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

Authors

  • 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

Keywords:

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

Abstract

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

References

Benjamin J, Muntner P, Alonso A, Bittencourt S, Callaway W, Carson P, et al. Heart disease and stroke statistics 2019 update a report from the American Heart Association. Circulation. 2019; 139(10): 516-528.

Central Chest Institute of Thailand, Department of Medical Services, Ministry of Public Health. Thai ACS registry [Internet]. 2019. [cited 2020, Sep 1]. Available from: http://www.ncvdt.org/.

Ibanez B, James S, Agewall S, Antunes J, Bucciarelli-Ducci C, Bueno H, et al. 2017 ESC Guidelines for the management of acute myocardial infarction in patients presenting with ST-segment elevation the Task Force for the management of acute myocardial infarction in patients presenting with ST-segment elevation of the European Society of Cardiology (ESC). Eur Heart J. 2018; 39(2): 119-77.

Thune J, Signorovitch E, Kober L, McMurray J, Swedberg K, Rouleau J, et al. Predictors and prognostic impact of recurrent myocardial infarction in patients with left ventricular dysfunction, heart failure, or both following a first myocardial infarction. Eur. J. Heart Fail. 2011; 13(2): 148-53.

Radovanovic D, Maurer L, Bertel O, Witassek F, Urban P, Stauffer C, et al. Treatment and outcomes of patients with recurrent myocardial infarction: a prospective observational cohort study. J. Cardiol. 2016; 68(6): 498-503.

Wang H, Zhao T, Wei X, Lu H, Lin X. The prevalence of 30‐day readmission after acute myocardial infarction: A systematic review and meta‐analysis. Clin. Cardiol. 2019; 42(10): 889-98.

Pumprueg S, Boonyapisit W, Wongsa J, Naekaew N, Dechaj D. Characteristics and outcomes of treatment for Non-ST Segment Elevation Acute Coronary Syndrome: results from a single center registry. Journal of the Medical Association of Thailand. 2016; 99(1): 1-7.

Howard‐Anderson J, Busuttil A, Lonowski S, Vangala S, Afsar‐manesh N. From discharge to readmission: understanding the process from the patient perspective. J. Hosp. Med. 2016; 11(6): 407-412.

Galvin C, Wills T, Coffey A. Readiness for hospital discharge: a concept analysis. J. Adv. Nurs. 2017; 73(11): 2547-57.

Sriprasong S, Hanucharurnkul S, Panpukdee O, Krittayaphong R, Pongthavornkamol K, Vorapongsathorn T. Personal factors related to perceived readiness for hospital discharge of patients with acute myocardial infarction. Thai Journal of Cardio-Thoracic Nursing. 2011; 22(2): 44-57. (In Thai).

Kosobucka A, Kasprzak M, Michalski P, Pietrzykowski L, Fabiszak T, Felsmann M, et al. Relation of the readiness for hospital discharge after myocardial infarction scale to socio-demographic and clinical factors. An observational study. Med. Res. J. 2018; 3: 32-37.

Kunthakhu S, Watthanakitkrileart D, Pongthavornkamol K, Dumavibhat C. Factors influencing readiness for hospital discharge in acute myocardial infarction patients. Journal of Nursing Science. 2009; 27: 83-91. (In Thai).

Niraso S, Pan-uthai S, Suwankaruhad N. Predicting Factors of Readiness for Hospital Discharge among Older Patients with Acute Myocardial Infarction. Nursing Journal. 2017; 44(4): 61-70. (In Thai).

Solai N, Padwan R, Tongdee W. Predicting factors of readiness for hospital discharge among hospitalized coronary heart disease patients at Maharaj Nakorn Chiang Mai Hospital. Chiang Mai Medical Journal. 2019; 58(3): 145-58. (In Thai).

Norekval M, Moons P, Hanestad R, Nordrehaug E, Wentzel-Larsen T, Fridlund B. The other side of the coin: Perceived positive effects of illness in women following acute myocardial infarction. Eur. J. Cardiovasc. Nurs. 2008; 7: 80-87.

