Discharge readiness of patients with acute cholecystitis undergoing laparoscopic cholecystectomy and its influencing factors

Abstract

Objective This study was aimed to describe the status of discharge readiness of patients with acute cholecystitis undergoing laparoscopic cholecystectomy (LC) and explore its influencing factors. Methods Convenient sampling method was used to select 396 patients with acute cholecystitis undergoing LC at the Department of Biliary Surgery at West China Hospital from July 2016 to March 2018. Clinical Data Questionnaires, Discharge Readiness Scale, and Discharge Guidance Quality Scale were adopted to assess patients' discharge readiness and discharge guidance quality, and the correlation between the two variables was analyzed. Multi-linear regression analysis was used to analyze the influencing factors of discharge readiness. Results In this study, the total score of discharge readiness in patients with acute cholecystitis undergoing LC was (176.95±29.37) , and the total score of discharge guidance quality was (149.31±30.77) , which were both at upper-middle levels. Multi-linear regression analysis showed that the education level, family average monthly income, numbers of long-term medications required, place of residence and discharge guidance quality were influencing factors of discharge readiness of patients with acute cholecystitis undergoing LC (β'=0.491, 0.278, -0.321, 0.356, 0.619; P<0.05) . Pearson correlation analysis showed that discharge guidance quality was positively correlated with discharge readiness in patients with acute cholecystitis undergoing LC (r=0.602, P<0.01) . Conclusions The discharge readiness was at an upper-middle level in patients with acute cholecystitis undergoing LC. Medical care staff should formulate intervention strategies based on the influencing factors and increase the discharge guidance quality, in order to improve discharge readiness and accelerate the recovery process. Key words: Cholecystitis, acute; Cholecystectomy, laparoscopic; Discharge readiness; Discharge guidance; Influencing factors