Gündüz Emine Selda, Durmaz Melike, Aydin Bahattin Kerem
Vocational School of Health Services, Akdeniz University, Antalya, Turkey.
Surgical Nursing Department, Faculty of Nursing, Selcuk University, Konya, Turkey.
J Clin Nurs. 2025 Apr;34(4):1398-1408. doi: 10.1111/jocn.17454. Epub 2024 Nov 5.
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.
This study is of a descriptive correlational type.
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.
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).
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.
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.
The STROBE checklist was applied in the reporting of the finding.
本研究旨在确定骨科手术患者的心理复原力程度与出院准备情况之间的相关性。
本研究为描述性相关性研究。
本研究纳入了190名患者，他们于2023年11月至2024年4月期间入住骨科和创伤科并接受了手术。研究数据通过填写基本信息表、心理复原力量表和出院准备情况量表收集。使用IBM SPSS 25软件包程序分析研究数据。
在本研究中，34.2%的参与者表示他们感觉没有做好出院准备。确定出院准备情况的预测因素为男性（β = 0.118，p = 0.003）、独居（β = 0.222，p < 0.001）、接受过假体、骨折或截肢手术（β = 0.161，p < 0.001）、未接受出院培训（β = 0.122，p = 0.001）、感觉没有做好出院准备（β = 0.442，p < 0.001）和复原力（β = 0.246，p < 0.001）。发现这些变量可解释出院准备情况的88.7%（调整后R = 0.773）。
本研究结果强调，让患者参与其医疗保健并制定针对其特定护理需求的全面出院计划对其出院准备情况有有益影响。此外，研究表明增强心理复原力在促进出院准备方面起中介作用。
感觉做好出院准备的患者住院可能性较小，且恢复可能更快。将患者纳入出院计划、考虑个体需求并开展增强复原力的项目应是整体护理的组成部分。
研究结果报告采用了STROBE清单。
