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, 陈维东, 等. 髋、膝关节置换术后老年患者显、隐性失血情况及输血策略研究. 中华骨与关节外科杂志, 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, 汪晖, 杨纯子, 等. 冠心病患者出院准备度现状及其影响因素的研究. 中华护理杂志, 2017, 52(2): 138-143.
7.	王定玺, 李小麟, 廖静萍. 精神分裂症患者出院准备度及影响因素研究. 四川大学学报: 医学版, 2017, 48(1): 165-168.
8.	贾丹丹, 马丽丽, 杨绪影, 等. 192名产妇出院准备度与出院指导质量的相关性研究. 护理学报, 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, 汪晖, 杨纯子. 中文版出院指导质量量表的信效度测评. 中华护理杂志, 2016, 51(6): 752-755.
14.	王芳, 袁丽. 骨质疏松症患者出院准备度与出院指导质量现状及相关性研究. 护理学报, 2016, 23(10): 5-7.
15.	刘珊珊, 李俊英. 肺癌病人出院准备度护患评估差异性分析. 护理研究, 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, 陈维东, 等. 髋、膝关节置换术后老年患者显、隐性失血情况及输血策略研究. 中华骨与关节外科杂志, 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, 汪晖, 杨纯子, 等. 冠心病患者出院准备度现状及其影响因素的研究. 中华护理杂志, 2017, 52(2): 138-143.
7. 王定玺, 李小麟, 廖静萍. 精神分裂症患者出院准备度及影响因素研究. 四川大学学报: 医学版, 2017, 48(1): 165-168.
8. 贾丹丹, 马丽丽, 杨绪影, 等. 192名产妇出院准备度与出院指导质量的相关性研究. 护理学报, 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, 汪晖, 杨纯子. 中文版出院指导质量量表的信效度测评. 中华护理杂志, 2016, 51(6): 752-755.
14. 王芳, 袁丽. 骨质疏松症患者出院准备度与出院指导质量现状及相关性研究. 护理学报, 2016, 23(10): 5-7.
15. 刘珊珊, 李俊英. 肺癌病人出院准备度护患评估差异性分析. 护理研究, 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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