Investigation of Discharge Readiness and Influencing Factors in Post-Surgical Patients With Obstructive Sleep Apnoea Hypopnoea Syndrome.
Li Wang, Junli He, Xiaolin Fu and 3 others
PMID 42175597WHAT IT FOUND
Post-surgical OSAHS patients' discharge readiness was lower in those living alone and higher with better discharge teaching, higher education level, and more social support.
Nurses can assess these before discharge.
Key findings
01The mean total discharge readiness score was 98.63 ± 9.08 on a 0 to 120 scale, with adaptability highest and personal status lowest.
02Patients living alone had a mean discharge readiness score of 91.95 ± 11.28, compared with 102.57 ± 6.10 for patients not living alone.
03The strongest associated factor was living arrangement, followed by discharge guidance quality, education level, and social support.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The survey was done at one hospital in one region, so it may not apply to other settings. Only 99 valid responses were analysed, and 90.9% were male, 85.9% lived in urban areas, and 49.5% had a bachelor's degree or higher. The patients were adults with an average age of 43.26 ± 9.46 years and a maximum age of 68, so it says little about older patients. Because it was cross-sectional and based on self-report, it cannot show that living arrangement, discharge teaching quality, education, or social support caused discharge readiness. Most questionnaires were distributed and collected by patients' responsible nurses, which may make patients conceal true answers. The study reported questionnaire scores, not patient outcomes after discharge.
Declared interests
The authors report no funding to disclose and declare no conflicts of interest.
The easy way to misread this
Do not conclude that better discharge teaching will improve readiness. This was a cross-sectional survey of patients' reports, with no intervention, control group, or follow-up.