Study of readiness for hospital discharge and its influencing factors among patients with liver cancer after surgery_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

 LUO Yuou , REN Qiuping , YANG Xiaoling , LUO Yanli

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

Corresponding?author：

LUO Yuou, Email: 75439885@qq.com

Keywords：

liver cancer; operation; readiness for hospital discharge

DOI：

10.7507/1007-9424.202001013

Video：

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Objective To investigate status of readiness for hospital discharge of patients with liver cancer after radical surgery and to explore its influencing factors.Methods A cross-sectional survey was conducted, a total of 200 patients with liver cancer after the radical resection who were planned to discharge within 1 to 2 days in this hospital from January to April 2019 were selected as the study subjects. The general informations and informations relevant readiness for hospital discharge of patients were investigated and analyzed by the questionnaire.Results In this study, 200 questionnaires were distributed, of which 195 were recovered, and 184 were valid, the final effective recovery rate was 92% (184/200). The scores of 4 dimensions of readiness for hospital discharge in 184 patients: The own status was 42.55±12.36, disease knowledge was 51.68±17.58, and response ability was 21.05±6.86, social support available was 31.85±7.56, and the total score of readiness for hospital discharge was 147.07±36.25. One hundred and eighty-four (80.4%) of 184 patients were prepared to discharge. The univariate analysis results showed that the readiness for hospital discharge score was related to the gender, monthly income per household, preoperative comorbidities, and time with tube after the operation (P<0.05); Further the multiple regression analysis showed that the monthly income per household and preoperative comorbidities were the important influencing factors for it (P<0.05).Conclusions According to results of this study on readiness for hospital discharge of patients with liver cancer after operation in this hospital, readiness for hospital discharge is better, and gender, monthly income per household, preoperative comorbidities, and time with tube after operation are influence factors for it, of which monthly income per household and preoperative comorbidities are important influencing factors.

Citation： LUO Yuou, REN Qiuping, YANG Xiaoling, LUO Yanli. Study of readiness for hospital discharge and its influencing factors among patients with liver cancer after surgery. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2020, 27(10): 1249-1253. doi: 10.7507/1007-9424.202001013 Copy

1.	陳萬青, 鄭榮壽, 張思維, 等. 2013年中國惡性腫瘤發病和死亡分析. 中國腫瘤, 2017, 26(1): 1-7.
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6.	邊海燕, 戴靖華. 加速康復外科干預對提高接臺手術患者術前血糖的影響. 中國藥物與臨床, 2017, 17(3): 413-414.
7.	汪雅璇, 張馨予, 李書, 等. 醫院床位資源利用與平均住院日的國內外比較分析. 中華醫院管理雜志, 2016, 32(5): 361-364.
8.	秦環龍, 賈震易. 加速康復外科在結直腸外科應用中應關注的若干問題. 中華結直腸疾病電子雜志, 2017, 6(1): 2-5.
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10.	Fenwick AM. An interdisciplinary tool for assessing patients’ readiness for discharge in the rehabilitation setting. J Adv Nurs, 1979, 4(1): 9-21.
11.	Steele NF, Sterling YM. Application of the case study design: nursing interventions for discharge readiness. Clin Nurse Spec, 1992, 6(2): 79-84.
12.	Mabire C, Dwyer A, Garnier A, <italic>et al</italic>. Meta-analysis of the effectiveness of nursing discharge planning interventions for older inpatients discharged home. J Adv Nurs, 2018, 74(4): 788-799.
13.	Gunn S. Patient education and discharge planning to prevent functional decline in the older adult. Gastroenterol Nurs, 2017, 40(4): 272-278.
14.	蔣超, 蒲杰, 謝靜. 我國臺灣地區醫院出院準備服務的特點及啟示. 中國醫療管理科學, 2017, 7(2): 27-30.
15.	冉凌云. 出院準備服務臨床應用的研究現狀. 護士進修雜志, 2016, 31(17): 1561-1565.
16.	Weiss ME, Piacentine LB. Psychometric properties of the Readiness for Hospital Discharge Scale. J Nurs Meas, 2006, 14(3): 163-180.
17.	Zhao HL, Feng XQ, Yu R, <italic>et al</italic>. 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.
18.	楊婕, 賀育華, 蔣理立, 等. 加速康復外科模式下結直腸癌患者出院準備度現狀及影響因素分析. 中國護理管理, 2018, 18(12): 1617-1621.
19.	李娟, 田冰潔, 余姝彥, 等. 肝膽外科患者出院準備度與出院指導質量的相關性研究. 護理學雜志, 2019, 34(15): 28-31.
20.	李宜敏, 孟娜, 向秋芬, 等. 肺癌PICC帶管患者出院準備度現況調查及影響因素分析. 重慶醫學, 2017, 46(24): 3448-3450.
21.	楊婕, 賀育華, 蔣理立, 等. 加速康復外科模式下結直腸癌患者出院準備度與短期生活質量的相關性. 中國普外基礎與臨床雜志, 2019, 26(2): 157-161.
22.	張思維, 鄭榮壽, 曾紅梅, 等. 1989—2008年中國肝癌發病性別、地區及年齡變化分析. 中華預防醫學雜志, 2014, 48(5): 355-360.
23.	余微波, 榮維淇, 王黎明, 等. 不同性別肝細胞癌術后患者的預后情況比較. 中華腫瘤雜志, 2014, 36(4): 303-308.
24.	林鳴芳, 沈惠琴. 消化道惡性腫瘤患者生命質量的質性研究. 解放軍護理雜志, 2006, 23(11): 4-6.
25.	黃天雯, 譚運娟, 黃小芬, 等. 老年慢性病出院病人護理結局及其影響因素分析. 護理研究, 2015, 29(1): 22-25.
26.	劉燕南, 張艷梅, 高傳英, 等. 認知護理干預有利于肝癌患者術后恢復和生活質量的提高. 基因組學與應用生物學, 2017, 36(7): 2753-2758.

