Alzahrani Maha A, Alharbi Manal F
Collage of Nursing, King Saud University, Riyadh 11451, Saudi Arabia.
Maternal and Child Health Nursing Department, Faculty of Nursing, King Abdulaziz University, Jeddah 22252, Saudi Arabia.
Children (Basel). 2024 Nov 27;11(12):1447. doi: 10.3390/children11121447.
Preparing families to support children after hospital discharge is crucial, particularly due to the fragile health of pediatric patients and the care required at home. In this study, the aim was to assess the readiness for hospital discharge among primary caregivers of pediatric patients in medical-surgical units in Jeddah, Saudi Arabia, and to identify factors influencing their preparedness. A quantitative cross-sectional study was conducted among 258 primary caregivers recruited from two hospitals in Jeddah: King Abdulaziz University Hospital (KAUH) and a Ministry of Health (MOH) hospital. A purposive sampling method was used. Data were collected through the Pediatric Readiness for Hospital Discharge Scale (Ped-RHDS) and the Quality of Discharge Teaching Scale (QDTS), translated into Arabic. Descriptive statistics, t-tests, and multiple regression analyses were employed to identify key predictors of discharge readiness. Caregivers reported moderate to high readiness for discharge, with mean scores of 8.28 (SD = 2.65) for personal strength and 8.62 (SD = 2.26) for their child's strength. Knowledge scores averaged 7.49 (SD = 3.27). The quality of discharge teaching was higher at KAUH (M = 6.43, SD = 2.56) than at the MOH hospital (M = 5.48, SD = 2.89, = 0.006). Caregiver age, child age, and discharge teaching quality were significant predictors of readiness ( < 0.05). In this study, the importance of discharge readiness is emphasized, highlighting the role of discharge education in enhancing preparedness. Addressing caregivers' specific needs, especially for younger children or prolonged stays, can improve readiness and reduce post-discharge complications.
让家庭做好准备在患儿出院后提供支持至关重要，尤其是考虑到儿科患者健康状况脆弱以及在家中所需的护理。本研究旨在评估沙特阿拉伯吉达市内科-外科病房儿科患者的主要照顾者对出院的准备情况，并确定影响他们准备程度的因素。对从吉达市两家医院招募的258名主要照顾者进行了一项定量横断面研究：阿卜杜勒阿齐兹国王大学医院（KAUH）和一家卫生部（MOH）医院。采用了目的抽样法。通过翻译成阿拉伯语的《儿科出院准备量表》（Ped-RHDS）和《出院指导质量量表》（QDTS）收集数据。采用描述性统计、t检验和多元回归分析来确定出院准备的关键预测因素。照顾者报告的出院准备程度为中等至高，个人能力平均得分为8.28（标准差=2.65），孩子的能力平均得分为8.62（标准差=2.26）。知识得分平均为7.49（标准差=3.27）。KAUH的出院指导质量（M=6.43，标准差=2.56）高于卫生部医院（M=5.48，标准差=2.89，P=0.006）。照顾者年龄、孩子年龄和出院指导质量是准备程度的显著预测因素（P<0.05）。在本研究中，强调了出院准备的重要性，突出了出院教育在提高准备程度方面的作用。满足照顾者的特定需求，特别是对年幼儿童或住院时间较长的情况，可以提高准备程度并减少出院后并发症。
