Guo Liangyou, Shi Qian, Chen Lingyan, Dai Suwan, Ju Qiaoyan
Graduate School, Zhejiang Chinese Medical University, Zhejiang, China.
, No. 548 Binwen Road, Binjiang District, Hangzhou City, Zhejiang Province, China.
BMC Public Health. 2025 May 28;25(1):1964. doi: 10.1186/s12889-025-23146-9.
The current status of readiness for hospital discharge (RHD) in patients with post-stroke cognitive impairment (PSCI) is not clear. This study aimed to investigate the current status of RHD in patients with PSCI, identify potential influencing factors, and explore the relationship between RHD and social isolation after discharge.
This was an observational study reported according to the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) guidelines. We selected patients with post-stroke cognitive impairment from the Department of Neurology at a tertiary hospital in Zhejiang Province, China, from August to December 2023. Data were collected via a general information questionnaire, the Montreal Cognitive Assessment, the Readiness for Hospital Discharge Scale, and the Lubben Social Network Scale.
We surveyed a total of 170 patients, and collected complete data from 155 patients. The total Readiness for Hospital Discharge Scale score ranged from 67 to 111 (mean ± SD: 87.46 ± 9.64), with 58 (37.4%) patients identified as underprepared. Multivariate linear regression analysis of the significant variables identified via univariate analysis revealed that annual household income, residence, and Montreal Cognitive Assessment scores significantly affected RHD. Correlation analysis revealed that National Institutes of Health Stroke Scale scores were significantly negatively correlated with Lubben Social Network Scale scores, whereas Montreal Cognitive Assessment scores were positively correlated. There was also a significant positive correlation between RHD and social isolation.
Readiness for hospital discharge among patients with post-stroke cognitive impairment is at a medium level. Patients with higher annual household income, urban residence, and lower Montreal Cognitive Assessment scores had greater readiness for discharge. There is a significant correlation between readiness for discharge and social isolation after discharge. Improving patients' readiness for hospital discharge may help reduce social isolation.
卒中后认知障碍（PSCI）患者的出院准备状态（RHD）现状尚不清楚。本研究旨在调查PSCI患者的RHD现状，确定潜在影响因素，并探讨出院后RHD与社会隔离之间的关系。
这是一项按照流行病学观察性研究报告强化规范（STROBE）指南报告的观察性研究。我们选取了2023年8月至12月中国浙江省一家三级医院神经内科的卒中后认知障碍患者。通过一般信息问卷、蒙特利尔认知评估、出院准备度量表和鲁本社会网络量表收集数据。
我们共调查了170例患者，从155例患者中收集到完整数据。出院准备度量表总分在67至111分之间（均值±标准差：87.46±9.64），58例（37.4%）患者被确定为准备不足。对单因素分析确定的显著变量进行多变量线性回归分析显示，家庭年收入、居住地和蒙特利尔认知评估得分显著影响RHD。相关性分析显示，美国国立卫生研究院卒中量表得分与鲁本社会网络量表得分显著负相关，而蒙特利尔认知评估得分呈正相关。RHD与社会隔离之间也存在显著正相关。
卒中后认知障碍患者的出院准备处于中等水平。家庭年收入较高、居住在城市且蒙特利尔认知评估得分较低的患者出院准备程度更高。出院准备与出院后的社会隔离之间存在显著相关性。改善患者的出院准备状态可能有助于减少社会隔离。
