Effect of discharge readiness on post discharge outcome indexes in patients undergoing percutaneous nephrolithotomy
Objective To explore the effect of discharge readiness on post discharge outcome indexes in patients undergoing percutaneous nephrolithotomy(PCNL).Methods This study was designed as a longitudinal study,and 193 inpatients who underwent PCNL in the Department of Urology,Affiliated Hospital of Southwest Medical University from March to December 2023 were selected continuously.The general information,discharge readiness,discharge guidance quality,and social support of patients were investigated on the day of discharge.Post discharge outcome indexes were followed up one month after discharge,including whether there was WeChat group consultation,telephone consultation,unplanned outpatient visits,and readmission.Results Baseline survey was completed in 181 patients;follow-up investigation was completed in 159 patients.The total score of 181 patients for discharge readiness was(180.00[151.00,201.00])points;among 181 patients,27.1％(49/181)were not ready for discharge.The results of univariate analysis showed that there were significant differences in the scores of hospital discharge readiness among patients undergoing PCNL with different educational levels,per capita monthly household income,and number of channels(P＜0.05).Spearman correlation analysis showed that the discharge readiness of patients undergoing PCNL was positively correlated with the quality of discharge guidance and social support(r＞0,P＜0.05).Multiple linear regression analysis showed that educational level,number of channels and quality of discharge guidance were the influencing factors of discharge readiness in patients undergoing PCNL(P＜0.05).Among 159 patients,28.9％(46/159)were not ready for discharge.Within one month after discharge,the rate of WeChat group consultation,telephone consultation and unplanned outpatient visits in the group of patients who were ready for discharge was lower than that in the group of patients who were not ready for discharge(P＜0.05).Conclusion The nursing staff should provide personalized health education according to the educational level and the number of channels,improve the quality of discharge guidance and enhance the discharge readiness of patients,so as to minimize the confusion and symptom uncertainty of patients after discharge,and reduce the rate of unplanned visit rate as much as possible.
Percutaneous nephrolithotomyDischarge readinessQuality of discharge teachingOutcome indexes
万方数据
维普