Amsterdam A, Wenger K, Brindis G, Casey E, Ganiats G, Holmes R, et al. 2014 AHA/ACC guideline for the management of patients with Non–ST elevation acute coronary syndromes: a report of the American College of Cardiology/ American Heart Association task force on practice guidelines. Circulation. 2014; 130(25): 2354-94.

Collet JP, Thiele H, Barbato E, Barthelemy O, Bauersachs J, Bhatt L, et al. 2020 ESC Guidelines for the management of acute coronary syndromes in patients presenting without persistent ST-segment elevation. The task force for the management of acute coronary syndromes in patients presenting without persistent ST-segment elevation of the European Society of Cardiology (ESC). Eur. Heart. J. 2020; 42(14): 1289-67.

Bergman E, Bertero C. ‘Grasp Life Again’. A qualitative study of the motive power in myocardial infarction patients. Eur. J. Cardio vasc. Nurs. 2003; 2(4): 303–10.

Jorstad T, von Birgelen C, Alings M, Liem A, van Dantzig M, Jaarsma W, et al. Effect of a nurse coordinated prevention program on cardio vascular risk after an acute coronary syndrome: main results of the response randomised trial. Heart. 2013; 99(19): 1421-30.

Meleis I, Sawyer M, Im O, Messias H, Schumacher K. Experiencing transitions: an emerging middle-range theory. ANS Adv Nurs Sci. 2000; 23(1): 12-28.

Trongsakul S, Lambert R, Clark A, Wongpakaran N, Cross J. Development of the Thai version of Mini‐Cog, a brief cognitive screening test. Geriatr. Gerontol. Int. 2015; 15(5): 594-600. doi: 10.1111/ggi.12318.

Cohen J. A power primer. Psychol Bull. 1992; 112(1): 155-59. doi:10.1037//0033-2909.112.1.155.

Borson S, Scanlan M, Chen P, Ganguli M. The Mini‐Cog as a screen for dementia: validation in a population‐based sample. J. Am. Geriatr. Soc. 2003; 51(10): 1451-54.

Kubica A. Self-reported questionnaires for a comprehensive assessment of patients after acute coronary syndrome. Med. Res. J. 2019; 4(2): 106-109.

Fife L. The role of constructed meaning in adaptation to the onset of life threatening illness. Soc. Sci. Med. 2005; 61(10): 2132-43.

Hadjistavropoulos D, Biem J, Kowalyk M. Measurement of continuity of care in cardiac patients: reliability and validity of an in-person questionnaire. Can. J. Cardiol. 2004; 20(9): 883-91.

Polit DF, Beck CT. Nursing research: generating and assessing evidence for nursing practice. 10th edition. Philadelphia: Wolters Kluwer; 2017.

Poncharoen P, Samartkit N, Keeratiyutawong P. Factors related to discharge readiness in patients with congestive heart failure. Nursing Journal of the Ministry of Public Health. 2015; 25(2): 130-43. (In Thai).

Laurencet ME, Girardin F, Rigamonti F, Bevand A, Meyer P, Carballo D, et al. Early discharge in low-risk patients hospitalized for acute coronary syndromes: feasibility, safety and reasons for prolonged length of stay. PloS one. 2016; 11(8): e0161493. doi: 10.1371/journal.pone.0161493.

Marbach JA, Johnson D, Kloo J, Vira A, Keith S, Kraft WK, et al. The impact of a transition of care program on acute myocardial infarction readmission rates. Am. J. Med. Qual. 2018; 33(5): 481-86.

Srirat C, Panuthai S. Factors related to readiness for hospital discharge among hospitalized patients in tertiary hospitals. Ramathibodi Nursing Journal. 2017; 23: 99-112. (In Thai).

Downloads

Published

2022-03-12

How to Cite

1.
Pooun S, Wattanakitkrileart D, Poungkaew A, Dumavibhat C. Influencing factors of readiness for hospital discharge among patients with acute coronary syndrome in super-tertiary hospitals. Thai J. Cardio-Thorac Nurs. [Internet]. 2022 Mar. 12 [cited 2024 Apr. 16];32(2):44-58. Available from: https://he02.tci-thaijo.org/index.php/journalthaicvtnurse/article/view/248719

Issue

Section

Research Articles