Readiness for hospital discharge and its influencing factors in patients after total hip arthroplasty
10.3760/cma.j.issn.1674-2907.2019.29.018
- VernacularTitle:人工全髋关节置换术后患者出院准备度及其影响因素分析
- Author:
Lingli BI
1
;
Li'na WANG
;
Lin MA
Author Information
1. 新乡医学院第一附属医院骨外科
- Keywords:
Arthroplasty,replacement,hip;
Anxiety;
Total hip arthroplasty;
Readiness of hospital discharge;
Hip joint function;
Influencing factors
- From:
Chinese Journal of Modern Nursing
2019;25(29):3792-3798
- CountryChina
- Language:Chinese
-
Abstract:
Objective? To investigate the status of readiness for hospital discharge(RHD)in patients after total hip arthroplasty(THA)and to explore the influencing factors. Methods? A total of 161 patients undergoing THA in 3 ClassⅢ Grade A hospitals in He'nan Province during July of 2017 to October of 2018 were selected by convenience sampling method. General Information Questionnaire, RHD Scale, Hospital Anxiety and Depression Scale(HADS), and Harris Hip Score(HHS) were used in the survey to investigate their readiness of hospital discharge. Single factor analysis and multiple stepwise regression analysis were used to analyze the influencing factors of patients' discharge readiness. Results? The RHD of patients after THA was (94.56±10.31). Multivariate stepwise regression analysis showed that education level, disease type, anxiety score and hip joint score were the main influencing factors of discharge readiness (P＜ 0.05), which together explained 34.2% variances of RHD. Conclusions The readiness of discharge in patients after THA is at a moderate level, suggesting that doctors and nurses should pay more attention to patients with low educational level, poor psychological status, slow recovery of joint function and acute fracture in clinical work.
