Investigation and analysis on the current situation of discharge readiness and delayed discharge for patients undergoing ambulatory thyroid malignancy surgery_West China Medical Journal

Authors：

QIU Mimi , PENG Jing , LIU Qian , LIU Weidong ,  MO Yang

Day Surgery Center, Xiangya Hospital, Central South University, Changsha, Hunan 410008, P. R. China;

Corresponding author：

MO Yang, Email: moyang1980my@csu.edu.cn

Keywords：

Thyroid malignancy; Ambulatory surgery; Readiness for hospitol discharge; Delayed discharge

DOI：

10.7507/1002-0179.201912249

Video：

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Objective To explore and analyze the current situation of discharge readiness and delayed discharge for patients undergoing ambulatory thyroid malignancy surgery.Methods By convenient sampling, 284 thyroid malignancy patients who were admitted to the day surgery ward of Xiangya Hospital, Central South University from September 1st to December 30th, 2018 were selected as the research objects. The general information questionnaire and Readiness for Hospital Discharge Scale (RHDS) were used as the research tools. Descriptive statistical analysis was used to analyze the demographic statistics of the patients, and the differences of different dimension scores and total scores of RHDS were analyzed based on the basic information of patients.Results The total score of RHDS was 8.66±0.60 for patients, including 6.31±0.74 for dimension of physical condition, 9.49±0.87 for dimension of disease knowledge, 9.20±0.99 for dimension of coping ability after discharge, and 9.63±0.74 for dimension of expected social support. The delayed discharge rate was 2.1%. There was no significant difference in the scores of different dimensions or total scores in RHDS of patients undergoing ambulatory thyroid malignancy surgery with different gender, age, education level or whether there was a special person to take care of them (P>0.05). There were differences between patients with delayed discharge and the ones without delayed discharge in the three dimensions namely physical condition, disease knowledge, and coping ability, as well as the total scores (P<0.05), while there was no statistically significant difference in the scores of expected social support dimension (P>0.05).Conclusions The discharge readiness for patients undergoing ambulatory thyroid malignancy surgery is good. The medical staff should provide health intervention measures according to the specific situation of patients, so as to improve the quality of discharge guidance, and ensure the safety of patients.

Citation： QIU Mimi, PENG Jing, LIU Qian, LIU Weidong, MO Yang. Investigation and analysis on the current situation of discharge readiness and delayed discharge for patients undergoing ambulatory thyroid malignancy surgery. West China Medical Journal, 2020, 35(2): 176-180. doi: 10.7507/1002-0179.201912249 Copy

1.	Nicoll JM. The surgery of infancy. BMJ, 1909, 2(2542): 753-756.
2.	白雪, 马洪升, 罗利. 中外日间手术发展对比研究及展望. 中国医院管理, 2014, 34(5): 35-37.
3.	李关平, 谭永琼, 黄文霞. 日间手术模式的实践及经验. 华西医学, 2011, 26(10): 1568-1570.
4.	Fenwick AM. An interdisciplinary tool for assessing patients’ readiness for discharge in the rehabilitation setting. J Adv Nurs, 1979, 4(1): 9-21.
5.	Weiss ME, Ryan P, Lokken L. Validity and reliability of the perceived readiness for discharge after birth scale. J Obstet Gynecol Neonatal Nurs, 2006, 35(1): 34-45.
6.	于丽华. 中国日间手术发展的历程与展望. 中国医院管理, 2016, 36(6): 16-18.
7.	Lee CK, Lee IF. Preoperative patient teaching: the practice and perceptions among surgical ward nurses. J Clin Nurs, 2013, 22(17/18): 2551-2561.
8.	Tse KY, So WK. Nurses’ perceptions of preoperative teaching for ambulatory surgical patients. J Adv Nurs, 2008, 63(6): 619-625.
9.	胡晓, 刘倩, 黄晓萱, 等. 日间手术病房的精益管理策略. 华西医学, 2019, 34(2): 159-163.
10.	莫洋, 瞿宏颖, 吴思容, 等. 全程管理模式在日间手术病房管理中的应用. 中华现代护理杂志, 2018, 24(15): 1748-1752.
11.	赵延慧, 李晓玲, 戴燕, 等. 日间手术患者延续性护理服务需求调查. 护理学杂志, 2018, 33(9): 92-95.
12.	杜姣姣, 张雨晨, 李诗涵, 等. 日间手术患者延续性护理服务需求与出院准备度的相关分析. 中华现代护理杂志, 2018, 24(12): 1372-1375.
13.	Center P, Covingtonl A, Niagara WI, et al. Ambulatory surgery centers and interventional techniques: a look at long-term survival. Pain Physician, 2011, 14(2): E177-E215.
14.	刘洋, 李志超, 马洪升. 四川大学华西医院日间手术患者延迟出院原因分析. 中国循证医学杂志, 2016, 16(4): 383-386.
15.	刘玲, 戴燕, 许瑞华. 腹腔镜胆囊切除日间手术后患者延迟出院护理对策. 护理学杂志, 2016, 31(24): 36-38.
16.	Parrish AB, O’Neill SM, Crain SR, et al. An enhanced recovery after surgery (ERAS) protocol for ambulatory anorectal surgery reduced postoperative pain and unplanned returns to care after discharge. World J Surg, 2018, 42(7): 1929-1938.
17.	Coyle MJ, Main B, Hughes C, et al. Enhanced recovery after surgery (ERAS) for head and neck surgery: a prospective interventional study. Clin Otolaryngol, 2015, 41(2): 118-126.

