Study On The Relationship Between The Quality Of Discharge Guidance,Discharge Readiness And Health Outcome Of Patients With Cruciat E Ligament Reconstruction

Objective: To investigate the quality of discharge guidance,discharge readiness and health outcomes of patients undergoing anterior cruciate ligament reconstruction.This paper analyzes the correlation between the quality of discharge guidance,discharge readiness and health outcomes,and provides theoretical basis for the preparation of discharge guidance and discharge plan to improve the health outcomes of patients.Methods: In this study,120 eligible ACL reconstructive patients admitted to an orthopedic ward between October 2020 and October 2021 from two Grade III hospitals in province were selected using a convenient sampling method.General information scale,discharge guidance quality scale,discharge readiness scale,Lysholm Knee Score,IKDC Subjective Knee Assessment Scale were used as subjects.Data were entered,collated,and analyzed using EXCEL and SPSS 26.0 software,and the general profile of patients undergoing ACL reconstruction was characterized by frequency and percentage.Mean,standard deviation,percentage were used to describe the quality of discharge guidance,discharge readiness,and health outcomes in ACL patients,and t-test or single-factor variance was used to analyze differences in the quality of discharge guidance,discharge readiness,and health outcomes among general demographics(P<0.05).Pearson correlation analysis was used to explore the correlation between discharge guidance quality,discharge readiness,and health outcomes in ACL patients,and to analyze the major factors influencing patient health outcomes(P<0.05)using progressive multivariate linear regression.Results:(1)The quality of discharge guidance for patients with ACL reconstructive surgery was scored(124.87 ± 21.20)at the lower middle level and 52(43.3%)at the lower middle level,with statistically significant differences in age,BMI,education,cause of injury,nature of work,personal monthly income and length of stay(P< 0.05).(2)Patients with anterior cruciate ligament reconstructive surgery(ACL)had a score of 81.38 ± 14.45,were in the lower middle range,61(50.8%)were less prepared for discharge,and there were statistically significant differences in age,sex,education,cause of injury,nature of work,discharged carers,personal monthly income,length of stay,other comorbidities,and injury to surgery time(P<0.05).(3)The Lysholm Knee Score(72.58 ± 9.97)and the IKDC Subjective Evaluation Scale(68.38 ± 9.61)were scored in healthy outcomes three months after discharge from the hospital for patients with ACL reconstruction,while 34(28.3%)had poor health outcomes and were statistically significant in terms of age,gender,ethnicity,education,cause of injury,nature of work,personal income,length of hospitalization,other comorbidities,injury to surgery,and time difference(P <0.05).(4)Patients with ACL reconstruction had a positive correlation between discharge guidance quality and discharge readiness(r=0.797,P<0.01),discharge guidance quality was positively correlated with health outcomes(r=0.457,P<0.01),and discharge readiness was positively correlated with health outcomes(r=0.584,P< 0.01).(5)Factor regression analysis of health outcomes in patients with ACL reconstruction revealed that age,education,cause of injury,discharge readiness,and quality of discharge guidance were major factors affecting health outcomes,predicting72.1% variation(F = 52.156,P < 0.01),with discharge readiness having the largest predictor of health outcomes(B = 0.387).Conclusion:(1)Patients with anterior cruciate ligament reconstructive surgery(ACL)had a mediocre quality of discharge guidance and preparation for discharge,and a mediocre health outcome three months after discharge.(2)Factors affecting the quality of discharge guidance in patients with ACL reconstruction: age,BMI,education,cause of injury,nature of work,monthly income and length of stay.(3)Influencing factors of discharge readiness in patients with ACL reconstruction:age,sex,education,cause of injury,nature of work,discharged caregiver,personal monthly income,length of stay,combination of other conditions,and injury to surgery.(4)The quality of discharge guidance and readiness of patients undergoing ACL reconstruction were positively correlated with healthy outcome scores.That is,the higher the quality score of discharge guidance after ACL reconstruction,the better the health outcome.The higher the discharge readiness,the better the health outcome.(5)Age,education,cause of injury,discharge readiness,and quality of discharge guidance were the main factors affecting health outcomes in patients with ACL reconstruction.Discharge readiness was the most predictive of health outcomes,suggesting that emphasis should be placed on patient discharge readiness,improving health outcomes,and promoting rapid recovery.