Factors influencing readiness for hospital discharge among patients undergoing laryngectomy

Int J Nurs Pract. 2020 Oct;26(5):e12875. doi: 10.1111/ijn.12875. Epub 2020 Jul 15.

Abstract

Aim: To identify factors influencing readiness for hospital discharge among Chinese patients having undergone a laryngectomy and to provide evidence for developing future processes.

Background: Laryngectomy changes the functional and psychological state of laryngeal cancer patients considerably. However, influencing factors for discharge readiness among laryngectomy patients have hardly been investigated.

Methods: A descriptive, cross-sectional design was used with Meleis' transitions theory as a guiding framework. This survey-based study was performed with 212 laryngeal cancer patients undergoing laryngectomy at a regional tertiary medical centre between August 2012 and September 2013.

Results: Quality of discharge teaching and having a designated caregiver after discharge were found to influence patients' readiness for discharge.

Conclusion: Clinical interventions such as nursing assessment on discharge readiness, assistance to coordinate postdischarge support and individualized follow-up planning should be integrated into future clinical processes in China. However, further investigations are needed to systematically align relevant results before clinical practices in Chinese settings are eventually changed.

Keywords: factors; hospital discharge; influence; laryngectomy; nursing.

MeSH terms

  • Adult
  • Aftercare
  • Aged
  • China
  • Cross-Sectional Studies
  • Female
  • Hospitals
  • Humans
  • Laryngectomy*
  • Male
  • Middle Aged
  • Nursing Assessment
  • Patient Discharge*
  • Surveys and Questionnaires