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The Predictive Effect of the Level of Psychological Resilience on the Level of Readiness for Discharge in Patients Undergoing Orthopaedic Surgery.

作者信息

Gündüz Emine Selda, Durmaz Melike, Aydin Bahattin Kerem

机构信息

Vocational School of Health Services, Akdeniz University, Antalya, Turkey.

Surgical Nursing Department, Faculty of Nursing, Selcuk University, Konya, Turkey.

出版信息

J Clin Nurs. 2025 Apr;34(4):1398-1408. doi: 10.1111/jocn.17454. Epub 2024 Nov 5.


DOI:10.1111/jocn.17454
PMID:39497633
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11933522/
Abstract

AIM: The aim of this study is to establish the correlation between the degree of psychological resilience and readiness for discharge in patients undergoing orthopaedic surgery. DESIGN: This study is of a descriptive correlational type. MATERIAL AND METHOD: This study comprised a cohort of 190 patients who were admitted to the orthopaedics and traumatology department and had surgical procedures performed between November 2023 and April 2024. The study data were gathered via completion of the Introductory Information Form, the Psychological Resilience Scale and the Hospital Discharge Readiness Scale. IBM SPSS 25 package program was used to analyse the research data. RESULTS: In this study, 34.2% of the participants stated that they did not feel ready for discharge. Predictors of Readiness for Hospital Discharge were identified as being male (β = 0.118, p = 0.003), living alone (β = 0.222, p < 0.001), having undergone prosthesis, fracture or amputation surgery (β = 0.161, p < 0.001), not having received discharge training (β = 0.122, p = 0.001), not feeling ready for discharge (β = 0.442, p < 0.001) and resilience (β = 0.246, p < 0.001). These variables were found to explain 88.7% of Readiness for Hospital Discharge (adjusted R = 0.773). CONCLUSION: The findings of this study emphasise that including patients in their healthcare and creating comprehensive discharge plans tailored to their specific care requirements have a beneficial impact on their readiness for discharge. Additionally, the study demonstrates that enhancing psychological resilience plays a mediating role in facilitating discharge readiness. IMPLICATIONS FOR THE PATIENT CARE: Patients who feel ready for discharge are less likely to be hospitalised and their recovery may be faster. Including the patient in the discharge plan, taking individual needs into consideration and disseminating programmes to increase resilience should be an integral part of holistic care. REPORTING METHOD: The STROBE checklist was applied in the reporting of the finding.

摘要

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本文引用的文献

[1]
Health services under pressure: a scoping review and development of a taxonomy of adaptive strategies.

BMJ Qual Saf. 2024-10-18

[2]
Research trends in readiness for hospital discharge between 2002 and 2021: A bibliometric analysis.

Nurs Open. 2023-12

[3]
The role of collaborative decision-making in discharge planning: Perspectives from patients, family members and health professionals.

J Clin Nurs. 2023-10

[4]
Associating Outcomes After Hip Arthroscopy With Patient Resilience.

Orthop J Sports Med. 2023-2-24

[5]
Resilience in cancer patients and how it correlates with demographics, psychological factors, and lifestyle.

J Cancer Res Clin Oncol. 2023-7

[6]
All together now - patient engagement, patient empowerment, and associated terms in personal healthcare.

BMC Health Serv Res. 2022-9-2

[7]
Preoperative Patient Expectation of Discharge Planning is an Essential Component in Total Knee Arthroplasty.

Knee Surg Relat Res. 2022-5-8

[8]
The Impact of Patient Resilience on Discharge After Total Hip Arthroplasty.

J Arthroplasty. 2022-7

[9]
The association of increasing resilience with positive health outcomes among older adults.

Geriatr Nurs. 2022

[10]
Examining the Relationship between Older Adults' Readiness for Discharge after Surgery and Satisfaction with Nursing Care and the Associated Factors.

Clin Nurs Res. 2021-11

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