1. Nicoll JM. The surgery of infancy. BMJ, 1909, 2(2542): 753-756.
2. 白雪, 马洪升, 罗利. 中外日间手术发展对比研究及展望. 中国医院管理, 2014, 34(5): 35-37.
3. 李关平, 谭永琼, 黄文霞. 日间手术模式的实践及经验. 华西医学, 2011, 26(10): 1568-1570.
4. Fenwick AM. An interdisciplinary tool for assessing patients’ readiness for discharge in the rehabilitation setting. J Adv Nurs, 1979, 4(1): 9-21.
5. Weiss ME, Ryan P, Lokken L. Validity and reliability of the perceived readiness for discharge after birth scale. J Obstet Gynecol Neonatal Nurs, 2006, 35(1): 34-45.
6. 于丽华. 中国日间手术发展的历程与展望. 中国医院管理, 2016, 36(6): 16-18.
7. Lee CK, Lee IF. Preoperative patient teaching: the practice and perceptions among surgical ward nurses. J Clin Nurs, 2013, 22(17/18): 2551-2561.
8. Tse KY, So WK. Nurses’ perceptions of preoperative teaching for ambulatory surgical patients. J Adv Nurs, 2008, 63(6): 619-625.
9. 胡晓, 刘倩, 黄晓萱, 等. 日间手术病房的精益管理策略. 华西医学, 2019, 34(2): 159-163.
10. 莫洋, 瞿宏颖, 吴思容, 等. 全程管理模式在日间手术病房管理中的应用. 中华现代护理杂志, 2018, 24(15): 1748-1752.
11. 赵延慧, 李晓玲, 戴燕, 等. 日间手术患者延续性护理服务需求调查. 护理学杂志, 2018, 33(9): 92-95.
12. 杜姣姣, 张雨晨, 李诗涵, 等. 日间手术患者延续性护理服务需求与出院准备度的相关分析. 中华现代护理杂志, 2018, 24(12): 1372-1375.
13. Center P, Covingtonl A, Niagara WI, et al. Ambulatory surgery centers and interventional techniques: a look at long-term survival. Pain Physician, 2011, 14(2): E177-E215.
14. 刘洋, 李志超, 马洪升. 四川大学华西医院日间手术患者延迟出院原因分析. 中国循证医学杂志, 2016, 16(4): 383-386.
15. 刘玲, 戴燕, 许瑞华. 腹腔镜胆囊切除日间手术后患者延迟出院护理对策. 护理学杂志, 2016, 31(24): 36-38.
16. Parrish AB, O’Neill SM, Crain SR, et al. An enhanced recovery after surgery (ERAS) protocol for ambulatory anorectal surgery reduced postoperative pain and unplanned returns to care after discharge. World J Surg, 2018, 42(7): 1929-1938.
17. Coyle MJ, Main B, Hughes C, et al. Enhanced recovery after surgery (ERAS) for head and neck surgery: a prospective interventional study. Clin Otolaryngol, 2015, 41(2): 118-126.

West China Medical Journal

Investigation and analysis on the current situation of discharge readiness and delayed discharge for patients undergoing ambulatory thyroid malignancy surgery

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