Status quo and correlation between readiness for discharge and quality of discharge teaching in lung cancer patients based on enhanced recovery after surgery_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

 YANG Mei ¹ , NIU Lingli ¹ , ZHENG E ¹ , LIN Lin ¹ , ZHOU Hongxia ¹ , TANG Cong ²

1. Department of Thoracic Surgery, West China Hospital, Sichuan University, Chengdu, 610041, P.R.China;
2. West China School of Medicine, Sichuan University, Chengdu, 610041, P.R.China;

Corresponding?author：

YANG Mei, Email: yangmei69@126.com

Keywords：

Enhanced recovery after surgery; lung cancer; readiness for hospital discharge; quality of discharge teaching

DOI：

10.7507/1007-4848.201811038

Video：

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Objective To explore the current situation of the readiness for hospital discharge and the quality of discharge teaching in lung cancer patients based on enhanced recovery after surgery, and to analyze their correlation.Methods We conducted a cross-sectional study and 141 postoperative patients with lung cancer in our hospital from July to August 2018 were investigated by general information questionnaire, readiness for hospital discharge scale and quality of discharge teaching scale. There were 65 males and 76 females at age of 18-85 (55.35±12.15) years.Results Totally 88.65% of postoperative patients with lung cancer reported that they were ready for discharge, and the total score of readiness for hospital discharge was 78.36±16.48, and the total score of quality of discharge teaching was 90.94±18.62. There was a positive correlation between the readiness for hospital discharge and the quality of discharge teaching in postoperative patients with lung cancer (r=0.57, P<0.01).Conclusion The readiness for hospital discharge of postoperative patients with lung cancer keeps in medium level, while the quality of discharge teaching is good, and the readiness for hospital discharge is positively correlated with the quality of discharge teaching. Medical staff should pay more attention to the cognitive level of lung cancer patients' disease-related information and their physical function recovery, and enrich the discharge guidance content, in order to improve the readiness of postoperative patients with lung cancer.

Citation： YANG Mei, NIU Lingli, ZHENG E, LIN Lin, ZHOU Hongxia, TANG Cong. Status quo and correlation between readiness for discharge and quality of discharge teaching in lung cancer patients based on enhanced recovery after surgery. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2019, 26(9): 905-909. doi: 10.7507/1007-4848.201811038 Copy

1.	車國衛. 加速肺康復外科臨床實踐及證據. 中國肺癌雜志, 2017, 20(6): 371-375.
2.	Rochefort CM, Rathwell BA, Clarke SP. Rationing of nursing care interventions and its association with nurse-reported outcomes in the neonatal intensive care unit: a cross-sectional survey. BMC Nurs, 2016, 15: 46.
3.	趙會玲, 馮先瓊, 余蓉, 等. 病人出院準備度護理研究進展. 中國護理管理, 2013, 13(6): 81-83.
4.	王冰花, 汪暉, 楊純子, 等. 冠心病患者出院指導質量的調查分析. 護理學雜志, 2017, 32(1): 75-78.
5.	張雨晨, 戴燕. 日間腹腔鏡下膽囊切除術患者出院準備度與出院指導質量現狀調查及相關性分析. 華西醫學, 2016, 31(4): 635-638.
6.	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.
7.	Weiss ME, Piacentine LB. Psychometric properties of the Readiness for Hospital Discharge Scale. J Nurs Meas, 2006, 14(3): 163-180.
8.	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.
9.	Fenwick AM. An interdisciplinary tool for assessing patients' readiness for discharge in the rehabilitation setting. J Adv Nurs, 1979, 4(1): 9-21.
10.	劉敏, 李國宏, 張揚. 出院患者延續護理實施現狀. 中國護理管理, 2015, 15(12): 1518-1521.
11.	車國衛, 李為民, 劉倫旭. 快速肺康復需要圍手術期流程優化. 中國胸心血管外科臨床雜志, 2016, 23(3): 216-220.
12.	徐志華, 林嶸嘉, 車國衛, 等. 肺術后咳嗽評估--中文版萊斯特咳嗽量表的應用價值. 中國肺癌雜志, 2017, 20(6): 389-394.
13.	唐煜東, 梅小麗, 鄭娥, 等. 胸部腫瘤術后患者不良情緒現狀及影響因素分析. 中國胸心血管外科臨床雜志, 2018, 25(1): 67-70.
14.	王小琳, 羅仕蘭, 周世群, 等. 系統性出院指導對冠狀動脈支架置入術后患者院外服藥依從性的影響. 重慶醫學, 2013, 42(3): 258-259, 262.
15.	楊梅, 余娜, 田聰林. 多元化術前宣教模式對減輕患者術前心理壓力及手術效果的影響分析. 檢驗醫學與臨床, 2016, 13(16): 2348-2350.
16.	Tse KY, So WK. Nurses' perceptions of preoperative teaching for ambulatory surgical patients. J Adv Nurs, 2008, 63(6): 619-625.
17.	Hill CA. Acute heart failure: too sick for discharge teaching? Crit Care Nurs Q, 2009, 32(2): 106-111.
18.	權明桃, 蒲德琴, 徐應琴, 等. 多種形式健康宣教在腦卒中患者中應用的效果評價. 中國實用護理雜志, 2011, 27(8): 45-46.
19.	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.
20.	中國加速康復外科專家組. 中國加速康復外科圍手術期管理專家共識(2016). 中華外科雜志, 2016, 54(6): 413-418.

