| Objective:1.To investigate and explore the status quo and influencing factors of the readiness for hospital discharge of patients with Microtia.2.Analyze the relation between the influencing factors and the readiness for hospital discharge of patients with Microtia,which provides targeted interventions for medical staff in clinical practice as well as improving patients’ self-caring and rehabilitation after discharge.Methods:1.Research object: A cross-sectional survey was conducted.A convenient sampling method was utilized to select patients who underwent microtia reconstruction from a Grade-A Tertiary Hospital of Wuhan from January 2018 to November 2019 in accordance with inclusion criteria.According to the calculation principle of sample size,210 cases were collected in total,including 200 valid questionnaires and the minimal sample size was fixed as 168.2.Data collection: A self-designed “general information questionnaire” to collect demographic data of patients with microtia,“Readiness for Hospital Discharge Scale(RHDS)” in Chinese version and “rehabilitation conditions table for patients” were applied into this study.3.Statistical analysis: frequency and percentage were measured patients’ general information.Each item,dimension and scores of total scale were evaluated via mean number±standard deviation(SD).T-test,one-way ANOVA,Pearson’s product-moment correlation,and Multiple linear regression analysis were adopted to discuss the influencing factors of the readiness for hospital discharge of patients with Microtia.Results:1.The total score of patinets with microtia in RHDS was(75.4 ± 3.501)points.The scores in three dimensions were: score of self-condition(18.67 ± 4.21)points,score of post-discharge ability(32.58 ± 6.04)points and the score of expected social support after discharge(28.41 ± 5.25)points.2.The total mean score of rehabilitation conditions after discharge of patients with microtia was(3.48 ± 1.58)points.The score of “special conditions occured and its follow-up treatments”(0.75 ± 1.33)points,the score of “ the rehabilitation knowledge ofmajor caregiver”(2.38 ± 1.62)points and the score of “knowledge of functional exercise”(3.25 ± 1.55)points were relatively lower than the mean score.3.The total score of patinets with microtia in RHDS was statistically analysed by One-Way ANOVA and independent-samples T test.As a result,it showed that education level,length of stay in hospital and the rehabilitation knowledge of major caregiver were the imfluencing factors(P <0.05).4.Pearson correlation analysis indicated that Readiness for hospital discharge was positively correlated with education level:Primary school group(r=0.46,P=0.013),Middle school group(r=0.57,P=0.013)and Junior college and undergraduate above group(r=0.73,P=0.021);Readiness for hospital discharge was positively correlated with length of stay in hospital.:Days <=5(r=0.49,P=0.004)and Days >5(r=0.65,P=0.031);Readiness for hospital discharge was positively correlated with the rehabilitation knowledge of major caregiver:Totally don’t know(r=0.27,P=0.025);partly know(r=0.54,P=0.019)and generally know(r=0.76,P=0.027).5.In the multiple linear regression analysis,it revealed that the total variation was95.9%.The education level,length of stay in hospital and the rehabilitation knowledge of major caregiver were significantly different with patinets with microtia in RHD.Conclusions:1.Hospital discharge readiness of patients with microtia was at a low level and needs to be further improved.2.The education level,length of stay in hospital and the rehabilitation knowledge of major caregiver were major influencing factos and were positively correlated with readiness for hospital discharge.3.Overall,medical staff should provide targeted health education,which is the key intervention measure to improve the level of readiness for hospital discharge of patients with microtia according to their education level,length of stay in hospital and the rehabilitation knowledge of major caregiver. |
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