| Objective: This study investigates the status of readiness for hospital discharge and discharge teaching quality among Transcatheter Arterial Chemoembolization(TACE)Patients in tertiary level 1st class general hospitals in Jilin Province,analyzes the impact of demographic data and disease information on the both;and explores the relationship between hospital discharge and discharge teaching quality among TACE Patients.It aims to improve the level of TACE patients’ discharge preparation and provide objective and accurate theoretical basis and Suggestions for the opti-mization of discharge preparation process and plan in the future.Methods: Using the convenience sampling method,150 TACE patients in the interventional department of tertiary level 1st class general hospital in Changchun city of Jilin province were selected as the study objects.Demographic data and disease information of patients,Readiness for Hospital Discharge Scale(RHDS)and Quality of Discharge Teaching Scale(QDTS)were used as research tools.Input the effective data into Excel and use SPSS20.0 software for data analysis.Descriptive analysis was used to describe the demographic and disease-related data,discharge readiness,and discharge instruction quality of patients after TACE,and single-factor analysis,correlation analysis,and multiple regression analysis were used to explore the influencing factors of discharge readiness of patients after TACE.Results:1.The results of the study showed that the overall level of discharge readiness of patients after TACE was high,with an average score of(98.54±21.47).The three dimensions were standardized,of which the expected assistance dimension(8.39±1.88)was the highest,and the personal status dimension(7.83±1.95)was the lowest.Single factor analysis showed that the overall level of discharge readiness of patients with different age,education level,residence style,undergraduate hospitalization frequency,postoperative reaction number,length of stay,and TACE frequency had statistical significance(P<0.05).2.Correlation analysis of discharge teaching quality score and discharge readiness of patients after TACE: the average score of discharge teaching quality of patients after TACE was(152.37±33.42),which was at a high level.The standardized score of instruction skill and effect(8.66±1.80)was higher than the standardized score of content(8.07±2.26).The overall level of discharge teaching quality score of patients with postoperative reaction number,length of stay,and TACE frequency had statistical significance(P<0.05).There was a high correlation between the quality of discharge teaching and the discharge readiness of patients after TACE(r=0.456,P<0.001).3.The results of multiple regression analysis showed that the factors influencing the level of discharge readiness were,from the largest to the smallest,the total score of discharge teaching quality,age,educational level,number of postoperative reaction and TACE times.Conclusion:1.The discharge readiness and discharge teaching quality of patients after TACE are at a high level,but still need further rehabilitation at home.2.High-quality discharge teaching can improve the discharge readiness of patients after TACE;Age and low educational level are the factors that hinder patients’ perception of discharge readiness.Patients with more postoperative reactions were less prepared for discharge.The more times of TACE operations,the higher the perceived level of discharge readiness.3.The fewer postoperative reactions,the more TACE operations,the higher the quality of discharge guidance,and the appropriate length of stay can also improve the level of discharge guidance.4.Clinical work should attach importance to discharge guidance.Medical workers can standardize discharge guidance contents and improve discharge guidance skills through systematic training,so as to improve the level of patients’ discharge preparation.5.This study provides a basis for the establishment and implementation of health education and discharge guidance in clinical practice,so as to improve the quality of medical and nursing services,ensure the smooth transition of patients from hospital to home,reduce the recurrence rate and readmission rate of patients,and promote the ultimate recovery of patients. |
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