Predicting Factors of Discharge Readiness in Patients with Sepsis
Keywords:
Sepsis, Patient discharge, Patient educationAbstract
This research is a study of predictive factors of frailty, uncertainty in illness, perceived disease severity, and the quality of discharge teaching with discharge readiness in patients with sepsis. The sample consisted of 107 sepsis patients admitted for inpatient treatment at a tertiary hospital in Bangkok. Data were collected using a demographic questionnaire, the Short-Form Discharge Readiness Scale, a short-form quality of discharge teaching scale, a perceived severity perception questionnaire, a short-form uncertainty in Illness scale for adults, and SHARE frailty index. Descriptive statistics and multiple regression analysis were used to analyze the data, with a significance level set at .05. The results indicated that 63.3% of the participants were ready for hospital discharge. The predictive factors collectively explained 8.3% of the variance in discharge readiness. Statistically significant predictors of discharge readiness included the quality of discharge teaching (ß = .848, p < .05) and perceived disease severity (ß = .080, p < .05). Healthcare professionals should provide dedicated pre-discharge education or develop programs to enhance discharge teaching. Additionally, assessing patients’ perceived disease severity is crucial in sepsis patients to ensure adequate discharge readiness.
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Rudd KE, Johnson SC, Agesa KM, Shackelford KA, Tsoi D, & Kievlan DR. Global, regional, and national sepsis incidence and mortality, 1990–2017: analysis for the Global Burden of Disease Study. Lancet. 2020;395(10219): 200-11.
Ruksuanjik T, Bunnan N, & Soraserd O. Development of the care model for sepsis patients using the fast-track service system, Kae Dam Hospital, Maha Sarakham Province. Journal of Mahasarakham Provincial Public Health Office. 2024;8(16):198-212. (in Thai)
Prescott HC, Langa KM, & Iwashyna TJ. Readmission diagnoses after hospitalization for severe sepsis and other acute medical conditions. Journal of the American Medical Association. 2015;313(10):1055-7.
Slikke JW, Feron F, Hovingh GK, Bekker CL, & Zeegers MP. Post-sepsis syndrome: A systematic review of long-term outcomes in sepsis survivors. Journal of Critical Care. 2020;60:190-5. doi:10.1016/j.jcrc.2020.09.011.
Wilairat A, Thongkhamrod R, & Prasertsri N. The development of sepsis patients caring model at inpatient unit, Pathumratchawongsa Hospital. Journal of The Royal Thai Army Nurses. 2023;24(1):378-87. (in Thai)
Alarslan G, Mennes R, Kieft R, & Heinen M. Patients involvement in the discharge process from hospital to home: A patient’s journey. Journal of advanced nursing. 2024;80(2044):2462-74.
Lilleheie I, Debesay J, Bye A, & Bergland A. Experiences of elderly patients regarding participation in their hospital discharge: A qualitative metasummary. British medical journal. 2019;9:e025789. doi:10.1111/jan.15984.
Klinpudtan N, Tongma S, Klinchet N, & Srithumsuk W. Nurses’ role in home care for older adults with frailty. Journal of The Royal Thai Army Nurses. 2022;23(2):50-7. (in Thai)
Mishel MH. Reconceptualization of the uncertainty in illness theory. journal of nursing scholarship. 1990;22(4):256-62. doi:10.1111/j.1547-5069.1990.tb00225.x.
Chaipadung N, Sriprasong S, Saneha C, & Dumavibhat C. Predicting factors of readiness for hospital discharge in patients with heart failure. Nursing Science Journal of Thailand. 2022;41(1):73-86. (in Thai)
Weiss ME, Sawin KJ, Gralton K, Johnson N, Klingbeil C, & Lerret S. Discharge readiness profiles and transitions from hospital to home. Journal of Hospital Medicine. 2019;14(8):482-9. doi:10.12788/jhm.3205.
Meleis AI, editor. Transitions Theory: Middle-Range and Situation-Specific Theories in Nursing Research and Practice. New York: Springer Publishing Company; 2010.
