Mediating effect of resilience on family function and readiness for hospital discharge in lumbar disc herniation patients after surgery

Abstract

Objective To understand the readiness for hospital discharge in lumbar disc herniation (LDH) patients after surgery and to explore the mediating effect of resilience on family function and readiness for hospital discharge by constructing structure equation model. Methods From January 2018 to March 2019, we selected 212 LDH patients undergoing surgery in Spine Surgery Department at a ClassⅢ Grade A hospital by convenience sampling. All of patients were investigated with the Family APGAR Index (APGAR) , Connor-Davidson Resilience Scale (CD-RISC) and Readiness for Hospital Discharge Scale (RHDS) . Results Among those LDH patients after surgery, the scores of family function, resilience and readiness for hospital discharge were (7.14±2.05) , (54.29±7.23) and (88.79±8.99) respectively. Family function of patients had positive correlations with resilience (r=0.401, P<0.01) and readiness for hospital discharge (r=0.459, P<0.01) ; resilience had a positive correlation with readiness for hospital discharge (r=0.561, P<0.01) . Readiness had a partial mediating effect on family function and readiness for hospital discharge accounting for 42.18% of the total effect. Conclusions Family function not only can positively forecast patients' readiness for hospital discharge, but also has the indirect impact on readiness for hospital discharge by readiness. Nurses should pay attention to the assessment for family function and resilience, and improve patients' readiness for hospital discharge by the improvement of family function and resilience. Key words: Cross-sectional studies; Lumbar disc herniation; Family function; Resilience, psychological; Readiness for hospital discharge; Mediating effect