Survey on the Readiness for Hospital Discharge and Its Influencing Factors among Patients with Cardiac Valve Replacement

Limin Liang,Huan Li,Shiju Huang,Jiaojiao Gu,Youdi Cai,Hengying Fang

doi:10.4236/ojn.2021.115027

Abstract

Background: There are about 200,000 patients in China who need to undergo valve replacement surgery each year. With the promotion and application of the Fast-Track Surgery concept and the increase in hospital bed turnover rate, the average hospital stay of patients undergoing CVR surgery has been significantly shortened, and thus the patients are still in the recovery stage rather than fully recovered when they are discharged from the hospital. Good preparation for discharge can improve patients’ post-discharge self-care ability, reduce the risk of re-admission, and save medical resources. Objective: To describe the status of readiness for hospital discharge among postoperative patients that have undergone CVR, and to explore its influencing factors. Methods: The general information questionnaire, the Readiness for Hospital Discharge Scale and the Quality of discharge Teaching Scale were utilized to investigate 130 post-CVR patients admitted to the Cardiothoracic Surgery Department of a tertiary A-Class hospital in Guangzhou from July 2019 to October 2020. Results: The Readiness for Hospital Discharge Scale was at a moderate level with a total score of 163.88 ± 39.082, while the Quality of Discharge Teaching Scale was also at a moderate level with a total score of 194.09 ± 40.643. Multiple linear regression analysis revealed that the quality of discharge guidance, gender, and occupation were the influencing factors of CVR patient’s readiness for hospital discharge. These three variables jointly explained 45.8% of the total variation. Conclusion: The level of CVR patients’ readiness for hospital discharge is at a moderate level, and the quality of discharge guidance positively affects patients’ readiness for discharge. Therefore, in clinical work, attention should be paid to patient discharge guidance. Personalized health education should be implemented to improve the quality of patient guidance.

Highlights

Cardiac Valve Replacement (CVR) has become the most effective treatment for acquired or congenital heart valve diseases [1]
In clinical work, attention should be paid to patient discharge guidance
The total scores of patients’ post-CVR discharge readiness, the scores of various dimensions and the status of discharge guidance quality scores are shown in Table 1 and Table 2

Summary

Introduction

Cardiac Valve Replacement (CVR) has become the most effective treatment for acquired or congenital heart valve diseases [1]. Discharge readiness refers to medical staff’s comprehensive assessment of the patient’s ability to further recover after leaving the medical institution, taking the patient’s physical, psychological and social health status all into consideration It indicates the patient’s perception of whether he or she is ready for hospital discharge, and it is an indicator suggesting that the patient has an adequate level of recovery to be discharged safely ( not fully recovered but has been effectively recovering) [6] [7]. Personalized health education should be implemented to improve the quality of patient guidance

Objectives

Methods

Results

Discussion

Conclusion