Readiness for Hospital Discharge of Adult Patients with Major Depressive Disorder in China: A Cross-Sectional Study

Figures & data

Figure 1 The theoretical framework of the study.

Table 1 Patients’ Demographic Characteristics

Characteristics	n (%)	The Levels of RHDS				Z/H	p
		Low	Moderate	High	Very High
Gender						−0.605^a	0.545
Male	75 (33.5)	26 (34.7)	18 (24.0)	20 (26.7)	11 (14.6)
Female	149 (66.5)	55 (36.9)	41 (27.5)	33 (22.1)	20 (13.5)
Age (years)						−1.976^a	0.048
<34	108 (48.2)	46 (42.6)	27 (25.0)	23 (21.3)	12 (11.1)
≥34	116 (51.8)	35 (30.2)	32 (27.6)	30 (25.9)	19 (16.4)
Marital status						4.436^b	0.109
Single	79 (35.3)	35 (44.3)	20 (25.3)	17 (21.5)	7 (8.9)
Married	127 (56.7)	40 (31.5)	35 (27.6)	32 (25.2)	20 (15.7)
Others	18 (8.0)	6 (33.4)	4 (22.2)	4 (22.2)	4 (22.2)
Education level						6.956^b	0.031
Middle school or below	65 (29.0)	21 (32.3)	25 (38.5)	11 (16.9)	8 (12.3)
High school/technical secondary school	76 (33.9)	36 (47.4)	15 (19.7)	18 (23.7)	7 (9.2)
Post-secondary school or above	83 (37.1)	24 (28.9)	19 (22.9)	24 (28.9)	16 (19.3)
Work status						−3.492^a	<0.001
Employed	63 (28.1)	16 (25.4)	12 (19.0)	18 (28.6)	17 (27.0)
Unemployed	161 (71.9)	65 (40.4)	47 (29.2)	35 (21.7)	14 (8.7)
Place of residence						−2.941^a	0.003
Urban	176 (78.6)	56 (31.8)	47 (26.7)	44 (25.0)	29 (16.5)
Rural	48 (21.4)	25 (52.1)	12 (25.0)	9 (18.8)	2 (4.1)
Living alone or not						−0.850^a	0.395
Yes	12 (5.4)	4 (33.3)	1 (8.3)	5 (41.7)	2 (16.7)
No	212 (94.6)	77 (36.3)	58 (27.4)	48 (22.6)	29 (13.7)
Per capita monthly household income (RMB)						6.097^b	0.107
< 2000	27 (12.1)	13 (48.1)	9 (33.3)	5 (18.6)	0 (0.0)
2000–3999	88 (39.3)	27 (30.7)	24 (27.3)	21 (23.9)	16 (18.1)
4000–5999	75 (33.5)	28 (37.3)	20 (26.7)	18 (24.0)	9 (12.0)
≥ 6000	34 (15.1)	13 (38.3)	6 (17.6)	9 (26.5)	6 (17.6)

Notes: ^aWilcoxon rank sum test. ^bKruskal–Wallis test.

Abbreviations: RHDS, readiness for hospital discharge scale; RMB, the China Yuan (CNY).

