West China School of Nursing, Sichuan University/West China Hospital, Sichuan University, Chengdu, China.
Department of Nursing, West China Hospital, Sichuan University/West China School of Nursing, Sichuan University, Chengdu, China.
J Psychiatr Ment Health Nurs. 2021 Jun;28(3):409-421. doi: 10.1111/jpm.12693. Epub 2020 Oct 18.
WHAT IS KNOWN ON THE SUBJECT?: The attributes of readiness for hospital discharge (RHD) have been identified to be physical stability, adequate support, psychological ability, and adequate information and knowledge. Patient-reported RHD has been regarded as an outcome indicator, and poor RHD leads to unplanned readmission, emergency department visits and even death. Knowledge regarding patient-reported RHD and its factors among patients with depression is limited. WHAT THE PAPER ADDS TO EXISTING KNOWLEDGE?: RHD among patients with depression is at a moderate level. More than a quarter of people with depression had low RHD. The knowledge dimension of the RHDS among patients with depression should be further strengthened. The length of stay, content received and delivery dimensions of the QDTS were significantly associated with RHD. WHAT ARE THE IMPLICATIONS FOR PRACTICE?: This study encourages nurses to assess patient-reported RHD at discharge in mental health settings. Nurses should pay more attention to patients with hospital stays longer than 20 days. Nurses could improve RHD by enhancing the quality of discharge teaching, particularly the content received and the skills nurses used to deliver such content. Nurses' managers could develop programmes to improve teaching skills via Internet technology, such as simulated patients and online interprofessional discharge planning. ABSTRACT: Introduction Low readiness for hospital discharge (RHD) can be followed by negative healthcare outcomes. However, no studies have investigated RHD among patients with depression. Aim This study aimed to examine patient-reported RHD and its factors among patients with depression. Method In total, 367 inpatients with depression were recruited and completed the Readiness for Hospital Discharge Scale (RHDS) and Quality of Discharge Teaching Scale (QDTS). A binary logistic regression analysis was performed to explore the factors of RHD among patients with depression. Results The total RHDS score was 7.70 ± 1.52. Approximately 28.9% of the participants had low RHD (RHDS score < 7). The results revealed that RHD was significantly associated with the length of stay, content received and delivery. Discussion RHD among patients with depression is at a moderate level. More than a quarter of people with depression had low RHD. To improve RHD, enhancing the quality of discharge teaching is imperative for patients with depression. Implications for Practice Nurses should pay more attention to patients with a hospital stay longer than 20 days. Nurses could improve RHD by enhancing the quality of discharge teaching, particularly the content received and the skills nurses used to deliver such content.
已知信息：出院准备度（RHD）的属性包括身体稳定、充足的支持、心理能力以及充足的信息和知识。患者报告的 RHD 已被视为结果指标，而 RHD 不佳会导致计划外再入院、急诊就诊甚至死亡。关于抑郁症患者的患者报告的 RHD 及其因素的知识有限。本文的新发现：抑郁症患者的 RHD 处于中等水平。超过四分之一的抑郁症患者 RHD 较低。抑郁症患者的 RHDS 知识维度应进一步加强。QDTS 的住院时间、内容接收和交付维度与 RHD 显著相关。对实践的意义：本研究鼓励护士在精神卫生机构在出院时评估患者报告的 RHD。护士应更加关注住院时间超过 20 天的患者。护士可以通过提高出院教学质量来提高 RHD，特别是要提高内容的接收和护士用于提供此类内容的技能。护士的管理人员可以通过互联网技术（如模拟患者和在线跨专业出院计划）来开发提高教学技能的方案。摘要：背景：低出院准备度（RHD）可能会导致负面的医疗保健结果。然而，尚无研究调查抑郁症患者的 RHD。目的：本研究旨在探讨抑郁症患者的患者报告的 RHD 及其因素。方法：共招募了 367 名抑郁症住院患者，并完成了出院准备度量表（RHDS）和出院教学质量量表（QDTS）。采用二元逻辑回归分析探讨抑郁症患者 RHD 的影响因素。结果：RHDS 总分为 7.70±1.52。约 28.9%的参与者 RHD 较低（RHDS 评分<7）。结果表明，RHD 与住院时间、内容接收和交付显著相关。讨论：抑郁症患者的 RHD 处于中等水平。超过四分之一的抑郁症患者 RHD 较低。为了提高 RHD，对抑郁症患者来说，提高出院教学质量至关重要。对实践的意义：护士应更加关注住院时间超过 20 天的患者。护士可以通过提高出院教学质量来提高 RHD，特别是要提高内容的接收和护士用于提供此类内容的技能。
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