1. 陳萬青, 鄭榮壽, 張思維, 等. 2013年中國惡性腫瘤發病和死亡分析. 中國腫瘤, 2017, 26(1): 1-7.
2. Sasaki K, Matsuda M, Ohkura Y, <italic>et al</italic>. The influence of histological differentiation grade on the outcome of liver resection for hepatocellular carcinomas 2 cm or smaller in size. World J Surg, 2015, 39(5): 1134-1141.
3. Xu XL, Xing BC, Han HB, <italic>et al</italic>. The properties of tumor-initiating cells from a hepatocellular carcinoma patient’s primary and recurrent tumor. Carcinogenesis, 2010, 31(2): 167-174.
4. Zhao W, Wang L, Han H, <italic>et al</italic>. 1B50-1, a mAb raised against recurrent tumor cells, targets liver tumor—initiating cells by binding to the calcium channel α2δ1 subunit. Cancer Cell, 2013, 23(4): 541-556.
5. 彭浪, 王愷, 樊友文, 等. 加速康復外科理念在原發性肝癌肝切除術圍手術期管理的應用價值. 中國普通外科雜志, 2017, 26(2): 218-222.
6. 邊海燕, 戴靖華. 加速康復外科干預對提高接臺手術患者術前血糖的影響. 中國藥物與臨床, 2017, 17(3): 413-414.
7. 汪雅璇, 張馨予, 李書, 等. 醫院床位資源利用與平均住院日的國內外比較分析. 中華醫院管理雜志, 2016, 32(5): 361-364.
8. 秦環龍, 賈震易. 加速康復外科在結直腸外科應用中應關注的若干問題. 中華結直腸疾病電子雜志, 2017, 6(1): 2-5.
9. Pan X, Dib HH, Wang X, <italic>et al</italic>. Service utilization in community health centers in China: a comparison analysis with local hospitals. BMC Health Serv Res, 2006, 6: 93.
10. Fenwick AM. An interdisciplinary tool for assessing patients’ readiness for discharge in the rehabilitation setting. J Adv Nurs, 1979, 4(1): 9-21.
11. Steele NF, Sterling YM. Application of the case study design: nursing interventions for discharge readiness. Clin Nurse Spec, 1992, 6(2): 79-84.
12. Mabire C, Dwyer A, Garnier A, <italic>et al</italic>. Meta-analysis of the effectiveness of nursing discharge planning interventions for older inpatients discharged home. J Adv Nurs, 2018, 74(4): 788-799.
13. Gunn S. Patient education and discharge planning to prevent functional decline in the older adult. Gastroenterol Nurs, 2017, 40(4): 272-278.
14. 蔣超, 蒲杰, 謝靜. 我國臺灣地區醫院出院準備服務的特點及啟示. 中國醫療管理科學, 2017, 7(2): 27-30.
15. 冉凌云. 出院準備服務臨床應用的研究現狀. 護士進修雜志, 2016, 31(17): 1561-1565.
16. Weiss ME, Piacentine LB. Psychometric properties of the Readiness for Hospital Discharge Scale. J Nurs Meas, 2006, 14(3): 163-180.
17. Zhao HL, Feng XQ, Yu R, <italic>et al</italic>. 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.
18. 楊婕, 賀育華, 蔣理立, 等. 加速康復外科模式下結直腸癌患者出院準備度現狀及影響因素分析. 中國護理管理, 2018, 18(12): 1617-1621.
19. 李娟, 田冰潔, 余姝彥, 等. 肝膽外科患者出院準備度與出院指導質量的相關性研究. 護理學雜志, 2019, 34(15): 28-31.
20. 李宜敏, 孟娜, 向秋芬, 等. 肺癌PICC帶管患者出院準備度現況調查及影響因素分析. 重慶醫學, 2017, 46(24): 3448-3450.
21. 楊婕, 賀育華, 蔣理立, 等. 加速康復外科模式下結直腸癌患者出院準備度與短期生活質量的相關性. 中國普外基礎與臨床雜志, 2019, 26(2): 157-161.
22. 張思維, 鄭榮壽, 曾紅梅, 等. 1989—2008年中國肝癌發病性別、地區及年齡變化分析. 中華預防醫學雜志, 2014, 48(5): 355-360.
23. 余微波, 榮維淇, 王黎明, 等. 不同性別肝細胞癌術后患者的預后情況比較. 中華腫瘤雜志, 2014, 36(4): 303-308.
24. 林鳴芳, 沈惠琴. 消化道惡性腫瘤患者生命質量的質性研究. 解放軍護理雜志, 2006, 23(11): 4-6.
25. 黃天雯, 譚運娟, 黃小芬, 等. 老年慢性病出院病人護理結局及其影響因素分析. 護理研究, 2015, 29(1): 22-25.
26. 劉燕南, 張艷梅, 高傳英, 等. 認知護理干預有利于肝癌患者術后恢復和生活質量的提高. 基因組學與應用生物學, 2017, 36(7): 2753-2758.

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Study of readiness for hospital discharge and its influencing factors among patients with liver cancer after surgery

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