Study of readiness for hospital discharge and its influencing factors among patients with liver cancer after surgery_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

 LUO Yuou , REN Qiuping , YANG Xiaoling , LUO Yanli

Department of Liver Surgery, West China Hospital, Sichuan University, Chengdu 610041, P. R. China;

Corresponding author：

LUO Yuou, Email: 75439885@qq.com

Keywords：

liver cancer; operation; readiness for hospital discharge

DOI：

10.7507/1007-9424.202001013

Video：

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Objective To investigate status of readiness for hospital discharge of patients with liver cancer after radical surgery and to explore its influencing factors.Methods A cross-sectional survey was conducted, a total of 200 patients with liver cancer after the radical resection who were planned to discharge within 1 to 2 days in this hospital from January to April 2019 were selected as the study subjects. The general informations and informations relevant readiness for hospital discharge of patients were investigated and analyzed by the questionnaire.Results In this study, 200 questionnaires were distributed, of which 195 were recovered, and 184 were valid, the final effective recovery rate was 92% (184/200). The scores of 4 dimensions of readiness for hospital discharge in 184 patients: The own status was 42.55±12.36, disease knowledge was 51.68±17.58, and response ability was 21.05±6.86, social support available was 31.85±7.56, and the total score of readiness for hospital discharge was 147.07±36.25. One hundred and eighty-four (80.4%) of 184 patients were prepared to discharge. The univariate analysis results showed that the readiness for hospital discharge score was related to the gender, monthly income per household, preoperative comorbidities, and time with tube after the operation (P<0.05); Further the multiple regression analysis showed that the monthly income per household and preoperative comorbidities were the important influencing factors for it (P<0.05).Conclusions According to results of this study on readiness for hospital discharge of patients with liver cancer after operation in this hospital, readiness for hospital discharge is better, and gender, monthly income per household, preoperative comorbidities, and time with tube after operation are influence factors for it, of which monthly income per household and preoperative comorbidities are important influencing factors.

Citation： LUO Yuou, REN Qiuping, YANG Xiaoling, LUO Yanli. Study of readiness for hospital discharge and its influencing factors among patients with liver cancer after surgery. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2020, 27(10): 1249-1253. doi: 10.7507/1007-9424.202001013 Copy

1.	陈万青, 郑荣寿, 张思维, 等. 2013年中国恶性肿瘤发病和死亡分析. 中国肿瘤, 2017, 26(1): 1-7.
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4.	Zhao W, Wang L, Han H, <italic>et al</italic>. 1B50-1, a mAb raised against recurrent tumor cells, targets liver tumor—initiating cells by binding to the calcium channel α2δ1 subunit. Cancer Cell, 2013, 23(4): 541-556.
5.	彭浪, 王恺, 樊友文, 等. 加速康复外科理念在原发性肝癌肝切除术围手术期管理的应用价值. 中国普通外科杂志, 2017, 26(2): 218-222.
6.	边海燕, 戴靖华. 加速康复外科干预对提高接台手术患者术前血糖的影响. 中国药物与临床, 2017, 17(3): 413-414.
7.	汪雅璇, 张馨予, 李书, 等. 医院床位资源利用与平均住院日的国内外比较分析. 中华医院管理杂志, 2016, 32(5): 361-364.
8.	秦环龙, 贾震易. 加速康复外科在结直肠外科应用中应关注的若干问题. 中华结直肠疾病电子杂志, 2017, 6(1): 2-5.
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13.	Gunn S. Patient education and discharge planning to prevent functional decline in the older adult. Gastroenterol Nurs, 2017, 40(4): 272-278.
14.	蒋超, 蒲杰, 谢静. 我国台湾地区医院出院准备服务的特点及启示. 中国医疗管理科学, 2017, 7(2): 27-30.
15.	冉凌云. 出院准备服务临床应用的研究现状. 护士进修杂志, 2016, 31(17): 1561-1565.
16.	Weiss ME, Piacentine LB. Psychometric properties of the Readiness for Hospital Discharge Scale. J Nurs Meas, 2006, 14(3): 163-180.
17.	Zhao HL, Feng XQ, Yu R, <italic>et al</italic>. Validation of the Chinese version of the readiness for hospital discharge scale on patients who have undergone laryngectomy. J Nurs Res, 2016, 24(4): 321-328.
18.	杨婕, 贺育华, 蒋理立, 等. 加速康复外科模式下结直肠癌患者出院准备度现状及影响因素分析. 中国护理管理, 2018, 18(12): 1617-1621.
19.	李娟, 田冰洁, 余姝彦, 等. 肝胆外科患者出院准备度与出院指导质量的相关性研究. 护理学杂志, 2019, 34(15): 28-31.
20.	李宜敏, 孟娜, 向秋芬, 等. 肺癌PICC带管患者出院准备度现况调查及影响因素分析. 重庆医学, 2017, 46(24): 3448-3450.
21.	杨婕, 贺育华, 蒋理立, 等. 加速康复外科模式下结直肠癌患者出院准备度与短期生活质量的相关性. 中国普外基础与临床杂志, 2019, 26(2): 157-161.
22.	张思维, 郑荣寿, 曾红梅, 等. 1989—2008年中国肝癌发病性别、地区及年龄变化分析. 中华预防医学杂志, 2014, 48(5): 355-360.
23.	余微波, 荣维淇, 王黎明, 等. 不同性别肝细胞癌术后患者的预后情况比较. 中华肿瘤杂志, 2014, 36(4): 303-308.
24.	林鸣芳, 沈惠琴. 消化道恶性肿瘤患者生命质量的质性研究. 解放军护理杂志, 2006, 23(11): 4-6.
25.	黄天雯, 谭运娟, 黄小芬, 等. 老年慢性病出院病人护理结局及其影响因素分析. 护理研究, 2015, 29(1): 22-25.
26.	刘燕南, 张艳梅, 高传英, 等. 认知护理干预有利于肝癌患者术后恢复和生活质量的提高. 基因组学与应用生物学, 2017, 36(7): 2753-2758.

