Exploring the factors affecting the readiness for hospital discharge after total knee arthroplasty: A structural equation model approach.
Na Li, Manjie Guo, Simeng You and 1 others
PMID 39312275WHAT IT FOUND
After knee replacement, patients averaged 7.68 of 10 for discharge readiness.
Older age, living alone, and night knee pain were linked to lower readiness; education, discharge teaching, rehab confidence, pain knowledge and social support to higher.
Key findings
01On discharge day, total readiness score was 92.12 ± 6.43 and item mean was 7.68 ± 0.54, a moderate level.
02Eight factors were independently associated with readiness: age, living alone, education, night knee pain, discharge teaching quality, rehab confidence, pain control knowledge and social support.
03Education influenced readiness partly through discharge teaching, rehab confidence and social support.
STILL TO COME
How it was doneWhat they foundWhat it means for PTsWhat it means for RNs
Read the rest of this summary
You get three full summaries a month, free, and we do not ask for a card. Search, the TL;DRs and your library stay unlimited either way.
What it does not show
Convenience sampling from two hospitals in one city may not represent other regions or hospitals. The study was cross-sectional, so it cannot show that any factor caused readiness or that an intervention would improve it. Patients with serious disease, postoperative complications, or significant cognitive or language difficulties were excluded, so the findings may not apply to them. Data were collected by verbal one-to-one question-and-answer, which may introduce reporting bias. The included variables were not comprehensive. Some questionnaires were removed for obvious logical errors, so the analysed sample was 339 of 350 distributed.
Declared interests
Funded by the Research Hospital Association of Shandong Province (2022018). The authors declared no conflicts of interest.
The easy way to misread this
Do not read these associations as proof that discharge teaching, pain control or rehab confidence caused readiness. The study was a cross-sectional questionnaire survey, so it measured relationships at one point in time and did not test any intervention.