Readiness for hospital discharge on people after hip replacement surgery in Vietnam: A cross-sectional study
Abstract
Background & Aim: Readiness for hospital discharge is closely linked to post-operative complications, readmission rates, and the post-discharge health status of patients after hip replacement surgery. This study aimed to assess discharge readiness and identify the factors that predict it in patients undergoing hip replacement surgery.
Methods & Materials: This cross-sectional descriptive study included 112 patients who had undergone hip replacement surgery at Hospital X in Middle Vietnam. Participants were selected using a convenience sampling method, and data were collected within 4 hours before hospital discharge. The Readiness for Discharge Scale, developed by Weiss et al. was used to measure discharge readiness. Data analysis was conducted using SPSS 20.0 statistical software.
Results: The average discharge readiness score was 6.06± 2.10, indicating a low discharge readiness level. Multivariable linear regression analysis revealed that age, living conditions, planned admission, previous admission for the same diagnosis, and length of hospital stay significantly predicted 78.5% of the variance in discharge readiness (F= 77.626, p< 0.001). Among these factors, the strongest predictor was previous admission for the same diagnosis (β= 0.341, p< 0.001), followed by planned admission (β= 0.324, p< 0.001).
Conclusion: The findings indicate that patients' readiness for discharge after hip replacement surgery remains low, with various factors influencing their readiness. Nurses caring for these patients should consider these factors to improve discharge readiness and patient outcomes.
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3. Yao DH, Keswani A, Shah CK, Sher A, Koenig KM, Moucha CS. Home discharge after primary elective total joint arthroplasty: postdischarge complication timing and risk factor analysis. The Journal of Arthroplasty. 2017 Feb 1;32(2):375-80. doi: 10.1016/j.arth.2016.08.004
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7. Heine J, Koch S, Goldie P. Patients' experiences of readiness for discharge following a total hip replacement. Australian Journal of Physiotherapy. 2004;50(4):227-33. doi: 10.1016/s0004-9514(14)60112-4
8. Weiss M, Piacentine LB. Psychometric properties of the Readiness for Hospital Discharge Scale. Journal of Nursing Measurement. 2006 Win;14(3):163-80. doi: 10.1891/jnm-v14i3a002
9. Yu Q, He LJ, Zhong JD, Zhang JE. Readiness for hospital discharge and its association with post-discharge outcomes among oesophageal cancer patients after oesophagectomy: A prospective observational study. Journal of Clinical Nursing. 2024 Feb. doi: 10.1111/jocn.17055
10. Monfared A, Javadi-Pashaki N, Dehghan Nayeri N, Jafaraghaee F. Barriers and facilitators of readiness for hospital discharge in patients with myocardial infarction: a qualitative study: quality improvement study. Annals of Medicine and Surgery. 2024 Feb;86(4):1967-76. doi: 10.1097/MS9.0000000000001706
11. Cai W, Zheng X, Wang R, et al. Factors of Parents-Reported Readiness for Hospital Discharge in Children with Acute Leukemia: A Cross-Sectional Study. Journal of Healthcare Engineering. 2022 Apr;2022:4082196. doi: 10.1155/2022/4082196
12. Brent L, Coffey A. Patient’s perception of their readiness for discharge following hip fracture surgery. International Journal of Orthopaedic and Trauma Nursing. 2013 Nov 1;17(4):190-8. doi: 10.1016/j.ijotn.2013.01.001
13. Changsuphan S, Kongvattananon P, Somprasert C. Patient readiness for discharge after total hip replacement: an integrative review. Journal of Health Research, 2018; 32(2):164-171.doi: https://doi.org/10.1108/JHR-01-2018-016 .
14. Li N, Guo M, You S, Ji H. On Patient Readiness for Hospital Discharge: an update on recent Evidence. International Healthcare Review (online). 2022 Aug 10. doi: 10.56226/ihr.v1i2.30
15. Pogue CA, Schlak AE, McHugh MD. Effect of Discharge Readiness on 30-Day Readmissions Among Older Adults Living With Multiple Chronic Conditions. Medical Care. 2024 Mar 1;62(3):205-12. doi: 10.1097/MLR.000000000000197
16. Vu Thu Ha. Information needs upon discharge of patients at the Orthopedic Trauma Department - Viet Duc Hospital. Bachelor of Nursing graduation thesis, Thang Long University. 2011 Jun. Available from: http://thuvienso.thanglong.edu.vn//handle/TLU/8359
17. Nguyen Thi Thanh Thanh. The fulfillment of discharge education content needs among surgical patients. Journal of Medicine and Pharmacy. 2022 Nov; 6 (12): 15-21. doi: 10.34071/jmp.2022.6.2
18. Von Elm E, Altman DG, Egger M, Pocock SJ, Gøtzsche PC, Vandenbroucke JP. The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: guidelines for reporting observational studies. The Lancet. 2007 Oct 20;370(9596):1453-7. doi: 10.1016/S0140-6736(07)61602-X
19. Green SB. How Many Subjects Does It Take To Do A Regression Analysis? Multivariate Behavioral Research. 1991 Jul;26(3):499-510. doi: 10.1207/s15327906mbr2603_7.