1. 陈万青, 郑荣寿, 张思维, 等. 2013年中国恶性肿瘤发病和死亡分析. 中国肿瘤, 2017, 26(1): 1-7.
2. Sasaki K, Matsuda M, Ohkura Y, <italic>et al</italic>. The influence of histological differentiation grade on the outcome of liver resection for hepatocellular carcinomas 2 cm or smaller in size. World J Surg, 2015, 39(5): 1134-1141.
3. Xu XL, Xing BC, Han HB, <italic>et al</italic>. The properties of tumor-initiating cells from a hepatocellular carcinoma patient’s primary and recurrent tumor. Carcinogenesis, 2010, 31(2): 167-174.
4. Zhao W, Wang L, Han H, <italic>et al</italic>. 1B50-1, a mAb raised against recurrent tumor cells, targets liver tumor—initiating cells by binding to the calcium channel α2δ1 subunit. Cancer Cell, 2013, 23(4): 541-556.
5. 彭浪, 王恺, 樊友文, 等. 加速康复外科理念在原发性肝癌肝切除术围手术期管理的应用价值. 中国普通外科杂志, 2017, 26(2): 218-222.
6. 边海燕, 戴靖华. 加速康复外科干预对提高接台手术患者术前血糖的影响. 中国药物与临床, 2017, 17(3): 413-414.
7. 汪雅璇, 张馨予, 李书, 等. 医院床位资源利用与平均住院日的国内外比较分析. 中华医院管理杂志, 2016, 32(5): 361-364.
8. 秦环龙, 贾震易. 加速康复外科在结直肠外科应用中应关注的若干问题. 中华结直肠疾病电子杂志, 2017, 6(1): 2-5.
9. Pan X, Dib HH, Wang X, <italic>et al</italic>. Service utilization in community health centers in China: a comparison analysis with local hospitals. BMC Health Serv Res, 2006, 6: 93.
10. Fenwick AM. An interdisciplinary tool for assessing patients’ readiness for discharge in the rehabilitation setting. J Adv Nurs, 1979, 4(1): 9-21.
11. Steele NF, Sterling YM. Application of the case study design: nursing interventions for discharge readiness. Clin Nurse Spec, 1992, 6(2): 79-84.
12. Mabire C, Dwyer A, Garnier A, <italic>et al</italic>. Meta-analysis of the effectiveness of nursing discharge planning interventions for older inpatients discharged home. J Adv Nurs, 2018, 74(4): 788-799.
13. Gunn S. Patient education and discharge planning to prevent functional decline in the older adult. Gastroenterol Nurs, 2017, 40(4): 272-278.
14. 蒋超, 蒲杰, 谢静. 我国台湾地区医院出院准备服务的特点及启示. 中国医疗管理科学, 2017, 7(2): 27-30.
15. 冉凌云. 出院准备服务临床应用的研究现状. 护士进修杂志, 2016, 31(17): 1561-1565.
16. Weiss ME, Piacentine LB. Psychometric properties of the Readiness for Hospital Discharge Scale. J Nurs Meas, 2006, 14(3): 163-180.
17. Zhao HL, Feng XQ, Yu R, <italic>et al</italic>. Validation of the Chinese version of the readiness for hospital discharge scale on patients who have undergone laryngectomy. J Nurs Res, 2016, 24(4): 321-328.
18. 杨婕, 贺育华, 蒋理立, 等. 加速康复外科模式下结直肠癌患者出院准备度现状及影响因素分析. 中国护理管理, 2018, 18(12): 1617-1621.
19. 李娟, 田冰洁, 余姝彦, 等. 肝胆外科患者出院准备度与出院指导质量的相关性研究. 护理学杂志, 2019, 34(15): 28-31.
20. 李宜敏, 孟娜, 向秋芬, 等. 肺癌PICC带管患者出院准备度现况调查及影响因素分析. 重庆医学, 2017, 46(24): 3448-3450.
21. 杨婕, 贺育华, 蒋理立, 等. 加速康复外科模式下结直肠癌患者出院准备度与短期生活质量的相关性. 中国普外基础与临床杂志, 2019, 26(2): 157-161.
22. 张思维, 郑荣寿, 曾红梅, 等. 1989—2008年中国肝癌发病性别、地区及年龄变化分析. 中华预防医学杂志, 2014, 48(5): 355-360.
23. 余微波, 荣维淇, 王黎明, 等. 不同性别肝细胞癌术后患者的预后情况比较. 中华肿瘤杂志, 2014, 36(4): 303-308.
24. 林鸣芳, 沈惠琴. 消化道恶性肿瘤患者生命质量的质性研究. 解放军护理杂志, 2006, 23(11): 4-6.
25. 黄天雯, 谭运娟, 黄小芬, 等. 老年慢性病出院病人护理结局及其影响因素分析. 护理研究, 2015, 29(1): 22-25.
26. 刘燕南, 张艳梅, 高传英, 等. 认知护理干预有利于肝癌患者术后恢复和生活质量的提高. 基因组学与应用生物学, 2017, 36(7): 2753-2758.

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Study of readiness for hospital discharge and its influencing factors among patients with liver cancer after surgery

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