Factors related to Readiness for Hospital Discharge among Patients with Lower Limb Fracture
Main Article Content
Abstract
Discharge readiness is important for the self-care ability of patients with lower extremity fractures. This descriptive correlational study aimed to examine discharge readiness and factors related to discharge readiness of patients with lower extremity fractures, using Meleis et al., 2000 Transition Theory as a framework. The sample consisted of 90 patients with lower extremity fractures, aged 18 years or older, able to communicate in Thai, diagnosed with fractures of the hip, femur, knee, tibia, or ankle, and with a plan for discharge to homes. The research instruments included a demographic data record form, a quality of discharge teaching questionnaire, and a perception of discharge readiness questionnaire. Data were analyzed using descriptive statistics, Spearman's rank correlation coefficient, and point-biserial correlation. The results showed that the sample had a high level of overall discharge readiness (x̅ = 7.67, S.D. = 0.86). The overall quality of discharge teaching was high (x̅ = 132.66, S.D. = 25.12). Discharge readiness was significantly correlated with the quality of discharge teaching and previous experience hospitalization experience (r = 0.52, p < 0.01; r = 0.72, p < 0.01). However, readiness for hospital discharge was not associated with the length of hospital stay. These research findings can be used as basic information about discharge readiness and related factors in patients with lower extremity fractures to promote discharge readiness.
Article Details

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
References
Anusasananant, B., Sukumvang, K., Udomkhamsuk, W., Saengwattanarut, W., & Tinakorn Na Ayutthaya, K. (2015). Factors predicting readiness for hospital discharge in patients undergoing surgical treatment in a tertiary hospital. Nursing Journal, 42(Special Issue), 24-34. [In Thai].
Australian Transport Safety Bureau. (1994). Road safety in Australia: A publication commemorating World Health Day 2004. Retrieved from https://www.monash.edu /data/assets/pdf_file/0008/216458/atsb137.pdf
Bullock, S., Morecroft, W., Mullen, R., & Ewing, B. (2017). Hospital patient discharge process: an evaluation. European Journal of Hospital Pharmacy, 24(5), 278-282.
Kantakhu, S., Wattanakitkrileart, D., Pongthavornkamol, K., & Thumvihit, C. (2009). Factors influencing readiness for
hospital discharge among acute myocardial infarction patients. Journal of Nursing Science, 27(2), 83-91.
[In Thai].
Meleis, A., Sawyer, L., Im, E., Hilfinger, D., & Schumacher, K. (2000). Experiencing transitions: An emerging middle- range theory. Advances in Nursing Science, 23(1), 12-28.
Moosiri, S. (2013). Factors related to readiness for hospital discharge in closed fracture patients undergoing internal fixation surgery. Master Thesis (), Burapha University, Chonburi. [In Thai].
Office of Transport and Traffic Policy and Planning. (2023). Thailand road accident statistics 2022. Retrieved from https://www.otp.go.th/uploads/tiny_uploads/PDF/2566-11/RoadAccidentAna2565_final.pdf#page=8.10 [In Thai].
Parry, S. M., & Puthucheary, Z. A. (2015). The impact of extended bed rest on the musculoskeletal system in the critical care environment. Extreme Physiology & Medicine, 4(1), 1-8. https://doi.org/10.1186/s13728-015-0036-7
Puttarak, W. (2018). Factors related to readiness for hospital discharge in closed fracture patients undergoing internal fixation surgery in orthopedic ward, Vachira Phuket Hospital. Journal of The Royal Thai Army Nurses, 19(2), 238-247. [In Thai].
Sale, J. E. M., Frankel, L., Thielke, S., & Funnell, L. (2017). Pain and fracture-related limitations persist 6 months after a fragility fracture. Rheumatology international, 37(8), 1317-1322. doi:10.1007/s00296-017-3761-y
Smith, S., McCreanor, V., Watt, K., Hope, M., & Warren, J. (2022). Costs and 30-day readmission after lower limb fractures from motorcycle crashes in Queensland, Australia: A linked data analysis. Injury, 53(10), 3517-3524. doi:https://doi.org/10.1016/j.injury.2022.07.028
Sriprasong, S., Noocharoen, S., Panpakdee, O., Krittayapong, R., Pongthavornkamol, K., & Vorapongsutra, T. (2011). Personal factors affecting perceived readiness for hospital discharge among acute myocardial infarction patients. Thai Journal of Cardiovascular Nursing, 22(2), 46-56. [In Thai].
Srisatidnarakul, B. (2007). Research methodology in nursing science (4th ed.). Bangkok: You & I Inter Media. (in Thai)
Suwan, N., Panuthai, S., Lasuka, D., & Khampolsiri, T. (2018). Factors influencing readiness for hospital discharge among Thai older persons with chronic obstructive pulmonary disease. Pacific Rim International Journal of Nursing Research, 22(2), 156-168. [In Thai].
Weiss, M., & Piacentine, L. (2006). Psychometric Properties of the Readiness for Hospital Discharge Scale. Journal of Nursing Measurement, 14(3), 164-180.
Weiss, M., Piacentine, L., Lokken, L., Ancona, J., Archer, J., Gresser, S., Holmes, S., Toman, S., Toy, A., & Vega- Stromberg, T. (2007). Perceived readiness for hospital discharge in adult medical-surgical patients. Clinical Nurse Specialist, 21(1), 31-42.
Wu, A., Bisignano, C., James, S., Abady, G., Abedi, A., Abu-Gharbieh, E., Alhassan, R., Alipour, V., Arabloo, J., & Asaad, M. (2021). Global, regional, and national burden of bone fractures in 204 countries and territories, 1990–2019: a systematic analysis from the Global Burden of Disease Study 2019. The Lancet Healthy Longevity, 2(9), e580-e592..