Factors Related to Readiness for Hospital Discharge Among Stroke Patients in Sichuan Province, the People’s Republic of China

Authors

  • Xuelian Chen Faculty of Nursing Chiang Mai University
  • Chiraporn Tachaudomdach Faculty of Nursing Chiang Mai University
  • Totsaporn Khampolsiri Faculty of Nursing Chiang Mai University

Keywords:

Readiness for hospital discharge, Quality of discharge teaching, Care coordination, Stroke patients

Abstract

Readiness for hospital discharge is a characteristic of a successful health and illness transition from hospital to home. The purposes of this descriptive correlational study were 1) to study readiness for hospital discharge, the quality of discharge teaching, and care coordination among stroke patients; and 2) to explore the relationships between quality of discharge teaching, care coordination, and readiness for hospital discharge among stroke patients. The samples included 158 stroke patients admitted at neurological departments of three municipal tertiary hospitals in Sichuan province, the People’s Republic of China, and they were purposively selected. The research instruments included the Data Recording Form, the Readiness for Hospital Discharge Scale (RHDS), the Quality of Discharge Teaching Scale (QDTS), and the Patient Continuity of Care Questionnaire (PCCQ). The reliability coefficients of the RHDS, QDTS, and PCCQ were 0.80, 0.88, and 0.81, respectively. Descriptive statistics and Spearman’s rank-order correlation were used to analyze data.

The results of the study revealed that:

  1. The overall score of readiness for hospital discharge among stroke patients was at a high level ( = 176.06, SD = 18.48), quality of discharge teaching was at a moderate level ( = 117.28, SD = 19.38), and care coordination was at a high level (  = 110.02, SD = 8.38).
  2. There was a significantly moderate positive correlation between quality of discharge teaching and readiness for hospital discharge (r = .33, p = .000), and a significantly weak positive correlation between care coordination and readiness for hospital discharge
    (r = .23, p = .004).

The results of the study could be used baseline information for Chinese nurses to develop strategies to improve readiness for hospital discharge to facilitate stroke patients’ hospital discharge.

References

AI-Qazzaz, K. N., Ali, H. S., Ahmad, A. S., Islam, S., & Mohamad, K. (2014). Cognitive impairment and memory dysfunction after a stroke diagnosis: A post-stroke memory assessment. Neuropsychiatric Disease and Treatment, 10, 1677-1691. doi: 10.2147/NDT.S67184

Anderson, M. (2017). A second glance at discharge teaching (Unpublished doctoral dissertation). Murray State University, USA.

Beesley, L. V., Janda, M., Burmeister, A. E., Goldstein, D., Gooden, H., Merrett, D. N., … Neale, E. R. (2018). Association between pancreatic cancer patients' perception of their care coordination and patient-reported and survival outcomes. Palliative & Supportive Care, 16(5), 534-543. doi: 10.1017/S1478951517000608

Bobay, L. K., Jerofke, A. T., Weiss, E. M., & Yakusheva, O. (2010). Age-related differences in perception of quality of discharge teaching and readiness for hospital discharge. Geriatric Nursing, 31(3), 178-187.

Burns, N., & Grove, K. S. (2010). Understanding nursing research: Building an evidence-based practice. St. Louis, MO: Elsevier Health Sciences.

Claiborne, N. (2006). Efficiency of a care coordination model: A randomized study with stroke patients. Research on Social Work Practice, 16(1), 57-66.

Corrigan, M. J., & Adams, K. (2003). Priority areas for national action: Transforming health care quality. Washington, DC: National Academies Press.

Galvin, C. E., Wills, T., & Coffey, A. (2017). Readiness for hospital discharge: A concept analysis. Journal of Advanced Nursing, 73(11), 2547-2557.

Green, A. (2013). Evaluating discharge readiness of patients at a primary stroke center (Unpublished doctoral dissertation). University of Kentucky, USA.

Hadjistavropoulos, H., Biem, H., Sharpe, D., Bourgault-Fagnou, M., & Janzen, J. (2008). Patient perceptions of hospital discharge: Reliability and validity of a patient continuity of care questionnaire. International Journal for Quality in Health Care, 20(5), 314-323.

He, F., Li, F., & Li, W. (2016). Discussion on promoting hospital discipline construction under the multidisciplinary collaboration. Chinese Hospital, 7, 12-13. (in Chinese)

He, M. (2017). Status and suggestion of Hierarchical medical system in Sichuan Province. Cooperative Economy and Technology, 15, 170-171. (in Chinese)

Health and family planning commission of Sichuan Province. (2018). Statistics communique on the development of health and family planning in Sichuan Province in 2017. Retrieved from http://www.scwst.gov.cn/xx/tjxx/tjnj/201803/t20180306_15137.html (in Chinese)

Huang, M. A., Lin, H. Y., Chang, C. K., Huang, S., Chen, C. S., & Yang, L. S. (2015). An exploration of the discharge readiness of cerebrovascular disease patients and related factors conducted at two-weeks post discharge. Journal of Nursing and Healthcare Research, 11(2), 148-160. (in Chinese)

Kapral, K. M., Fang, J., Silver, L. F., Hall, R., Stamplecoski, M., O'Callaghan, C., & Tu, V. J. (2013). Effect of a provincial system of stroke care delivery on stroke care and outcomes. Canadian Medical Association Journal, 185(10), E483-E491.

Kunthakhu, S., Watthanakitkrileart, D., Pongthavornkamol, K., & Dumavibhat, C. (2009). Factors influencing readiness for hospital discharge in acute myocardial infarction patients. Journal of Nursing Science, 2, S1.

