Status and influencing factors of discharge readiness of patients undergoing metabolic bariatric surgery under enhanced recovery after surgery mode
10.3760/cma.j.cn115682-20220214-00667
- VernacularTitle:加速康复外科模式下减重代谢手术患者出院准备度现状及其影响因素分析
- Author:
Li DU
1
;
Bilong FENG
;
Shu FANG
Author Information
1. 武汉大学中南医院肝胆胰外科，武汉 430071
- Keywords:
Enhanced recovery after surgery;
Metabolic and bariatric surgery;
Discharge readiness
- From:
Chinese Journal of Modern Nursing
2022;28(28):3854-3859
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the level of discharge readiness and influencing factors of patients undergoing metabolic bariatric surgery (MBS) under enhanced recovery after surgery (ERAS) .Methods:Using the convenient sampling method, a total of 436 MBS patients admitted to Zhongnan Hospital of Wuhan University from July 2020 to June 2021 were selected as the research objects. Questionnaires were conducted using the General Information Questionnaire, the Chinese Version of Readiness for Hospital Discharge Scale (RHDS) and the Chinese Version of Quality of Discharge Teaching Scale (QDTS) . Multiple linear regression analysis was used to analyze the influencing factors of hospital discharge readiness in MBS patients. A total of 436 questionnaires were distributed, of which 425 were actually valid, and the effective recovery rate of the questionnaire was 97.48%.Results:The total score of discharge readiness of 425 MBS patients was (89.44±14.79) , and the total score of discharge guidance quality was (137.11±55.21) . Multiple linear regression analysis showed that the per capita monthly income of households, living conditions, educational background, whether complicated with chronic diseases and the quality of discharge guidance were the influencing factors of the level of discharge readiness of MBS patients ( P<0.05) , which explained 39.1% of the total variance. Conclusions:Under the ERAS model, the level of discharge readiness of MBS patients is not high. Medical staff should provide targeted intervention and support according to the patients' own conditions, establish an early family and social support system, develop a complete discharge plan, comprehensively carry out discharge education and follow-up and improve quality of discharge guidance and discharge readiness of patients.