Table 2 Patients’ Disease-Related Characteristics

Characteristics	n (%)	The Levels of RHDS				H/Z	p
		Low	Moderate	High	Very High
The level of PHQ-9						53.852^a	<0.001
No	28 (12.5)	2 (7.1)	6 (21.4)	10 (35.7)	10 (35.8)
Mild	62 (27.7)	11 (17.7)	14 (22.6)	22 (35.5)	15 (24.2)
Moderate	56 (25.0)	22 (39.3)	22 (39.3)	10 (17.9)	2 (3.5)
Moderately severe	57 (25.4)	30 (52.6)	16 (28.1)	8 (14.0)	3 (5.3)
Severe	21 (9.4)	16 (76.2)	1 (4.8)	3 (14.3)	1 (4.7)
Duration of the disease (mouths)						6.084^a	0.048
<12	64 (28.6)	18 (28.1)	16 (25.0)	16 (25.0)	14 (21.9)
12–23	43 (19.2)	20 (46.5)	10 (23.3)	11 (25.6)	2 (4.6)
≥24	117 (52.2)	43 (36.8)	33 (28.2)	26 (22.2)	15 (12.8)
Insurance						−0.018^b	0.986
Yes	202 (90.2)	75 (37.1)	51 (25.2)	45 (22.3)	31 (15.4)
No	22 (9.8)	6 (27.2)	8 (36.4)	8 (36.4)	0 (0.0)
First hospitalization or not						−3.484^b	<0.001
Yes	140 (62.5)	36 (25.7)	46 (32.9)	33 (23.6)	25 (17.8)
No	84 (37.5)	45 (53.6)	13 (15.5)	20 (23.8)	6 (7.1)
Length of hospitalization (days)						14.472^a	0.001
<14	29 (12.9)	3 (10.3)	7 (24.1)	13 (44.8)	6 (20.8)
14~28	150 (67.0)	58 (38.7)	37 (24.7)	31 (20.7)	24 (15.9)
>28	45 (20.1)	20 (44.4)	15 (33.3)	9 (20.0)	1 (2.3)
Comorbidities						−0.632^b	0.528
Yes	156 (69.6)	57 (36.5)	39 (25.0)	33 (21.2)	27 (17.3)
No	68 (30.4)	24 (35.3)	20 (29.4)	20 (29.4)	4 (5.9)
Types of psychiatric medication						4.741^a	0.192
1	18 (8.0)	10 (55.6)	4 (22.2)	3 (16.7)	1 (5.5)
2	88 (39.3)	25 (28.4)	29 (33.0)	22 (25.0)	12 (13.6)
3	83 (37.1)	31 (37.3)	18 (21.7)	19 (22.9)	15 (18.1)
≥ 4	35 (15.6)	15 (42.9)	8 (22.9)	9 (25.7)	3 (8.5)
Depression in significant others						−0.245^b	0.806
Yes	85 (37.9)	33 (38.8)	17 (20.0)	21 (24.7)	14 (16.5)
No	139 (62.1)	48 (34.5)	42 (30.2)	32 (23.0)	17 (12.3)

Notes: ^aKruskal–Wallis test. ^bWilcoxon rank sum test.

Abbreviations: RHDS, readiness for hospital discharge scale; PHQ-9, patient health questionnaire-9.

Table 3 The Levels of Readiness for Hospital Discharge Scale of Patients with Major Depressive Disorder

The Levels of RHDS	n	%
Low	81	36.2
Moderate	59	26.3
High	53	23.7
Very high	31	13.8

Abbreviation: RHDS, Readiness for Hospital Discharge Scale.

Table 4 Results of Spearman Correlation Analysis

Variables	RHDS	p
QDTS	0.449	<0.001
QDTS - Content needed	0.207	0.002
QDTS - Content received	0.388	<0.001
QDTS - Delivery	0.430	<0.001

Abbreviations: RHDS, Readiness for Hospital Discharge Scale; QDTS, Quality of discharge teaching scale.

Table 5 Results of Ordinal Logistic Regression Analysis

Variables	Standard Error	Odds Ratio	95% CI	p
The level of PHQ-9	0.083	0.661	[0.562, 0.777]	<0.001
QDTS-Content received	0.059	1.155	[1.029, 1.270]	0.003
Education level	0.107	1.244	[1.008, 1.536]	0.042
Work status	0.197	1.761	[1.197, 2.593]	0.044
Length of hospitalization (days)	0.144	0.527	[0.397, 0.699]	<0.001

Notes: The model goodness-of-fit: Pearson Chi-square: 634.690, p = 0.679; residual deviance: 489.301, p = 1.000.

Abbreviations: CI, Confidence Intervals; PHQ-9, Patient Health Questionnaire-9; QDTS, Quality of Discharge Teaching Scale.