Abstract
BackgroundTo investigate the readiness for hospital discharge of patients discharged with tubes from the department of hepatobiliary surgery and to explore the influencing factors.MethodsA 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.ResultsAccording 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).ConclusionThe 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.
Highlights
To investigate the readiness for hospital discharge of patients discharged with tubes from the department of hepatobiliary surgery and to explore the influencing factors
The purpose of this study is to explore the status quo of the readiness for hospital discharge of the patients discharged with tubes from the department of hepatobiliary surgery of Shaoxing Second Hospital, a prefectural-level city tertiary hospital, analyze the influencing factors, and provide theories and data reference for clinical nursing practice and health education
Correlation analysis of the readiness for hospital discharge and the quality of discharge teaching of the patients discharged with tubes from the department of hepatobiliary surgery The results showed that the total score of the Readiness for Hospital Discharge Scale (RHDS) was significantly correlated with the total score of the Quality of Discharge Teaching Scale (QDTS) (R = 0.855, p < 0.001) (Fig. 1), as well as significantly correlated with the discharge teaching skills and effects (R = 0.889, p < 0.001)
Summary
Lin [16], a Taiwan scholar, and Zhao [17], a doctor working in the West China Hospital, developed a modified Chinese version of the RHDS considering local conditions, and conducted validity test and reliability measurement This scale provided theoretical support, scale template and data model for the follow-up readiness evaluation in various patients. The purpose of this study is to explore the status quo of the readiness for hospital discharge of the patients discharged with tubes from the department of hepatobiliary surgery of Shaoxing Second Hospital, a prefectural-level city tertiary hospital, analyze the influencing factors, and provide theories and data reference for clinical nursing practice and health education
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