20. Weiss ME, Costa LL, Yakusheva O, Bobay KL. Validation of patient and nurse short forms of the Readiness for Hospital Discharge Scale and their relationship to return to the hospital. Health Services Research. 2014 Feb;49(1):304-17. doi: 10.1111/1475-6773.12092
21. Brislin RW. Back-translation for cross-cultural research. Journal of cross-cultural psychology. 1970 Sep;1(3):185-216. doi: 10.1177/135910457000100301
22. Feldbusch H, Schmidt M, Steeb EM, Paschek N, Nemesch M, Sartory Y, Brenner R, Nöst S. Theoretical concepts and instruments for measuring hospital discharge readiness: A scoping review. Heliyon. 2024 Feb 21. doi: 10.1016/j.heliyon.2024.e26554
23. Hydzik P, Kolarczyk E, Kustrzycki W, et al. Readiness for Discharge from Hospital after Myocardial Infarction: A Cross-Sectional Study. International Journal of Environmental Research and Public Health. 2021 Jun;18(13): 6337. doi: 10.3390/ijerph18136937
24. Coffey A, McCarthy GM. Older people's perception of their readiness for discharge and post-discharge use of community support and services. International Journal of Older People Nursing. 2013 May;8(2):104-15.
25. Bull MJ, Hansen HE, Gross CR. A professional-patient partnership model of discharge planning with elders hospitalized with heart failure. Applied Nursing Research. 2000 Feb 1;13(1):19-28.
26. Smith Jr TW, Wang X, Singer MA, Godellas CV, Vaince FT. Enhanced recovery after surgery: a clinical review of implementation across multiple surgical subspecialties. The American Journal of Surgery. 2020 Mar 1;219(3):530-4. doi: 10.1016/j.amjsurg.2019.11.009
27. Phuong Pham Dinh. Evaluating the effectiveness of early rehabilitation in patients after traumatic partial hip replacement surgery at Viet Duc University Hospital. Vietnam Medical Journal. 2022 Jul;516(1):110-4.
28. Greimel F, Schiegl J, Meyer M, Grifka J, Maderbacher G. Fast-Track-Arthroplasty. Orthopadie (Heidelberg, Germany). 2024 Jan 16;53(2):117-26. doi: 10.1007/s00132-023-04465-4
2. Hien TV, Thanh VV, Nen TV. Assessing the level of independence in daily activities and some related factors of people after hip replacement at Cho Ray Hospital in 2020. Ho Chi Minh City Medical Journal. 2021;25(5):445-51.
3. Yao DH, Keswani A, Shah CK, Sher A, Koenig KM, Moucha CS. Home discharge after primary elective total joint arthroplasty: postdischarge complication timing and risk factor analysis. The Journal of Arthroplasty. 2017 Feb 1;32(2):375-80. doi: 10.1016/j.arth.2016.08.004
4. Rahmahwati IN, Maria R, Herawati T. Hospital discharge readiness on patients post hip surgery. Enfermería Clínica. 2021 Sep;31:S122-S5. doi: 10.1016/j.enfcli.2020.12.005
5. Quang Dang Nhat, Thanh Dao Xuan, Son Le Manh. Describe some complications after hip replacement surgery. Viet Nam Medical Journal. 2023 Feb;523(2):92-6. doi: https://doi.org/10.51298/vmj.v523i2.4518
6. Weiss M. E, Piacentine LB, Lokken L, el al. Perceived readiness for hospital discharge in adult medical-surgical people. Clinical Nurse Specialist. 2007 Jan-Feb;21(1):31-42. doi: 10.1097/00002800-200701000-00008
7. Heine J, Koch S, Goldie P. Patients' experiences of readiness for discharge following a total hip replacement. Australian Journal of Physiotherapy. 2004;50(4):227-33. doi: 10.1016/s0004-9514(14)60112-4
8. Weiss M, Piacentine LB. Psychometric properties of the Readiness for Hospital Discharge Scale. Journal of Nursing Measurement. 2006 Win;14(3):163-80. doi: 10.1891/jnm-v14i3a002
9. Yu Q, He LJ, Zhong JD, Zhang JE. Readiness for hospital discharge and its association with post-discharge outcomes among oesophageal cancer patients after oesophagectomy: A prospective observational study. Journal of Clinical Nursing. 2024 Feb. doi: 10.1111/jocn.17055
10. Monfared A, Javadi-Pashaki N, Dehghan Nayeri N, Jafaraghaee F. Barriers and facilitators of readiness for hospital discharge in patients with myocardial infarction: a qualitative study: quality improvement study. Annals of Medicine and Surgery. 2024 Feb;86(4):1967-76. doi: 10.1097/MS9.0000000000001706
11. Cai W, Zheng X, Wang R, et al. Factors of Parents-Reported Readiness for Hospital Discharge in Children with Acute Leukemia: A Cross-Sectional Study. Journal of Healthcare Engineering. 2022 Apr;2022:4082196. doi: 10.1155/2022/4082196
12. Brent L, Coffey A. Patient’s perception of their readiness for discharge following hip fracture surgery. International Journal of Orthopaedic and Trauma Nursing. 2013 Nov 1;17(4):190-8. doi: 10.1016/j.ijotn.2013.01.001
13. Changsuphan S, Kongvattananon P, Somprasert C. Patient readiness for discharge after total hip replacement: an integrative review. Journal of Health Research, 2018; 32(2):164-171.doi: https://doi.org/10.1108/JHR-01-2018-016 .
