Predicting Factors of Readiness for Hospital Discharge in Patients with Heart Failure
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Abstract
Purpose: To examine the predictive ability of hospitalization experience, length of stay, illness perception and health literacy on discharge readiness in patients with heart failure.
Design: Predictive correlational study.
Methods: The sample consisted of 150 patients with heart failure who were admitted at a super tertiary hospital in Bangkok. The data were collected using demographic questionnaire, Readiness for Hospital Discharge Scale, Brief Illness Perception Questionnaire and Health Literacy Scale. The data were analyzed with descriptive statistics and logistic regression analysis.
Main Findings: The results revealed that the sample mean age was 68.7 years (SD = 14.8) and 54.7% were female. Of the sample, 78.7% were ready to hospital discharge. The analysis of predictive power showed that hospitalization experience, length of stay, illness perception and health literacy could together explain 33.2% of the variance explained in the readiness for hospital discharge in patients with heart failure (Nagelkerke R2 = .33). The findings indicated that high health literacy (OR = 5.68, p < .05) and having hospitalization experience (OR = 3.49, p < .01) were the predicting factors of readiness for hospital discharge. In addition, the patients who had severe and moderate illness perception level were 99% and คถ% decreased in discharge readiness, respectively, statistically significantly (OR = .01, p < .01; and OR = .15, p < .05, respectively).
Conclusion and recommendations: High health literacy, having hospitalization experience, severe and moderate illness perception were able to predict discharge readiness in patients with heart failure. Nurses should promote the readiness to discharge by manipulating these factors to prepare them for discharge readiness.
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