD) and postoperative hospital stay were evaluated on the day of discharge. Results: 215 cases were enrolled and randomized to the CG (n=108) or IG (n=107). There was no significant difference between the two groups in terms of demographic and clinical characteristics and baseline physical function. After the ERP intervention, the IG group presented a significantly shorter time to first flatus (P<0.001) and to first bowel movement postoperative (P=0.024), and a better physical function recovery (P＜0.001), compared with the CG group. The analysis also showed that participants in the IG have higher scores of RHD and shorter length of postoperative stay than the CG (P＜0.05). Conclusion: The findings suggest that the ERP can improve bowel and physical function recovery, ameliorate patients' RHD, and shorten postoperative hospital stay for patients undergoing MIE.Trial registration：ClinicalTrials.gov Identifier: NCT01998230

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Factors Influencing Discharge Readiness After Total Knee Replacement

Cited by 15 publications

References 58 publications

Exploring the Role of Social Support between Discharge Teaching and Readiness for Discharge in Ocular Fundus Disease Patients: A Cross-Sectional Study

Exploring the Role of Social Support between Discharge Teaching and Readiness for Discharge in Ocular Fundus Disease Patients: A Cross-Sectional Study

Effectiveness of the Tailored, Early Comprehensive Rehabilitation Program (t-ECRP) Based on ERAS in Improving the Physical Function Recovery for Patients Following Minimally Invasive Esophagectomy: A Prospective Randomized Controlled Trial

Development and Feasibility of the Early Rehabilitation Program on Postoperative Enhanced Recovery Following Minimally Invasive Esophagectomy: A Prospective Randomized Controlled Trial

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