Analysis of the Status Quo and Influencing Factors of Readiness for Hospital Discharge of Patients Undergoing Hysteromyomectomy

Zhang, Liu; Wang, Gaijing; Cai, Ting; Heng, Yanling

doi:10.4236/ym.2020.43017

Cited by 2 publications

(1 citation statement)

References 9 publications

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“…30,31 Living status, hospital stay duration, and stoma self-care ability influence RHD in patients with an enterostomy because of CRC. 32 However, limited research has focused on other factors contributing to increased RHD in patients with a fecal ostomy (colostomy or ileostomy).…”

Section: Original Investigationmentioning

confidence: 99%

Factors Influencing Readiness for Hospital Discharge among Patients Undergoing Enterostomy: A Descriptive, Cross-sectional Study

Li,

Luo,

Xie

et al. 2024

Adv Skin Wound Care

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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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Section: Original Investigationmentioning

confidence: 99%

Factors Influencing Readiness for Hospital Discharge among Patients Undergoing Enterostomy: A Descriptive, Cross-sectional Study

Li,

Luo,

Xie

et al. 2024

Adv Skin Wound Care

View full text Add to dashboard Cite

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Depression, anxiety, and poor well-being at discharge from psychiatric hospitals: prevalence and risk factors

Mao,

Shalaby,

Owusu

et al. 2024

Front. Psychiatry

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BackgroundBeing ready for discharge is vital to successful hospital-to-home transitions. For many patients, however, the transition from psychiatric hospital care to outpatient care can be challenging. An in-depth understanding of the mental health conditions of patients at discharge is crucial and instructive for recovery research.ObjectiveThe purpose of this study was to determine the prevalence and risk factors of depression, anxiety, and poor well-being symptoms among patients who are about to be discharged from psychiatric units in Alberta, Canada. Our aim was to help determine the prevalence of anxiety, depression, and overall well-being among the general psychiatric inpatient population in Alberta before discharge and the potential factors which may influence this.MethodsThis epidemiological study used a cross-sectional quantitative survey from March 8, 2022, to November 5, 2023, to assess depression, anxiety, and well-being. Participants were invited to complete an online questionnaire that contained demographics, clinical information, and responses to the PHQ-9, GAD-7, and WHO-5 questionnaires. SPSS version 25 was used to analyze the data. Descriptive, univariate, and multivariate regression analyses were employed.ResultThe study found that the prevalence of likely depression, anxiety, and poor well-being among patients about to be discharged was 37.1%, 56.4%, and 48.3%, respectively. Based on a logistic regression model, there was a statistically significant association between anxiety, depression, and poor well-being diagnoses and multiple socio-demographic and clinical factors such as ethnicity, primary mental health diagnoses, education level, housing status, depression, anxiety, and well-being at baseline.ConclusionMental health assessment at discharge is a critical step in the recovery and transition of care. There is still a need for further research to identify the underlying causes and robust predictors of mental health symptoms in patients about to be discharged and to provide appropriate interventions and supportive resources both before and following discharge. Future research utilizing these findings may help identify key opportunities to improve outcomes for patients after discharge.

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Analysis of the Status Quo and Influencing Factors of Readiness for Hospital Discharge of Patients Undergoing Hysteromyomectomy

Cited by 2 publications

References 9 publications

Factors Influencing Readiness for Hospital Discharge among Patients Undergoing Enterostomy: A Descriptive, Cross-sectional Study

Factors Influencing Readiness for Hospital Discharge among Patients Undergoing Enterostomy: A Descriptive, Cross-sectional Study

Depression, anxiety, and poor well-being at discharge from psychiatric hospitals: prevalence and risk factors

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