Current status and influencing factors for discharge readiness in elderly patients with hip fractures
10.3760/cma.j.cn115682-20200118-00281
- VernacularTitle:老年髋部骨折患者出院准备度的现况及影响因素分析
- Author:
Dan HE
1
;
Sanlian HU
;
Ling ZHOU
;
Huijuan QIAN
;
Yuhui WENG
;
Suifang HUANG
;
Wei CHEN
;
Jing XU
Author Information
1. 上海交通大学护理学院 200025；上海交通大学附属第六人民医院骨科，上海 200233
- Keywords:
Hip fractures;
Aged;
Discharge readiness;
Influencing factors;
Discharge guidance
- From:
Chinese Journal of Modern Nursing
2020;26(27):3732-3737
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To understand the current status of discharge readiness for elderly patients with hip fractures and analyze its influencing factors.Methods:The convenient sampling method was used to select 180 elderly patients with hip fractures who were to be discharged from the hospital after surgery in the Orthopedic Department of a Class Ⅲ Grade A hospital in Shanghai from October 2018 to June 2019. General information questionnaire, Readiness for Hospital Discharge Scale (RHDS) and Quality of Discharge Teaching Scale (QDTS) were used for the questionnaire survey. Pearson correlation analysis was used to analyze the correlation between discharge guidance quality and discharge readiness, and multiple linear regression analysis was used to analyze the influencing factors of discharge readiness.Results:The standardized score of discharge readiness of elderly patients with hip fracture was (6.37±1.26) points, which was in the middle level. Multiple linear regression analysis showed that fracture location, education level, caregiver, age, chronic disease and complications were the influencing factors of the readiness for discharge of elderly patients with hip fractures ( P<0.05) . The total score of QDTS for elderly patients with hip fractures was (140.52±17.27) points, which was in the upper middle level. There was a statistically significant difference between the total scores of the required and obtained discharge guidance ( P<0.05) . The total scores of discharge readiness and discharge guidance quality were positively correlated ( P<0.05) . Conclusions:The discharge readiness of elderly patients with hip fracture is affected by many factors and positively correlated with the quality of discharge guidance. According to the current status of discharge readiness and discharge guidance quality of elderly patients with hip fractures, weak links should be identified, and various forms of transitional discharge preparation services should be carried out with the help of information technology.
