Current Status and Influencing Factors of Readiness for Discharge of Elderly Patients with Chronic Obstructive Pulmonary Disease

作者全名："Wu, Dao-Lin; Luo, Chun-Li; Du, Xu; Li, Pei -Pei; Jiang, Min; Liu, Tao; Sun, Yun"

作者地址："[Wu, Dao-Lin; Du, Xu; Li, Pei -Pei; Jiang, Min; Sun, Yun] Chengdu Med Coll, Sch Nursing, Chengdu, Sichuan, Peoples R China; [Wu, Dao-Lin; Liu, Tao; Sun, Yun] First Affiliated Hosp, Clin Med Coll, Chengdu Med Coll, Chengdu, Sichuan, Peoples R China; [Luo, Chun-Li] Chongqing Med Univ, Sch Nursing, Chongqing, Peoples R China; [Liu, Tao] Clin Med Coll, Dept Oncol, Chengdu, Sichuan, Peoples R China; [Liu, Tao] First Affiliated Hosp, Chengdu Med Coll, Key Clin Specialty Sichuan, Chengdu, Sichuan, Peoples R China; [Liu, Tao; Sun, Yun] 783 Xindu Ave, Chengdu, Sichuan, Peoples R China"

通信作者："Sun, Y (通讯作者)，Chengdu Med Coll, Sch Nursing, Chengdu, Sichuan, Peoples R China.; Liu, T; Sun, Y (通讯作者)，783 Xindu Ave, Chengdu, Sichuan, Peoples R China."

来源：PATIENT PREFERENCE AND ADHERENCE

ESI学科分类：CLINICAL MEDICINE

WOS号：WOS:001002247200001

JCR分区：Q2

影响因子：2

年份：2023

卷号：17

期号：　

开始页：1323

结束页：1333

文献类型：Article

关键词：chronic obstructive pulmonary disease; discharge readiness; quality of discharge guidance; nursing care

摘要："Objective: Readiness for hospital discharge is an important indicator of patients' transition from illness to health and can predict rehabilitation and prognosis. Identifying factors that influence readiness for discharge is crucial for developing effective nursing interventions. Therefore, this study aims to investigate the current status of discharge readiness and its influencing factors in elderly patients with chronic obstructive pulmonary disease (COPD). Methods: A total of 311 elderly inpatients diagnosed with COPD were enrolled in this investigation at a tertiary hospital in Chengdu between December 2021 and June 2022. Questionnaires were designed to collect general information, disease-related information, and responses to the Readiness for Hospital Discharge Scale (RHDS) and the Quality of Discharge Teaching Scale (QDTS). Univariate and multivariate linear regression analyses were employed to further analyze factors related to discharge readiness and the correlation between discharge readiness and the quality of discharge guidance. Results: The total score of discharge readiness of elderly COPD patients was 77.72 +/- 11.86 with a mean score of 6.48 +/- 0.19 for each item. The quality of discharge instructions was 110.54 +/- 15.66, with a mean score of 6.12 +/- 0.15 for each item. Discharge preparation was positively correlated with the quality of discharge guidance. Multivariate analysis showed that marital status, admission mode, length of stay in hospital, Classification of Severity of Airflow Limitation, mMRC classification, number of medications taken with discharge, presence of inhalers in medication orders, mode of home oxygen therapy, and quality of discharge guidance were independent factors of discharge readiness in elderly COPD patients (P < 0.05). Conclusion: Both discharge readiness and the quality of discharge guidance for elderly COPD patients in China are currently suboptimal and need further improvement. The survey findings provide valuable insights that can guide future management practices and interventions aimed at improving discharge readiness."

基金机构：Science and Technology Department of Sichuan Province [21YYJC0003]

基金资助正文：This study was supported by the Science and Technology Department of Sichuan Province (21YYJC0003) .