Influencing factors of readiness for hospital discharge among patients with acute coronary syndrome in super-tertiary hospitals


  • Supanida Pooun Master of Nursing Science (Adult and Gerontological Nursing), Faculty of Nursing, Mahidol University
  • Doungrut Wattanakitkrileart Faculty of Nursing, Mahidol University
  • Autchariya Poungkaew Faculty of Nursing, Mahidol University
  • Chatkanok Dumavibhat Faculty of Medicine Siriraj Hospital, Mahidol University


readiness for hospital discharge, meaning of illness, illness experience, care coordination before discharge, patients with acute coronary syndrome


This study was a correlational predictive design aimed to examine factors influencing readiness for hospital discharge among patients with acute coronary syndrome (ACS). The samples consisted of 141 ACS patients with a stable condition and planned hospital discharge at two super-tertiary hospitals. The research instruments consisted of a demographic questionnaire, Constructed Meaning Scale (CMS), The Heart Continuity of Care Questionnaire (HCCQ), and the Readiness for Hospital Discharge after Myocardial Infarction Scale (RHDS MIS). Data were analyzed using descriptive statistics, Pearson’s product-moment correlation, and enter multiple regression.

The results revealed that the samples 48.9% was at a high level of readiness for hospital discharge (Mean = 56.6, S.D. = 7.5). Meaning of illness, admission time, illness experience, and care coordination before discharge could predict readiness for hospital discharge by 43% (R2= .43, p < .001). Meaning of illness and care coordination before discharge predicted readiness for hospital discharge   (β = .356, β = .381, p < .001).

It is recommended that nurses should encourage patients with ACS to identify the illness in a positive direction and coordinate with the multidisciplinary care team in providing information and care before discharge


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