关键词: 肿瘤, 出院准备度, 出院指导质量

Abstract: Objective: To explore the status and influencing factors of discharge readiness among inpatients with cancer, and provide basis for formulating the discharge guidance plan for inpatients with cancer. Methods: A total of 274 inpatients hospitalized for primary surgery, chemotherapy or radiotherapy from June to September 2020 were investigated with general data questionnaire, readiness for hospital discharge scale, quality of discharge teaching scale. Results: The total score of discharge readiness was 95.00(81.00, 107.25), and the scores of each dimension from high to low were as follows: anticipatory support, coping ability and personal status. The total score of discharge teaching quality was 208.50 (180.50, 226.00), and the scores of each dimension from high to low were as follows: health guidance skills of nurses, knowledge that the patient must acquire and the knowledge that the patient actually acquires. Spearman correlation analysis showed that the total score of discharge readiness was positively correlated with the total score of discharge teaching quality (r=0. 436, P<0.01). Multiple linear regression analysis showed that disease type, family income per month, understanding of disease, treatment, admission times, discharge reasons and quality of discharge teaching were the main factors affecting discharge readiness of inpatients with cancer. Conclusion: The discharge readiness of inpatients with cancer needs to be improved. Medical staffs should draw on the advantages of relevant researches and theories and formulate intervention measures to meet the needs of patients, so as to ensure that patients could receive high-quality discharge guidance, then, improve their quality of life.

Key words: Cancer, Discharge readiness, Quality of discharge teaching