Factors Influencing Readiness for Hospital Discharge Among Mothers of Infants with Acyanotic Congenital Heart Disease
Keywords:
Acyanotic Congenital Heart Disease, Care coordination, Infants, Quality of discharge teaching, Readiness for Hospital DischargeAbstract
Readiness for Hospital discharge among mothers of infants with acyanotic congenital heart disease (CHD) is crucial for infants caring in the postdischarge period. The aims of the study were to describe readiness for hospital discharge among mothers of infants with acyanotic CHD and to investigate the predictive relationships between family characteristic, quality of teaching, and care coordination and readiness for hospital discharge among these mothers. Weiss ‘s Readiness for Hospital Discharge concept were used as conceptual framework of the study. The sample consisted of the mothers of infants who were received preoperative care and planned for discharge from six tertiary hospitals to homes. The study was conducted from July 2016 to May 2017. A power analysis was estimated the sample of 77 that would be selected a purposive sampling. The research instruments included demographic data form, Readiness for Hospital Discharge Scale [RHDS] – parent form, Quality of Discharge Teaching Scale [QDTS] – parent form, and Care Coordination Scale [CCS] – parent form. These parent form 3 scales were translated into Thai version by Sririrat Panuthai and tested for reliability with 10 samples and Cronbach’s alpha reliability coefficient were .92, .95, and .98, respectively. The data was analyzed using descriptive statistics and stepwise multiple linear regression analysis. The results were as follows: Most of the mothers reported being ready to go home. The mean scores of readiness for hospital discharge, quality of discharge teaching, and care coordination were high level. The quality of discharge teaching total scale score was statistically significant and positively predictor of readiness for hospital discharge scale among mothers of infants with acyanotic CHD at 16.4% (R2 = .164, p < .001). When analyze the subscale scores of the quality of discharge teaching scale, the teaching skill subscale score was also significant and positively predictor of readiness for hospital discharge scale among mothers of infants with acyanotic CHD at 13% (R2 = .130, p < .01). However, family characteristic and care coordination scale were not statistically significant predictor of readiness for hospital discharge scale among mothers of infants with acyanotic CHD (p > .05).
The results provide knowledge and understanding of the readiness for hospital discharge among the mothers of infants with acyanotic CHD and the factors influencing their readiness. The results can be used to improve both pattern and guideline of preparation for hospital discharge in the mothers of infants with acyanotic CHD systematically and effectively.
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