Readiness for hospital discharge and influencing factors: a cross-sectional study on patients discharged with tubes from the department of hepatobiliary surgery

Abstract

Background To investigate the readiness for hospital discharge of patients discharged with tubes from the department of hepatobiliary surgery and to explore the influencing factors. Methods A cross-sectional survey was conducted for the 161 patients with tubes who were discharged from the department of hepatobiliary surgery of Shaoxing Second Hospital by using the modified Chinese version of Readiness for Hospital Discharge Scale (RHDS) and Quality of Discharge Teaching Scale (QDTS). General data of the patients, such as gender, age, BMI (body mass index), and educational level, were collected. Results According to the statistical results, the total score of the RHDS was 142.40 ± 23.98, and that of the QDTS was 148.14 ± 17.74. Multiple linear step-wise regression analysis revealed that the total score of the QDTS, residence and educational level were the independent influencing factors of the readiness for hospital discharge (p < 0.05). Conclusion The level of the readiness for hospital discharge of the 161 discharged patients with tubes from the department of hepatobiliary surgery was in the middle and lower level. For the patients who are far away from the hospital and have a low education level, we should pay more attention to health education and discharge teaching, so as to improve the readiness for hospital discharge of relatively vulnerable patients, reduce the incidence of adverse events after discharge with tubes, and ensure the health and safety of patients.

Discharge teaching, patient-reported discharge readiness and postsurgical outcomes in gynecologic patients undergoing day surgery: a generalized estimating equation

“…As expected, the Quality of Discharge Teaching Scale was verified to be positively correlated with Readiness for Hospital Discharge Scale, and each dimension of the Quality of Discharge Teaching Scale and Readiness for Hospital Discharge Scale showed strong positive correlations. These results were consistent with previous studies on cataract patients, parents of hospitalized children, general surgical patients and psychiatric patients [ 22 , 23 , 36 , 39 ]. The findings support the structure and relationships proposed by Meleis’ middle-range theory of transitions.…”

“…Interestingly, for the Readiness for Hospital Discharge Scale, the item median score was 8.82, and 98.8% of the participants stated they were ready for discharge, which was higher than that in previous studies of other populations [ 24 , 25 , 36 , 37 ]. One reason might be the relatively young age of our participants.…”

“…Moreover, doctors and nurses provided good quality discharge teaching for these patients despite their decreased length of hospital stay. For the “Delivery” dimension, the item median score was relatively higher than previous studies [ 14 , 15 , 22 , 25 , 36 ], which indicated that the discharge teaching skills and effects of doctors and nurses were acceptable for gynecological patients who underwent day surgery.…”

“…The item median score of the Quality of Discharge Teaching Scale for gynecological patients who underwent day surgery was 9.81, higher than previous studies on parents of hospitalized children, postpartum women, cataract patients and general surgical patients [ 14 , 15 , 22 , 25 , 36 ]. The score of “Content needed” was slightly higher than the score of “Content received”, but the difference in these two variables was not statistically significant (P > 0.05), which was inconsistent with previous studies of postpartum women and cataract patients [ 24 , 25 ].…”

Status Quo and Influencing Factors of Discharge Readiness of Patients with Bilateral Ureteral Stoma After Radical Cystectomy

“…Many factors have been reported to affect readiness for hospital discharge in patients. For example, Qian et al reported that total score of the QDTS, residence and educational level were the major influencing factors for readiness for hospital discharge in patients discharged with tubes ( 7 ). Similarly, another study showed that high education level, employment and the content-received dimension of QDTS favored participants’ readiness for hospital discharge ( 8 ).…”