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Readiness for hospital discharge is an indicator of successful health and illness transition. Identification of factors predicting readiness for hospital discharge is essential to the provision of effective nursing intervention. This cross-sectional study aimed to determine the predictive power of factors on readiness for hospital discharge among older persons with chronic obstructive pulmonary disease. These selected factors included age, gender, family income, educational level, living arrangements, a sense of coherence, uncertainty in illness, previous admissions, the length of the hospital stay, care coordination for discharge, and quality of discharge teaching. The sample consisted of 207 older patients hospitalized with an exacerbation of chronic obstructive pulmonary disease at 15 community hospitals in the northern provinces of Thailand. Six instruments were used in data collection: Demographic Data Form, Sense of Coherence Scale, Mishel Uncertainty in Illness Scale, Patient Continuity of Care Questionnaire, Quality of Discharge Teaching Scale, and Readiness for Hospital Discharge Scale. Data were analyzed using descriptive statistics and hierarchical multiple regression analysis.
Findings indicated that all the predictive factors jointly explained 74.2% of the variances in readiness for hospital discharge in which living arrangements, sense of coherence, uncertainty in illness, previous admissions, care coordination for discharge, and the quality of discharge teaching were significant predictors of readiness for hospital discharge. Thus, nurses, including advanced practice nurses, should work together to develop better discharge planning to support and educate older patients with chronic obstructive pulmonary disease, and their family caregivers, to ensure they are ready for discharge and to improve their self-management.
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