Ran Mingfei, Songwathana Praneed, Damkliang Jintana
Faculty of Nursing, Prince of Songkla University, Thailand.
Belitung Nurs J. 2022 Dec 27;8(6):497-504. doi: 10.33546/bnj.2341. eCollection 2022.
Helping first-time mothers who have just undergone cesarean section and transitioning from hospital to home with their infant is a complex process. Therefore, understanding what contributes to discharge readiness is necessary.
This study aimed to determine discharge readiness level and its associated factors among first-time mothers who have undergone cesarean section.
A descriptive cross-sectional study was conducted among 233 first-time mothers who had undergone cesarean sections selected using quota sampling from the two largest referral centers in China. Data were collected from March to June 2021 using a demographic characteristics form, Readiness for Hospital Discharge Scale-New Mother Form (RHDS-NMF), and Quality Discharge Teaching Scale-New Mother Form (QDTS-NMF). Descriptive and inferential statistics were used for data analysis.
The discharge readiness of the respondents was at a moderate level. Age ( = -0.129, = 0.049) and complications after cesarean section ( = -0.136, = 0.038) had a negative correlation with discharge readiness. In contrast, the subscales of QDTS-NMF, particularly the content ( = 0.519, = 0.000) and delivery ( = 0.643, = 0.000), had a positive correlation with discharge readiness.
The findings enable nurses, midwives, and other healthcare professionals to understand discharge readiness and its related factors among first-time mothers undergoing cesarean section. It is also suggested that the quality of discharge teaching with a comprehensive assessment of first-time mothers preparing for discharge from the hospital and following the guideline to prevent post-cesarean section complications should be reinforced.
帮助刚经历剖宫产的初产妇以及她们带着婴儿从医院过渡到家庭是一个复杂的过程。因此，了解哪些因素有助于出院准备是很有必要的。
本研究旨在确定剖宫产初产妇的出院准备水平及其相关因素。
采用配额抽样法，从中国两个最大的转诊中心选取233名剖宫产初产妇进行描述性横断面研究。2021年3月至6月，使用人口统计学特征表、《出院准备度量表 - 新妈妈版》（RHDS - NMF）和《优质出院指导量表 - 新妈妈版》（QDTS - NMF）收集数据。采用描述性和推断性统计方法进行数据分析。
受访者的出院准备处于中等水平。年龄（β = -0.129，P = 0.049）和剖宫产术后并发症（β = -0.136，P = 0.038）与出院准备呈负相关。相比之下，QDTS - NMF的分量表，特别是内容（β = 0.519，P = 0.000）和分娩（β = 0.643，P = 0.000）与出院准备呈正相关。
这些研究结果使护士、助产士和其他医疗保健专业人员能够了解剖宫产初产妇的出院准备情况及其相关因素。还建议加强出院指导的质量，全面评估初产妇出院准备情况，并遵循指南预防剖宫产术后并发症。
