Readiness for hospital discharge among patients requiring home nutrition support: a cross-sectional study.

IF 1.3 4区 医学 Q4 NUTRITION & DIETETICS Asia Pacific journal of clinical nutrition Pub Date : 2025-02-01 DOI:10.6133/apjcn.202502_34(1).0007
Chulin Chen, Xianghong Ye, Yu Han, Jiaqi Li, Sitong Liu, Ruting Shen, Xinying Wang
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Abstract

Background and objectives: This study aimed to investigate readiness for hospital discharge of patients requiring home nutrition support and explore the factors that influence this readiness.

Methods and study design: This cross-sectional survey included 220 patients discharged from the general surgery department of a tertiary-care teaching hospital in China with home nutrition support. Readiness for Hospital Discharge Scale and Quality of Discharge Teaching Scale scores were calculated and general, disease- and therapy-related information were collected. Univariate, correlation, and multiple linear regression analyses were performed.

Results: The mean standardized total Readiness for Hospital Discharge Scale score was 7.33±1.65, with the subscales expected support, personal status, perceived coping ability, and knowledge scoring 7.40±1.78, 7.35±1.66, 7.30±1.73, and 7.26±1.74, respectively. The mean standardized Quality of Discharge Teaching Scale score was 7.48±1.59. The Quality of Discharge Teaching Scale score, length of hospital stay, expected length of home nutrition support, first-time use of home nutrition support, Nutrition Risk Screening 2002 score, and diagnosis were all identified as influencing factors of readiness for discharge (adjusted R2=0.564, F=14.5, p<0.001).

Conclusions: Patients requiring home nutrition support were only moderately ready for discharge. Enhancing the quality of education on patient discharge could significantly improve readiness for discharge, in which patients who have been admitted for longer periods require more attention. They are expected to utilize home nutrition support in the long-term, are at risk of malnutrition, are using home nutrition support for the first time, or have a digestive system malignancy.

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需要家庭营养支持的患者出院准备情况:一项横断面研究。
背景和目的:本研究旨在调查需要家庭营养支持的患者出院准备情况,并探讨影响这种准备情况的因素。方法和研究设计:本横断面调查包括220名从中国一家三级护理教学医院普通外科出院并接受家庭营养支持的患者。计算出院准备量表和出院质量教学量表得分,并收集一般、疾病和治疗相关信息。进行了单变量、相关和多元线性回归分析。结果:标准化出院准备量表总分平均为7.33±1.65分,期望支持分、个人状态分、感知应对能力分、知识分分别为7.40±1.78分、7.35±1.66分、7.30±1.73分、7.26±1.74分。出院教学质量标准化评分平均为7.48±1.59分。出院质量教学量表评分、住院时间、家庭营养支持预期时间、首次使用家庭营养支持、营养风险筛查2002评分、诊断均为出院准备程度的影响因素(调整后R2=0.564, F=14.5, p)。提高患者出院教育的质量可以显著提高出院准备程度,其中住院时间较长的患者需要更多的关注。他们需要长期使用家庭营养支持,有营养不良的风险,第一次使用家庭营养支持,或有消化系统恶性肿瘤。
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来源期刊
CiteScore
2.50
自引率
7.70%
发文量
58
审稿时长
6-12 weeks
期刊介绍: The aims of the Asia Pacific Journal of Clinical Nutrition (APJCN) are to publish high quality clinical nutrition relevant research findings which can build the capacity of clinical nutritionists in the region and enhance the practice of human nutrition and related disciplines for health promotion and disease prevention. APJCN will publish original research reports, reviews, short communications and case reports. News, book reviews and other items will also be included. The acceptance criteria for all papers are the quality and originality of the research and its significance to our readership. Except where otherwise stated, manuscripts are peer-reviewed by at least two anonymous reviewers and the Editor. The Editorial Board reserves the right to refuse any material for publication and advises that authors should retain copies of submitted manuscripts and correspondence as material cannot be returned. Final acceptance or rejection rests with the Editorial Board
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