Correlation between readiness for hospital discharge and quality of discharge guidance in patients after joint replacement_West China Medical Journal

Authors：

DUAN Dan ,  NING Ning , CHEN Jiali , LIU Huan , LI Peifang

Department of Orthopedics, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding?author：

NING Ning, Email: gkningning@126.com

Keywords：

Arthroplasty replacement; Readiness for hospital discharge; Quality of discharge teaching; Correlation

DOI：

10.7507/1002-0179.201808021

Video：

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ObjectivesTo explore the status quo of the readiness for hospital discharge and the quality of discharge guidance in patients after total hip/knee arthroplasty, and analyze their correlations.MethodsA cross-sectional survey was conducted to investigate patients who underwent total hip/knee arthroplasty in a tertiary hospital in Chengdu between January and November 2017. The survey included basic patient information questionnaire, Readiness for Hospital Discharge Scale, and the Quality of Discharge Teaching Scale.ResultsThe average age of 352 patients undergoing total hip/knee arthroplasty was (59.56±12.69) years. The total score of readiness for hospital discharge was 177.08±19.41, the average score was 7.82±0.88, and the average quality of discharge teaching was 145.87±14.87. There was a statistically significant difference between the patients’ access and the required discharge teaching (t=28.742, P<0.001). The score of readiness for hospital discharge was positively correlated with the score of the quality of discharge guidance (r=0.645, P<0.001), the obtained content dimension (r=0.542, P<0.001), and the teaching skill dimension (r=0.522, P<0.001).ConclusionsThe readiness for hospital discharge in patients after total hip/knee arthroplasty is in a medium level, and the quality of discharge teaching is higher overall and it is positively correlated with the readiness for hospital discharge. Medical staff should pay attention to the discharge guidance for patients. In the course of health education, not only the content and quantity of guidance should be emphasized, but also the guiding skills should be paid attention to, so as to improve the quality of discharge teaching, thereby improving the patient’s discharge readiness and promoting the patient’s later rehabilitation.

Citation： DUAN Dan, NING Ning, CHEN Jiali, LIU Huan, LI Peifang. Correlation between readiness for hospital discharge and quality of discharge guidance in patients after joint replacement. West China Medical Journal, 2018, 33(9): 1181-1185. doi: 10.7507/1002-0179.201808021 Copy

1.	Yoon PW, Yoo JJ, Kim Y, et al. The epidemiology and national trends of bearing surface usage in primary total hip arthroplasty in Korea. Clin Orthop Surg, 2016, 8(1): 29-37.
2.	Shan L, Shan B, Graham D, et al. Total hip replacement: a systematic review and meta-analysis on mid-term quality of life. Osteoarthritis Cartilage, 2014, 22(3): 389-406.
3.	王玉武, 柴盛德, 陳維東, 等. 髖、膝關節置換術后老年患者顯、隱性失血情況及輸血策略研究. 中華骨與關節外科雜志, 2017, 10(5): 400-403.
4.	Pivec R, Johnson AJ, Mears SC, et al. Hip arthroplasty. Lancet, 2012, 380(9855): 1768-1777.
5.	Ponnusamy KE, Naseer Z, EI Dafrawy MH, et al. Post-discharge care duration, charges, and outcomes among medicare patients after primary total hip and knee arthroplasty. J Bone Joint Surg Am, 2017, 99(11): e55.
6.	王冰花, 汪暉, 楊純子, 等. 冠心病患者出院準備度現狀及其影響因素的研究. 中華護理雜志, 2017, 52(2): 138-143.
7.	王定璽, 李小麟, 廖靜萍. 精神分裂癥患者出院準備度及影響因素研究. 四川大學學報: 醫學版, 2017, 48(1): 165-168.
8.	賈丹丹, 馬麗麗, 楊緒影, 等. 192名產婦出院準備度與出院指導質量的相關性研究. 護理學報, 2018, 25(3): 42-45.
9.	Weiss ME, Piacentine LB. Psychometric properties of the readiness for hospital discharge scale. J Nurs Meas, 2006, 14(3): 163-180.
10.	Weiss ME, Lokken L. Predictors and outcomes of postpartum mothers’ perceptions of readiness for discharge after birth. J Obstet Gynecol Neonatal Nurs, 2009, 38(4): 406-417.
11.	Zhao H, Feng X, Yu R, et al. Validation of the Chinese version of the readiness for hospital discharge scale on patients who have undergone laryngectomy. J Nurs Res, 2016, 24(4): 321-328.
12.	Bobay KL, Jerofke TA, Weiss ME, et al. Age-related differences in perception of quality of discharge teaching and readiness for hospital discharge. Geriatr Nurs, 2010, 31(3): 178-187.
13.	王冰花, 汪暉, 楊純子. 中文版出院指導質量量表的信效度測評. 中華護理雜志, 2016, 51(6): 752-755.
14.	王芳, 袁麗. 骨質疏松癥患者出院準備度與出院指導質量現狀及相關性研究. 護理學報, 2016, 23(10): 5-7.
15.	劉珊珊, 李俊英. 肺癌病人出院準備度護患評估差異性分析. 護理研究, 2017, 37(1): 120-123.
16.	Weiss ME, Piacentine LB, Lokken L, et al. Perceived readiness for hospital discharge in adult medical-surgical patients. Clin Nurse Spec, 2007, 21(1): 31-42.