Ortuño R, García-Mochón L, Ocaña-Riola R, Muñoz-Pérez MA, González-Revilla F, & Redondo-Sendino Á. Frailty assessment in older adults using the Frailty Trait Scale. Revista Española de Geriatría Gerontología. 2010;45(5):245-8.doi:10.1016/j.regg.20107.04.
Mishel MH. Reconceptualization of the uncertainty in illness theory. journal of nursing scholarship. 1990;22(4):256-62. doi:10.1111/j.1547-5069.1990.tb00225.x.
Nau DP, Ellis JJ, Kline-Rogers EM, Mallya U, Eagle KA, & Erickson S. Gender and perceived severity of cardiac disease: evidence that women are tougher. American Journal of Medicine. 2005;118(11):1256-61. doi:10.1016/j.amjmed.2005.08.006.
Weiss M, Piacentine L, Lokken L, Ancona J, Archer J, & Gresser S. Perceived readiness for hospital discharge in adult medical-surgical patients. Clinal Nurse Specialist. 2007;21(1): 31-42. doi:10.1097/00002800-200701000-00008.
Nau DP, Ellis JJ, Kline-Rogers EM, Mallya U, Eagle KA, & Erickson S. Gender and perceived severity of cardiac disease: evidence that women are tougher. American Journal of Medicine. 2005;118(11):1256-61. doi:10.1016/j.amjmed.2005.08.006.
Mishel MH. Reconceptualization of the uncertainty in illness theory. journal of nursing scholarship. 1990;22(4):256-62. doi: 10.1111/j.1547-5069.1990.tb00225.x.
Ortuño R, García-Mochón L, Ocaña-Riola R, Muñoz-Pérez MA, González-Revilla F, & Redondo-Sendino Á. Frailty assessment in older adults using the Frailty Trait Scale. Revista Española de Geriatría Gerontología. 2010;45(5):245-8.doi:10.1016/j.regg.20107.04.
Wayo W, Kadsanit K, Konyai J, Chanhuana S, Phromboot R, & Zahuang V. The effects of health literacy enhancement program on health literacy and prevention behavior of hypertension among community-dwelling older adults. Journal of The Royal Thai Army Nurses. 2023;24(1):43-52. (in Thai)
Kosobucka A, Michalski P, Pietrzykowski L, Kasprzak M, Fabiszak T, Felsmann M, & Kubica A. The impact of readiness to discharge from hospital on adherence to treatment in patients after myocardial infarction. Cardiology Journal. 2022;29(4):582-90. doi:10.5603/CJ.a2020.0005.
Cunha AIL, Veronese N, de Melo Borges S, & Ricci NA. Frailty as a predictor of adverse outcomes in hospitalized older adults: A systematic review and meta-analysis. Ageing research reviews. 2019;56:100960. doi:10.1016/j.arr.2019.100960.
Wang L, Chen Y, & Liu Q. Chronic comorbidities increase the risk of bloodstream infections in elderly patients: A multicenter study. BioMed Central Geriatric. 2021;21(1):89. doi:10.1186/s12877-021-02091-6.
Phumivadhana S. Humanized nursing care for patients receiving invasive mechanical ventilator: From concept to practice. Vajira Nursing Journal. 2020;22(1):70-82. (in Thai)
Pickert L, Meyer AM, Becker I, Hee A, Noetzel N, & Brinkkötter P. Role of a multidimensional prognosis in-hospital monitoring for older patients with prolonged stay. International Journal of Clinical Practice. 2021;75(5):e13989. doi:10.1111/ijcp.13989.
Boucher EL, Gan JM, Rothwell PM, Shepperd S, & Pendlebury ST. Prevalence and outcomes of frailty in unplanned hospital admissions: a systematic review and meta-analysis of hospital-wide and general (internal) medicine cohorts. EClinicalMedicine. 2023;59:101947. doi:10.1016/j.eclinm.2023.101947.
Mattingly TJ II, & Nong K. Implementing a health confidence tool at time of discharge. The Patient. 2019;12(2):163-165. doi:10.1007/s40271-018-0343-3.
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