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Parental readiness for discharge in day surgery children: current status and associated factors
Huiling Wang1, Qinqin Ding1, Ting Chen1
1Department of Day Surgery, Children's Hospital of Nanjing Medical University, Nanjing, China.
Insights
Parental readiness for pediatric day surgery discharge is moderate. Factors like prior surgery history, education, residence, and income influence parents' preparedness for bringing children home after surgery.
Area of Science:
- Pediatric Surgery
- Healthcare Management
- Parental Education
Background:
- Optimizing postoperative outcomes in pediatric day surgery necessitates enhanced parental readiness for hospital discharge.
- Current evidence on parental discharge preparedness in pediatric day surgery is limited.
- This study addresses the gap by assessing parental readiness and identifying influencing factors.
Purpose of the Study:
- To evaluate the discharge readiness of parents whose children underwent day surgery.
- To identify key factors influencing parental discharge readiness in this population.
Main Methods:
- A study included 252 parents of children undergoing day surgery between February 2024 and February 2025.
- The Discharge Readiness Scale was used to assess parental preparedness.
- Correlation and multiple linear regression analyses identified influencing factors.
Main Results:
- The overall discharge readiness score for parents was 235.18±30.66, indicating a moderate level.
- Significant factors influencing readiness included the child's prior day surgery history, parental education level, place of residence, and personal monthly income (all P<0.05).
Conclusions:
- Parental discharge readiness for pediatric day surgery is at a moderate level.
- Targeted pre-discharge guidance and continuity of care are recommended to boost parental confidence and readiness.
- Healthcare providers should focus on identified influencing factors to improve discharge preparedness.
Background:
Enhancing parental readiness for hospital discharge is critical for optimizing postoperative outcomes in pediatric day surgery. However, current evidence regarding the discharge preparedness of parents in this context remains insufficient. This study aimed to assess the status of parental readiness for discharge of day surgery children and identify its key influencing factors.
Methods:
Parents of the day surgery children at our hospital from February 2024 to February 2025 were included in this study. We utilized the Discharge Readiness Scale to assess the study participants, examining their discharge readiness scores and identifying associated influencing factors.
Results:
A total of 252 parents of day surgery children were included. The overall discharge readiness score among these parents was 235.18±30.66. Correlation analysis revealed significant associations between parental discharge readiness and several factors: the child's previous history of having day surgery (r=0.590), the parent's educational level (r=0.632), place of residence (r=0.592), and personal monthly income (r=0.606) (all P<0.05). Multiple linear regression found that the child's previous history of having day surgery, the parent's educational level, place of residence, and personal monthly income were influencing factors of parental discharge readiness in day surgery children (all P<0.05).
Conclusions:
The discharge readiness of parents of day surgery children is at a moderate level. Healthcare providers should implement targeted pre-discharge guidance and continuity of care to enhance parental confidence and improve their discharge readiness.
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