Liu, S., Huang, J., Li, J., & Yu, C. (2016). Investigation and analysis of quality of discharge guidance in patients with lung cancer. Chongqing Medical, 36, 5139-5141. (in Chinese)

Miao, X., Zhao, L., Tu, S., Geng, D., & Yang, R. (2016). Progress of the research on readmission rate and related factors among stroke patients. Chinese Nursing Research, 14, 1684-1686. (in Chinese)

Min, Y., Wu, Y., & Yan, T. (2008). Validity and reliability of the simplified Chinese version of modified Barthel index for Chinese stroke patients. Chinese Journal of Physical Medicine and Rehabilitation, 30(3), 185-188. (in Chinese)

Mukhoirotin, M., Khusniyah, Z., & Kriswanto, M. (2016). Discharge planning as the effort to improve readiness to return home in stroke patients. The proceeding of 17th international nursing conference: Global nursing challenges in The Free Trade Era. Surabaya.

Ru, X., Dai, H., Jiang, B., Wu, S., Li, N., Zhao, X., … Wang, W. (2013). Investigation on the status of rehabilitation therapy among stroke patients in communities of three cities. Chinese Journal of Stroke, 4, 255-260. (in Chinese)

Sichuan Province Bureau of Statistics. (2017). Death rate of 10 major diseases categories(2016). Retrieved from http://www.sc.stats.gov.cn/tjcbw/tjnj/2017/zk/indexch.htm

Srirat, C., & Panuthai, S. (2017). Factors relating readiness for hospital discharge among hospitalized patients in tertiary hospital. Ramathibodi Nursing Journal, 1(1), 99-112.

Strickland, L. O., Lenz, R. E., & Waltz, C. (2005). Measurement in nursing and health research.New York: Springer.

Suwan, N., Panuthai, S., Lasuka, D., & Khampolsiri, T. (2018). Factors influencing readiness for hospital discharge among Thai older persons with chronic obstructive pulmonary disease. Pacific Rim International Journal of Nursing Research, 22(2), 156-168.

Suwan, P., Boonyong, S., Somana, P., Bourchum, U., Yotchai, B., Sunpakaew, N., & Bunyoo, N. (2016). Predicting factors of readiness for hospital discharge among hospitalized cancer patients receiving chemotherapy at Maharaj Nakorn Chiang Mai hospital. Chiang Mai Medical Journal, 55(1), 27-40.

Wang, B., Wang, H., & Yang, C. (2016). Reliability and validity of Chinese version of the quality of discharge teaching scale. Chinese Journal of Nursing, 752-755.

Wang, H., Wang, B., Yang, C., Zhang, M., Wang, Y., & Yin, S. (2017). Quality analysis of discharge instruction among 707 hospitalized patients. Journal of Nursing Administration, 9, 651-659. (in Chinese)

Wang, L., Wang, J., Pen, B., & Xu, Y. (2017). Stroke prevention and treatment report in China. Chinese Journal of Cerebrovascular Disease. 217-224. (in Chinese)

Wang, W., Jiang, B., Sun, H., Ru, X., Sun, D., Wang, L., … Chen, Z. (2017). Prevalence, incidence, and mortality of stroke in China. Circulation, 135(8), 759-771.

Wang, Y., Wang, C., Tian, Y., Wang, K., Wang, J., Su, X., … Ni, C. (2016). Guidelines for stroke diagnosis and treatment in Anhui Province. Anhui Medical Science, 4, 367-382. (in Chinese)

Weiss, E. M., & Piacentine, B. L. (2006). Psychometric properties of the readiness for hospital discharge scale. Journal of Nursing Measurement, 14(3), 163.

Weiss, E. M., Piacentine, B. L., Lokken, L., Ancona, J., Archer, J., Gresser, S., … Vega-Strombery, T. (2007). Perceived readiness for hospital discharge in adult medical-surgical patients. Clinical Nurse Specialist, 21(1), 31-42.

Weiss, E. M., Yakusheva, O., & Bobay, L. K. (2011). Quality and cost analysis of nurse staffing, discharge preparation, and postdischarge utilization. Health Services Research, 46(5), 1473-1494.

Winstein, J. C., Stein, J., Arena, R., Bates, B., Cherney, R. L., Cramer, C. S., & Lang, E. C. (2016). Guidelines for adult stroke rehabilitation and recovery. Stroke, 47(6), e98-e169.

Xu, W. (2017). Discussion on the status and development direction of general medical practitioners in primary community hospitals. Chinese Community Physician, 9, 163-164.

Yamane, T. (1973). Statistic: An introductory analysis. Tokyo: Harper international.

Zhao, H., Feng, X., Yu, R., Gu, D., & Ji, X. (2016). Validation of the Chinese version of the readiness for hospital discharge scale on patients who have undergone Laryngectomy. Journal of Nursing Research, 24(4), 321-328.

Zhou, C., & Fang, J. (2017). Current status and related factors of readiness for hospital discharge after stent implantation in patients with coronary heart diseases. Journal of Practical Nursing, 4, 264-267. (in Chinese)

Downloads

Published

2022-12-16

How to Cite

Chen, X., Tachaudomdach, C., & Khampolsiri, T. (2022). Factors Related to Readiness for Hospital Discharge Among Stroke Patients in Sichuan Province, the People’s Republic of China. Nursing Journal CMU, 49(4), 15–28. Retrieved from https://he02.tci-thaijo.org/index.php/cmunursing/article/view/260384