Abstract
Aim
The aim of this study is to describe the readiness of hospital discharge of patients with coronary heart disease (CHD) who have undergone coronary stent implantation and explore its influencing factors.
Methods
This is a cross sectional single center study. Convenient sampling was used to select patients who underwent coronary stent implantation in the Cardiovascular Department of a tertiary hospital in Chengdu from October 2021 to April 2022 as the research subjects. Data were collected using the General Information Questionnaire, which included domains such as uncertainty in illness, the quality of discharge teaching, perceived social support, and health locus of control. The Readiness for Hospital Discharge Scale (RHDS) was used to assess readiness for hospital discharge. Multiple regression adjusted for relevant confounders was used to determine the associations.
Results
A total of 276 questionnaires were distributed, and 263 valid questionnaires were collected. The average item score of RHDS is 7.66 ± 1.13. Multiple regression analysis indicated that the influential factors of RHDS of patients who underwent coronary stent implantation included: deliver skill (β = 0.43), marital status (β = 0.12), living alone (β = −0.14), inconsistency (β = −0.22) and household income per capita (β = −0.12) (all P<0.05). The RHDS score of patients with CHD after coronary stent implantation were at a moderate level.
Conclusion
Discharge readiness was significantly associated with delivery skill, marital status, living alone, inconsistency of information, and household income per capita. The present study highlights the need for improved educational interventions and tailored discharge planning.
Abbreviation
CHD, coronary heart disease; MUIS, Mishel’s Uncertainty in Illness Scale; MHLCS, Multidimensional Health Locus of Control Scales; RHDS, Readiness of Hospital Discharge Scale; PCI, Percutaneous Coronary Intervention; PSS-Fa, Revised Family Support Scale; QDTS, Quality of Discharge Teaching Scale; CVI, content validity; SDs, standard deviations.
Data Sharing Statement
The data used to support the findings of this study are available from the corresponding author upon request.
Ethical Approval
All procedures performed in studies involving human participants were in accordance with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. This study was approved by the Ethics Committee of West China Hospital, Sichuan University [2021(984)]. Written informed consent was obtained.
Author Contributions
All authors made a significant contribution to the work reported, whether that is in the conception, study design, execution, acquisition of data, analysis and interpretation, or in all these areas; took part in drafting, revising or critically reviewing the article; gave final approval of the version to be published; have agreed on the journal to which the article has been submitted; and agree to be accountable for all aspects of the work.
Disclosure
The authors declare no conflicts of interest in this work.