14. Li N, Guo M, You S, Ji H. On Patient Readiness for Hospital Discharge: an update on recent Evidence. International Healthcare Review (online). 2022 Aug 10. doi: 10.56226/ihr.v1i2.30
15. Pogue CA, Schlak AE, McHugh MD. Effect of Discharge Readiness on 30-Day Readmissions Among Older Adults Living With Multiple Chronic Conditions. Medical Care. 2024 Mar 1;62(3):205-12. doi: 10.1097/MLR.000000000000197
16. Vu Thu Ha. Information needs upon discharge of patients at the Orthopedic Trauma Department - Viet Duc Hospital. Bachelor of Nursing graduation thesis, Thang Long University. 2011 Jun. Available from: http://thuvienso.thanglong.edu.vn//handle/TLU/8359
17. Nguyen Thi Thanh Thanh. The fulfillment of discharge education content needs among surgical patients. Journal of Medicine and Pharmacy. 2022 Nov; 6 (12): 15-21. doi: 10.34071/jmp.2022.6.2
18. Von Elm E, Altman DG, Egger M, Pocock SJ, Gøtzsche PC, Vandenbroucke JP. The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: guidelines for reporting observational studies. The Lancet. 2007 Oct 20;370(9596):1453-7. doi: 10.1016/S0140-6736(07)61602-X
19. Green SB. How Many Subjects Does It Take To Do A Regression Analysis? Multivariate Behavioral Research. 1991 Jul;26(3):499-510. doi: 10.1207/s15327906mbr2603_7.
20. Weiss ME, Costa LL, Yakusheva O, Bobay KL. Validation of patient and nurse short forms of the Readiness for Hospital Discharge Scale and their relationship to return to the hospital. Health Services Research. 2014 Feb;49(1):304-17. doi: 10.1111/1475-6773.12092
21. Brislin RW. Back-translation for cross-cultural research. Journal of cross-cultural psychology. 1970 Sep;1(3):185-216. doi: 10.1177/135910457000100301
22. Feldbusch H, Schmidt M, Steeb EM, Paschek N, Nemesch M, Sartory Y, Brenner R, Nöst S. Theoretical concepts and instruments for measuring hospital discharge readiness: A scoping review. Heliyon. 2024 Feb 21. doi: 10.1016/j.heliyon.2024.e26554
23. Hydzik P, Kolarczyk E, Kustrzycki W, et al. Readiness for Discharge from Hospital after Myocardial Infarction: A Cross-Sectional Study. International Journal of Environmental Research and Public Health. 2021 Jun;18(13): 6337. doi: 10.3390/ijerph18136937
24. Coffey A, McCarthy GM. Older people's perception of their readiness for discharge and post-discharge use of community support and services. International Journal of Older People Nursing. 2013 May;8(2):104-15.
25. Bull MJ, Hansen HE, Gross CR. A professional-patient partnership model of discharge planning with elders hospitalized with heart failure. Applied Nursing Research. 2000 Feb 1;13(1):19-28.
26. Smith Jr TW, Wang X, Singer MA, Godellas CV, Vaince FT. Enhanced recovery after surgery: a clinical review of implementation across multiple surgical subspecialties. The American Journal of Surgery. 2020 Mar 1;219(3):530-4. doi: 10.1016/j.amjsurg.2019.11.009
27. Phuong Pham Dinh. Evaluating the effectiveness of early rehabilitation in patients after traumatic partial hip replacement surgery at Viet Duc University Hospital. Vietnam Medical Journal. 2022 Jul;516(1):110-4.
28. Greimel F, Schiegl J, Meyer M, Grifka J, Maderbacher G. Fast-Track-Arthroplasty. Orthopadie (Heidelberg, Germany). 2024 Jan 16;53(2):117-26. doi: 10.1007/s00132-023-04465-4
| Files | ||
| Issue | Vol 11 No 4 (2024): Autumn | |
| Section | Original Article(s) | |
| DOI | https://doi.org/10.18502/npt.v11i4.16814 | |
| Keywords | ||
| discharge readiness; hip replacement surgery; post-surgical care; surgical nursing | ||
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How to Cite
1.
Nguyen H, Mai B. Readiness for hospital discharge on people after hip replacement surgery in Vietnam: A cross-sectional study. NPT. 2024;11(4):353-360.
