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Current Status and Associated Factors of Discharge Readiness in Ambulatory-Surgery Patients Based on Transition
Jing Zhang1, Xiaoli Xing1, Xiaodan Xia2
1Department of Nursing, The First Hospital of Anhui University of Science and Technology, Huainan, China.
Aims:
This study aimed to identify the discharge readiness level of ambulatory surgery patients and examine the effects of these variables on the discharge readiness of ambulatory surgery patients.
Design:
A cross-sectional quantitative design was used.
Methods:
A convenience sample of 212 patients undergoing ambulatory surgery between January 2022 and June 2023 was enrolled. Discharge readiness, quality of discharge teaching, health literacy and family support were measured. Pearson correlation and multiple linear regression were used to examine associations and explanatory factors.
Results:
It was determined that the discharge readiness of patients with ambulatory surgery was at a medium level (91.10 ± 8.53). Discharge readiness was positively associated with quality of discharge teaching (r = 0.703, p < 0.01), health literacy (r = 0.503, p < 0.01) and family support (r = 0.305, p < 0.01). Stepwise multiple linear regression showed that quality of discharge teaching (β = 0.613, p < 0.001), health literacy (β = 0.205, p < 0.001), surgical specialty (ophthalmology: β = 0.370, p < 0.001; otorhinolaryngology: β = 0.138, p = 0.002), age groups (45-59 years: β = -0.106, p = 0.012; 75-89 years: β = -0.175, p < 0.001), family support (β = 0.112, p = 0.007), living arrangement (β = 0.101, p = 0.011) and occupation (retirement: β = -0.095, p = 0.041) were significantly associated with discharge readiness. The final model was statistically significant (adjusted R2 = 0.682), explaining 68.2% of the variance in discharge readiness.
Conclusion:
Discharge readiness of ambulatory surgery patients was moderate. The quality of discharge teaching, health literacy, surgical specialty (ophthalmology, otorhinolaryngology), age groups (45-59 and 75-89 years), family support, living arrangement and occupation (retirement), which cover multiple dimensions such as spanning personal, environmental, family and therapeutic factors, were associated with discharge readiness.
Patient Or Public Contribution:
Data were collected via questionnaire from participants. Findings can inform personalised discharge preparation programs to improve the discharge readiness of day surgery patients.
Reporting Method:
This study was reported in accordance with the STROBE guidelines.
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