Readiness for hospital discharge post-initial invasive percutaneous transhepatic biliary drainage: A mixed-methods study

Rattanakanlaya, Kanittha; Vuttanon, Nuttamon; Noppakun, Lalida; Sangwattanarat, Wantanee; Boonyu, Nongnuch; Iamruksa, Srisuda

doi:10.1016/j.heliyon.2023.e15341

Cited by 5 publications

(5 citation statements)

References 29 publications

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“…The study findings indicate that the level of preparedness was high in most patients (74.6%); 23.7% were moderately prepared, and 1.7% had low preparedness. The median RHD score was 148.00 (117.50, 164.00), which aligned with previous research 40–43 . However, this score was higher than that reported by Yang et al 10 suggesting a generally higher RHD in the current clinical setting.…”

Section: Discussionsupporting

confidence: 87%

“…This step aims to ensure the continuity of care and maintain a high standard of living for patients at home or in local community clinics. In addition, a successful discharge is not solely determined by the speed of hospital discharge but rather by the patient’s readiness to transition to community care while maintaining satisfaction, QoL, and positive health outcomes 40,48 …”

Section: Discussionmentioning

confidence: 99%

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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: Discussionsupporting

confidence: 87%

Section: Discussionmentioning

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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“…Nonetheless, post-surgery, patients may experience a decline in gastrointestinal function to a certain degree. This decline can manifest as clinical symptoms like abdominal pain and distension, which not only diminish their quality of life but also pose a potential risk to their overall well-being, particularly for individuals who develop deep vein thrombosis in the lower extremities[ 17 ]. The efficacy of early nutritional therapy in delivering nutritional support to patients with liver and gallbladder diseases has been substantiated, rendering it a more appropriate treatment modality[ 18 ].…”

Section: Discussionmentioning

confidence: 99%

Clinical observation of gastrointestinal function recovery in patients after hepatobiliary surgery

Zeng,

Liu,

Yang

2024

World J Gastrointest Surg

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BACKGROUND The liver is an important metabolic and digestive organ in the human body, capable of producing bile, clotting factors, and vitamins. AIM To investigate the recovery of gastrointestinal function in patients after hepatobiliary surgery and identify effective rehabilitation measures. METHODS A total of 200 patients who underwent hepatobiliary surgery in our hospital in 2022 were selected as the study subjects. They were divided into a control group and a study group based on the extent of the surgery, with 100 patients in each group. The control group received routine treatment, while the study group received targeted interventions, including early enteral nutrition support, drinking water before gas discharge, and large bowel enema, to promote postoperative gastrointestinal function recovery. The recovery of gastrointestinal function was compared between the two groups. RESULTS Compared with the control group, patients in the study group had better recovery of bowel sounds and less accumulation of fluids in the liver bed and gallbladder fossa (P < 0.05). They also had shorter time to gas discharge and first meal (P < 0.05), higher overall effective rate of gastrointestinal function recovery (P < 0.05), and lower incidence of postoperative complications (P < 0.05). CONCLUSION Targeted nursing interventions (early nutritional support, drinking water before gas discharge, and enema) can effectively promote gastrointestinal function recovery in patients undergoing hepatobiliary surgery and reduce the incidence of complications, which is worthy of promotion.

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“… 21 Rattanakanlaya found that the quality of discharge guidance for PTBD patients was positively correlated with their discharge readiness, and a high degree of discharge readiness indicates that patients are ready for home care, have a better grasp of the knowledge of disease pipeline nursing and have a higher compliance and self‐care ability, which could effectively improve their quality of life outside the hospital. 15 Therefore, the transitional care team should pay attention to the quality of discharge guidance and ensure that it is provided according to the needs of patients so that patients and their families can master the nursing knowledge of drainage tubes during hospitalization and reduce the pressure of transitional care after discharge. 26 However, the patient's age, education level, learning and acceptance ability, health literacy, mental state and physical condition can all affect discharge guidance.…”

Section: Discussionmentioning

confidence: 99%

“…However, the majority of the current studies on transitional care for PTBD patients are intervention studies exploring the effects of different transitional care modalities. A very small number of studies have focused on the quality of transitional care services for PTBD patients and explored the experiences and perceptions of PTBD patients and healthcare professionals regarding the current transitional care services through a qualitative study 15 . Therefore, by interviewing both discharged PTBD patients and healthcare professionals, this study aimed to explore their perceptions regarding the current transitional care services to provide references for establishing better transitional care for PTBD patients to improve their quality of life.…”

Section: Introductionmentioning

confidence: 99%

Perceptions of transitional care services among patients with percutaneous transhepatic biliary drainage and multicentre health professionals: A qualitative study

Yu,

Wang,

Wang

et al. 2023

Health Expectations

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BackgroundPatients with percutaneous transhepatic biliary drainage (PTBD) need regular drainage tube care after discharge, and transitional care can help solve this problem. However, few studies have focused on the quality of transitional care, the perceptions of patients with drainage tubes after discharge and those of healthcare professionals.AimThis study is aimed at exploring the real experience and perceptions of transitional care services among healthcare professionals and PTBD patients who have been discharged with tubes and at providing references for future transitional care service development.DesignThe study uses a qualitative descriptive design. The reporting method followed Consolidated Criteria for Reporting Qualitative Research guidelines.MethodsSemistructured interviews were conducted with PTBD patients who had been discharged with tubes and multicentre healthcare professionals using the purpose sampling method. The thematic analysis method was used for analysis.ResultsThirteen PTBD patients from one hospital and 12 healthcare professionals from three hospitals were interviewed. The analysis of the patient interview data revealed three themes, namely, recognition of the value of transitional care services, patients have some unmet needs and perception of transitional care service pathways. Six subthemes were also identified. The analysis of the interview data of healthcare professionals revealed two themes, namely, harvest and challenges in transitional care services work and expectations for future development of transitional care services. Four subthemes were also identified.ConclusionsThe transitional care of discharged patients with PTBD tubes deserves the attention of clinical workers, and a series of measures should be taken to improve transitional care services.Patient/Public ContributionPatients were involved in the formulation of interview questions for this study, and during the interviews, patients presented their suggestions for transitional care services. Healthcare professionals participated in this study as interviewees, and no members of the public were involved in this study.

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Readiness for hospital discharge post-initial invasive percutaneous transhepatic biliary drainage: A mixed-methods study

Cited by 5 publications

References 29 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

Clinical observation of gastrointestinal function recovery in patients after hepatobiliary surgery

Perceptions of transitional care services among patients with percutaneous transhepatic biliary drainage and multicentre health professionals: A qualitative study

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