Analysis of discharge readiness and influencing factors of patients with rheumatoid arthritis
Objective To investigate the readiness for discharge of patients with rheumatoid arthritis and to analyze the influenc-ing factors.Methods A total of 130 patients with rheumatoid arthritis admitted to our hospital from April 2021 to February 2022 were selected by random sampling method.A cross-sectional investigation was conducted using general data questionnaire.Discharge readi-ness scale,discharge guidance quality scale and arthritis self-efficacy scale-8,and the influencing factors were analyzed by multiple linear regression.Results 96.92％of patients with rheumatoid arthritis indicated that they were ready to be discharged home,and the total score of discharge readiness was(93.58±5.80).Discharge readiness was positively correlated with self-efficacy and quality of discharge instructions(r=0.436,P＜0.001;r=0.553,P＜0.001).Univariate analysis showed that the variables with statistically sig-nificances were age,educational level,combined disease,disease course and joint function(P＜0.05).Multiple linear regression analysis showed that the main factors affecting discharge readiness of patients with rheumatoid arthritis were education level,disease course years,joint function,arthritis self-efficacy and discharge guidance quality(R2=0.530,adjusted R2=0.511,F=27.920,P＜0.001).Conclusion The discharge readiness of patients with rheumatoid arthritis is at a medium to high level,which is mainly af-fected by education level,disease duration,joint function,self-efficacy,and quality of discharge guidance.Clinical workers should com-municate positively with patients to help establish long-term confidence in long-term fight against the disease,and constantly improve the quality of discharge guidance to improve the discharge readiness for discharge.
Rheumatoid arthritisDischarge readinessInfluencing factorQuality of discharge teachingSelf-efficacy
NETL
NSTL
万方数据
