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Understanding the Challenges of Readiness for Hospital Discharge in Stoma Patients: A Mixed-Methods Study
Liying Lin1,2, Jianwei Zheng3, Zhenglong Lin1
1School of Nursing, Fujian Medical University, Fuzhou, China.
Aim:
To identify key factors influencing readiness for hospital discharge and delve into the experiences of stoma patients regarding their discharge.
Design:
A mixed-methods study.
Method:
A total of 374 colorectal cancer patients with stomas were involved to assess discharge readiness and its influencing factors. Additionally, 28 stakeholders-comprising surgeons, nursing managers, surgical nurses, enterostomal therapists, stoma patients and their family caregivers-participated in semistructured interviews. Data on discharge readiness, discharge teaching quality, stoma self-efficacy and social support were collected using validated scales. In-depth interviews provided further insights into discharge preparation experiences. Multivariate logistic regression analysis using IBM SPSS 26.0 and thematic analysis via NVivo 12.0 were employed for data analysis.
Results:
Six variables accounted for 80% of the variance in discharge readiness: quality of discharge teaching, stoma self-efficacy, social support, age, gender and family income. Four main themes emerged: ambivalence towards discharge, insufficient preparation time, inadequate communication of discharge information and personal planning needs.
Conclusion:
Discharge readiness among stomas patients is influenced by perceived discharge teaching quality, self-efficacy, social support, age, gender and family income. Insufficient preparation and poor communication hinder effective discharge information transfer. Enhanced, patient-centred discharge planning is expected to improve the transition from hospital to home.
Implications For The Profession And/Or Patient Care:
To improve hospital discharge readiness and facilitate a smooth transition to family care, it is essential to implement patient-centred discharge planning.
Reporting Method:
Reported with the Mixed Methods Reporting in Rehabilitation & Health Sciences guidelines.
Patient Or Public Contribution:
None.
Trial Registration:
ClinicalTrials.gov identifier: ChiCTR2200058756. https://www.chictr.org.cn/bin/home.
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