Factors associated with postoperative discharge readiness and continuing care needs in patients with lung cancer undergoing fast-track surgery: A prospective cohort study
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View abstract on PubMed
Summary
This summary is machine-generated.Most lung cancer patients undergoing fast-track surgery (FTS) are ready for hospital discharge. Discharge readiness is linked to living situation and self-care capacity, informing targeted support for improved patient outcomes.
Area Of Science
- Oncology
- Surgical Innovation
- Patient Care Management
Background
- Fast-track surgery (FTS) aims to minimize surgical stress and enhance recovery for patients.
- Assessing discharge readiness is crucial for effective postoperative care transitions in lung cancer patients.
- Understanding factors influencing readiness ensures appropriate continuing care planning.
Purpose Of The Study
- To analyze characteristics and factors associated with hospital discharge readiness in postoperative lung cancer patients.
- To identify predictors of discharge readiness and continuing care needs in patients undergoing FTS.
- To evaluate the impact of social and self-care factors on discharge readiness.
Main Methods
- A cohort of 180 adult lung cancer patients undergoing FTS was studied.
- Exclusion criteria included severe illness, comorbidities, and cognitive or communication impairments.
- Multivariable regression analysis was used to identify factors associated with discharge readiness scores.
Main Results
- 92.8% of patients reported being ready for discharge.
- Older age (≥60 years) and living alone were associated with lower discharge readiness scores.
- Higher self-care ability and needing less home assistance correlated with greater discharge readiness.
- Care provided by family (children, parents, spouse) resulted in higher readiness scores compared to professional nursemaids.
- Patients requiring continuing care had significantly lower discharge readiness scores than those who did not.
Conclusions
- The majority of lung cancer patients undergoing FTS demonstrate readiness for hospital discharge.
- Discharge readiness is significantly influenced by patients' living arrangements and their ability to perform self-care.
- Identifying these factors can guide interventions to enhance discharge readiness and optimize postoperative care.
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