Assessing Discharge Readiness and Influencing Factors Among Patients with Aortic Dissection: A Cross-Sectional Study.
Long Ling, Yanqiu Hu
PMID 41566597WHAT IT FOUND
Patients recovering after aortic dissection surgery reported only moderate discharge readiness.
Older adults, lower education, rural residence, lower family income, and recurrent dissection were associated with lower readiness.
Key findings
01Mean discharge readiness was 160.75 total points and 7.38 per item, which the paper classifies as moderate.
02Age, education level, place of residence, family monthly income, and recurrent aortic dissection were significant independent predictors of discharge readiness.
03Patients older than 60 had a mean discharge readiness score of 157.69, compared with 162.10 for those aged 19 to 39 and 162.14 for those aged 40 to 60.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The study was done at a single hospital and the authors said the sample was relatively small, so the results may not generalize. Patients with cognitive or communication impairments were excluded, so it does not describe how those patients perceive discharge readiness. The authors said this was only a preliminary investigation into discharge readiness and influencing factors, not a test of interventions. Discharge readiness was measured once, on the day of discharge, using self-report.
The easy way to misread this
Do not read the listed factors as proof that extra education, telemedicine, or financial support will improve readiness. The study measured readiness at one time and only identified associations with patient characteristics.