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Factors Influencing Readiness for Hospital Discharge among Patients Undergoing Enterostomy: A Descriptive,
Siqing Li1, Cuilian Luo, Minyi Xie
1In the Department of Gastrointestinal Surgery, Fifth Affiliated Hospital of Sun Yat-sen University, Zhuhai, Guangdong, China, Siqing Li, MD, is Registered Nurse and Enterostomal Therapist; and Cuilian Luo, BSN, is Registered Nurse. Minyi Xie, MD, is Head Nurse and Enterostomal Therapist, Department of Major Surgery, Fifth Affiliated Hospital of Sun Yat-sen University. Also in the Department of Gastrointestinal Surgery, Fifth Affiliated Hospital of Sun Yat-sen University, Jinman Lai, BSN, Hong Qiu, BSN, Lihong Xu, BSN, and Jianchang Chen, BSN, are Registered Nurses; Linjie Mo, BSN, and Xiaofang Guan, BSN, are Registered Nurses and Wound Therapists; Feng Tang, BSN, Yan Zhang, BSN, Qiaona Huang, BSN, and Yuxia Liu, BSN, are Registered Nurses; Wenxin Luo, BSN, is Head Nurse; and Jianmin Chen, BSN, is Registered Nurse.
Objective:
To examine the factors influencing hospital discharge readiness among Chinese patients who have undergone enterostomy.
Methods:
In this descriptive, cross-sectional study, researchers recruited patients with colorectal cancer who underwent enterostomy at a tertiary hospital in Guangdong Province, China, via convenience sampling between January 2021 and January 2023. Participants completed the Readiness for Hospital Discharge Scale, Ostomy Self-care Ability Scale, and Stoma-Quality of Life-Chinese Questionnaire (Chinese version) at the time of hospital discharge. Univariate, correlation, and multiple linear regression analyses were performed to explore the impact of self-care ability, quality of life, and other clinicodemographic characteristics on patients' readiness for hospital discharge.
Results:
Of the 200 questionnaires distributed, 177 (88.5%) were completed and included in the final analysis. The median scores for the factors considered in this study were as follows: Readiness for Hospital Discharge Scale was 148.00 (interquartile range [IQR], 117.50, 164.00), self-care intention of the Ostomy Self-care Ability Scale was 36.00 (IQR, 34.00, 40.00), self-care knowledge of the Ostomy Self-care Ability Scale was 17.00 (IQR, 15.00, 19.00), self-care skill of the Ostomy Self-care Ability Scale was 5.00 (IQR, 3.00, 6.00), and the total score for quality of life was 60.00 (IQR, 49.00, 69.00). Multiple linear regression analysis identified several key factors explaining 48.2% of the variance in global readiness for hospital discharge: global quality of life (β = .347, P < .001), self-care knowledge (β = .259, P < .001), leakage during hospitalization (β = -0.241, P < .001), monthly family income (β = .148, P = .008), stoma siting before surgery (β = .130, P = .020), and self-care intention (β = .127, P = .035).
Conclusions:
The readiness for hospital discharge among patients undergoing enterostomy in this study was high. Factors such as quality of life, self-care knowledge, leakage during hospitalization, monthly family income, stoma siting before surgery, and self-care intention after undergoing enterostomy influenced the patients' readiness for hospital discharge. Therefore, future studies should focus on developing interventions to enhance patients' readiness for hospital discharge.
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