1. Yoon PW, Yoo JJ, Kim Y, et al. The epidemiology and national trends of bearing surface usage in primary total hip arthroplasty in Korea. Clin Orthop Surg, 2016, 8(1): 29-37.
2. Shan L, Shan B, Graham D, et al. Total hip replacement: a systematic review and meta-analysis on mid-term quality of life. Osteoarthritis Cartilage, 2014, 22(3): 389-406.
3. 王玉武, 柴盛德, 陳維東, 等. 髖、膝關節置換術后老年患者顯、隱性失血情況及輸血策略研究. 中華骨與關節外科雜志, 2017, 10(5): 400-403.
4. Pivec R, Johnson AJ, Mears SC, et al. Hip arthroplasty. Lancet, 2012, 380(9855): 1768-1777.
5. Ponnusamy KE, Naseer Z, EI Dafrawy MH, et al. Post-discharge care duration, charges, and outcomes among medicare patients after primary total hip and knee arthroplasty. J Bone Joint Surg Am, 2017, 99(11): e55.
6. 王冰花, 汪暉, 楊純子, 等. 冠心病患者出院準備度現狀及其影響因素的研究. 中華護理雜志, 2017, 52(2): 138-143.
7. 王定璽, 李小麟, 廖靜萍. 精神分裂癥患者出院準備度及影響因素研究. 四川大學學報: 醫學版, 2017, 48(1): 165-168.
8. 賈丹丹, 馬麗麗, 楊緒影, 等. 192名產婦出院準備度與出院指導質量的相關性研究. 護理學報, 2018, 25(3): 42-45.
9. Weiss ME, Piacentine LB. Psychometric properties of the readiness for hospital discharge scale. J Nurs Meas, 2006, 14(3): 163-180.
10. Weiss ME, Lokken L. Predictors and outcomes of postpartum mothers’ perceptions of readiness for discharge after birth. J Obstet Gynecol Neonatal Nurs, 2009, 38(4): 406-417.
11. Zhao H, Feng X, Yu R, et al. Validation of the Chinese version of the readiness for hospital discharge scale on patients who have undergone laryngectomy. J Nurs Res, 2016, 24(4): 321-328.
12. Bobay KL, Jerofke TA, Weiss ME, et al. Age-related differences in perception of quality of discharge teaching and readiness for hospital discharge. Geriatr Nurs, 2010, 31(3): 178-187.
13. 王冰花, 汪暉, 楊純子. 中文版出院指導質量量表的信效度測評. 中華護理雜志, 2016, 51(6): 752-755.
14. 王芳, 袁麗. 骨質疏松癥患者出院準備度與出院指導質量現狀及相關性研究. 護理學報, 2016, 23(10): 5-7.
15. 劉珊珊, 李俊英. 肺癌病人出院準備度護患評估差異性分析. 護理研究, 2017, 37(1): 120-123.
16. Weiss ME, Piacentine LB, Lokken L, et al. Perceived readiness for hospital discharge in adult medical-surgical patients. Clin Nurse Spec, 2007, 21(1): 31-42.

West China Medical Journal

Correlation between readiness for hospital discharge and quality of discharge guidance in patients after joint replacement

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