1. 車國衛. 加速肺康復外科臨床實踐及證據. 中國肺癌雜志, 2017, 20(6): 371-375.
2. Rochefort CM, Rathwell BA, Clarke SP. Rationing of nursing care interventions and its association with nurse-reported outcomes in the neonatal intensive care unit: a cross-sectional survey. BMC Nurs, 2016, 15: 46.
3. 趙會玲, 馮先瓊, 余蓉, 等. 病人出院準備度護理研究進展. 中國護理管理, 2013, 13(6): 81-83.
4. 王冰花, 汪暉, 楊純子, 等. 冠心病患者出院指導質量的調查分析. 護理學雜志, 2017, 32(1): 75-78.
5. 張雨晨, 戴燕. 日間腹腔鏡下膽囊切除術患者出院準備度與出院指導質量現狀調查及相關性分析. 華西醫學, 2016, 31(4): 635-638.
6. 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.
7. Weiss ME, Piacentine LB. Psychometric properties of the Readiness for Hospital Discharge Scale. J Nurs Meas, 2006, 14(3): 163-180.
8. 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.
9. Fenwick AM. An interdisciplinary tool for assessing patients' readiness for discharge in the rehabilitation setting. J Adv Nurs, 1979, 4(1): 9-21.
10. 劉敏, 李國宏, 張揚. 出院患者延續護理實施現狀. 中國護理管理, 2015, 15(12): 1518-1521.
11. 車國衛, 李為民, 劉倫旭. 快速肺康復需要圍手術期流程優化. 中國胸心血管外科臨床雜志, 2016, 23(3): 216-220.
12. 徐志華, 林嶸嘉, 車國衛, 等. 肺術后咳嗽評估--中文版萊斯特咳嗽量表的應用價值. 中國肺癌雜志, 2017, 20(6): 389-394.
13. 唐煜東, 梅小麗, 鄭娥, 等. 胸部腫瘤術后患者不良情緒現狀及影響因素分析. 中國胸心血管外科臨床雜志, 2018, 25(1): 67-70.
14. 王小琳, 羅仕蘭, 周世群, 等. 系統性出院指導對冠狀動脈支架置入術后患者院外服藥依從性的影響. 重慶醫學, 2013, 42(3): 258-259, 262.
15. 楊梅, 余娜, 田聰林. 多元化術前宣教模式對減輕患者術前心理壓力及手術效果的影響分析. 檢驗醫學與臨床, 2016, 13(16): 2348-2350.
16. Tse KY, So WK. Nurses' perceptions of preoperative teaching for ambulatory surgical patients. J Adv Nurs, 2008, 63(6): 619-625.
17. Hill CA. Acute heart failure: too sick for discharge teaching? Crit Care Nurs Q, 2009, 32(2): 106-111.
18. 權明桃, 蒲德琴, 徐應琴, 等. 多種形式健康宣教在腦卒中患者中應用的效果評價. 中國實用護理雜志, 2011, 27(8): 45-46.
19. 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.
20. 中國加速康復外科專家組. 中國加速康復外科圍手術期管理專家共識(2016). 中華外科雜志, 2016, 54(6): 413-418.

Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Status quo and correlation between readiness for discharge and quality of discharge teaching in lung cancer patients based on enhanced recovery after surgery

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