Factors Related to Readiness for Hospital Discharge Among Caregivers of Children with Congenital Heart Disease After Cardiac Surgery
Keywords:
Readiness for hospital discharge, Caregivers, Children with congenital heart disease, Cardiac surgery, Related factorsAbstract
Congenital heart disease is commonly found in children. After cardiac surgery, these children need care from their caregivers and caregiver readiness for discharge from the hospital is important. This descriptive correlational study aimed to explore the readiness for hospital discharge among caregivers of children with congenital heart disease after cardiac surgery and the relationship of the characteristics of living, frequency of hospitalization, length of hospitalization, complications, quality of teaching, and care coordination with readiness for hospital discharge. Weiss et al., (2007) was used as the conceptual framework. Participants, purposively selected, were 98 caregivers of hospitalized congenital heart disease pediatric patients in the pediatric wards of 3 tertiary hospitals in the northern region, and one Heart Center in the northeast region. Data were collected from December 2016 to May 2017. The research instruments included the Readiness for Hospital Discharge Scale (RHDS Parent Form), the Quality of Discharge Teaching Scale (QDTS Parent Form), and the Care Coordination Scale. The reliability of the three research instruments was .81, .87, and .85, respectively. Data were analyzed using descriptive statistics, Spearman rank correlation coefficient, and point-biserial correlation coefficient.
The results showed that:
- 1. There was a high level of readiness for hospital discharge among most of the caregivers (79.55%) (= 91.80, SD = 20.11)
- 2. The characteristics of the living, frequency of hospitalization, quality of teaching, and care coordination had a high statistically significant correlation to readiness for hospital discharge (r = .58, .81, .73, respectively, p < .01). In addition, the length of hospitalization had a moderate statistically significant correlation to readiness for hospital discharge (r= .32, p < .01) and complications had a low statistically significant correlation to readiness for hospital discharge (r= .28, p < .01)
The results of this study serve as preliminary data to help nurses better understand the quality of teaching and care coordination to prepare caregivers for readiness for hospital discharge following cardiac surgery for their children.
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