Wang Huiling, Ding Qinqin, Chen Ting
Department of Day Surgery, Children's Hospital of Nanjing Medical University, Nanjing, China.
Transl Pediatr. 2025 Aug 31;14(8):1827-1835. doi: 10.21037/tp-2025-265. Epub 2025 Aug 27.
Enhancing parental readiness for hospital discharge is critical for optimizing postoperative outcomes in pediatric day surgery. However, current evidence regarding the discharge preparedness of parents in this context remains insufficient. This study aimed to assess the status of parental readiness for discharge of day surgery children and identify its key influencing factors.
Parents of the day surgery children at our hospital from February 2024 to February 2025 were included in this study. We utilized the Discharge Readiness Scale to assess the study participants, examining their discharge readiness scores and identifying associated influencing factors.
A total of 252 parents of day surgery children were included. The overall discharge readiness score among these parents was 235.18±30.66. Correlation analysis revealed significant associations between parental discharge readiness and several factors: the child's previous history of having day surgery (r=0.590), the parent's educational level (r=0.632), place of residence (r=0.592), and personal monthly income (r=0.606) (all P<0.05). Multiple linear regression found that the child's previous history of having day surgery, the parent's educational level, place of residence, and personal monthly income were influencing factors of parental discharge readiness in day surgery children (all P<0.05).
The discharge readiness of parents of day surgery children is at a moderate level. Healthcare providers should implement targeted pre-discharge guidance and continuity of care to enhance parental confidence and improve their discharge readiness.
提高家长对患儿出院的准备程度对于优化小儿日间手术的术后结局至关重要。然而，目前关于在这种情况下家长出院准备情况的证据仍然不足。本研究旨在评估日间手术患儿家长的出院准备状况，并确定其关键影响因素。
纳入2024年2月至2025年2月在我院接受日间手术患儿的家长。我们使用出院准备量表对研究参与者进行评估，检查他们的出院准备得分，并确定相关影响因素。
共纳入252名日间手术患儿的家长。这些家长的总体出院准备得分为235.18±30.66。相关性分析显示，家长出院准备与多个因素之间存在显著关联：患儿既往日间手术史（r=0.590）、家长教育程度（r=0.632）、居住地（r=0.592）和个人月收入（r=0.606）（均P<0.05）。多元线性回归发现，患儿既往日间手术史、家长教育程度、居住地和个人月收入是日间手术患儿家长出院准备的影响因素（均P<0.05）。
日间手术患儿家长的出院准备处于中等水平。医疗服务提供者应实施有针对性的出院前指导和持续护理，以增强家长的信心并提高他们的出院准备程度。
