Discharge readiness and its influencing factors of patients after first-stage sacral neuromodulation#br#
ZHAO Yao1 DING Qingqing1 WANG Shuangfeng1 DING Ziyu1 LI Jiajia1 LIU Huifan2▲
1.Urinary Surgery, the First Affiliated Hospital of Zhengzhou University, Henan Province, Zhengzhou 450052, China;
2.Department of Education, the First Affiliated Hospital of Zhengzhou University, Henan Province, Zhengzhou 450052, China
Abstract：Objective To investigate the readiness for hospital discharge and its influencing factors in patients after first-stage sacral neuromodulation (SNM). Methods From July 2019 to June 2021, a convenience sampling method was used to select 106 patients with SNM after first-stage surgery in the Department of Urology, the First Affiliated Hospital of Zhengzhou University as the research subjects. The general information questionnaire, hospital discharge readiness scale, discharge guidance quality scale and social support scale were used to investigate them. Results A total of 106 questionnaires were distributed in this survey, and 103 valid questionnaires were recovered, with an effective recovery rate of 97.17%. The total score of the patient’s discharge readiness was (89.39±6.78) points, which was at a moderate level. The results of univariate analysis showed that there were significant differences in the scores of hospital discharge readiness among patients with different educational levels, places of residence, income, economic burden, perceived disease severity and disease types (P ＜ 0.05). Pearson correlation analysis showed that the discharge readiness of patients after the first-stage SNM was positively correlated with the quality of discharge guidance and the total score of social support (r = 0.506, 0.602, P ＜ 0.05). Multiple linear regression analysis showed that education level, income, economic burden, perceived disease severity, quality of discharge guidances, and social support were the main influencing factors for discharge readiness (P ＜ 0.05). Conclusion Patients after the first stage of SNM have not been fully prepared for discharge, and medical staff should give targeted interventions according to their specific conditions.
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