Objective: To systematically evaluate the influencing factors of postoperative patients discharged from hospital readiness. Methods: The database was searched by computer until March 14,2021. Medline,Cochrane library,PubMed,Web of Science,Embase,CNKI,WanfangData,VIP,and China Bio-medicine Research related to influencing factors of postoperative discharge readiness in CBM,literature screening,data extraction,quality assessment,and meta-analysis using revman5.3 software. Results: A total of 23 literatures were included,involving 3789 patients.Meta-analysis results showed that:discharge readiness of patients aged > 69 years old was lower than that of patients aged < 69 years old [OR=0.67,95 %CI(0.51,0.87),P=0.36],and discharge readiness of married patients was higher than that of unmarried,divorced and widowed patients [OR=0.51,95 %CI(0.35,0.87),P=0.08],the discharge readiness of patients living in urban areas was higher than that of patients living in rural areas [OR=2.68,95 %CI(2.06,3.47),P＜0.00001],and the discharge readiness of patients with high education level was higher than that of patients with low education level [OR=2.26,95 %CI(1.50,3.40),P＜0.00001],the discharge readiness of patients with more medications was lower than that of patients with fewer medications [OR=2.67,95 %CI(1.68,4.23),P＜0.0001],and the discharge readiness of patients with more comorbiditions was lower than that of patients with fewer comorbiditions [OR=0.81,95 %CI(0.32,2.02),P=0.65],patients with high quality of discharge guidance had higher discharge readiness than patients with low discharge readiness [OR=1.45,95 %CI(1.21,1.73),P＜0.0001],and the discharge readiness of patients with strong self-care ability was higher than that of patients with weak self-care ability [OR=1.82,95 %CI(1.68,1.98),P＜0.00001]. Among them,residence,education level,type of medication,number of comorbidiments,quality of discharge guidance and self-care ability were the main influencing factors of postoperative discharge readiness (P＜0.05). Conclusions: There are many influencing factors for postoperative discharge readiness of patients,including age,marital status,educational level,type of medication,whether there are complications and length of stay,etc. However,due to the small number of included literatures,prospective studies with large samples and high quality are needed in the future.
[1] 蒋超,蒲杰,谢静.我国台湾地区医院出院准备服务的特点及启示[J].中国医疗管理科学,2017,7(2):27-30.
[2] 黄铮,张洁,李霞.骨科疾病出院准备度研究进展[J].上海护理,2020,20(3):55-58.
[3] 吴丹,孙鸿雁,王爱国.患者出院准备度护理研究进展[J].齐鲁护理杂志,2018,24(22):99-101.
[4] 聂鹏敏.腹腔镜胆囊切除手术后患者出院准备度现状及影响因素研究[D].长沙:湖南师范大学,2020.
[5] 孙盛楠,李燕,李静,等.加速康复外科模式下肺癌术后患者出院准备度现状及影响因素分析[J].天津护理,2019,27(6):674-677.
[6] 李小青,张琼英.内镜下黏膜剥离术患者出院准备度现状及影响因素分析[J].四川医学,2017,38(2):215-218.
[7] 王丽艳,王亭,刘丽丽.老年颅内动脉瘤介入术患者出院准备度相关影响因素分析[J].中国老年保健医学,2020,18(2):128-130.
[8] 陈小娇,施小俊,郑丽娜.老年髋关节置换术后患者出院准备度现状及影响因素研究[J].护理管理杂志,2019,19(6):398-401.
[9] 钱红娟.老年急诊PCI术后患者出院准备度现状及其影响因素分析[J].世界最新医学信息文摘(连续型电子期刊),2020,20(78):16-17,22.
[10] 李丽媛,胡晓坤,何晓俐.视网膜脱离术后患者出院准备度情况及影响因素分析[J].成都医学院学报,2021,16(3):328-331.
[11] 郭万鹏,张倩,栗林.主动脉夹层术后患者出院准备度现状及其影响因素[J].解放军护理杂志,2018,5(20):18-22.
[12] 郑薇,聂红霞,任静,等.直肠癌术后患者出院准备度现状及影响因素分析[J].中华结直肠疾病电子杂志,2020,9(4):421-424.
[13] 刘军晓,吴丽杰,宋亚琼,等.行乳腺癌全切术术后患者出院准备度及影响因素研究[J].中华护理教育,2018,15(11):856-860.
[14] 龚瑶,彭彩虹.心脏瓣膜置换术后患者的出院准备度现状及其影响因素分析[J].中国护理管理,2020,20(4):544-548.
[15] 丁敏.乳腺癌全切术后患者出院准备度及其相关因素研究[J].中国现代医药杂志,2020,22(6):79-82.
[16] 毕玲俐,王丽娜,马林.人工全髋关节置换术后患者出院准备度及其影响因素分析[J].中华现代护理杂志,2019(29):3792-3798.
[17] 王宁.急性心肌梗死PCI术后患者出院准备度的相关因素研究[J].临床护理杂志,2020,19(1):41-44.
[18] 金露,刘影,赵平凡,等.冠心病PCI术后病人出院准备度及影响因素分析[J].全科护理,2019,17(22):2692-2695.
[19] 朱英娥,俞静娴,林珊珊,等.肝动脉化疗栓塞术患者出院准备度及影响因素分析[J].上海护理,2021,21(3):32-35.
[20] 罗羽鸥,任秋平,杨小玲,等.肝癌术后患者出院准备度及其影响因素分析[J].中国普外基础与临床杂志,2020,27(10):1249-1253.
[21] 张林林,苏萍,初云云,等.膀胱全切加双侧输尿管皮肤造口的膀胱癌患者出院准备度及影响因素分析[J].重庆医学,2020,49(20):3367-3371.
[22] 刘凤,徐芬,任静,等.冠心病经皮冠状动脉介入治疗术后患者出院准备度现状及影响因素分析[J].中国实用护理杂志,2020,36(20):1547-1553.
[23] 李慧,徐铌,张飒,等.慢性肾功能衰竭患者动静脉内瘘术后出院准备度现状及其影响因素分析[J].中国实用护理杂志,2019,35(8):582-586.
[24] Weiss ME,Piacentine LB,Lokken L,et al.Perceived readiness for hospital discharge in adult medical-surgical patients[J].Clin Nurse Spec,2007,21(1):31-42.
[25] Siow E,Lo SM,Yeung KL,et al.Factors and post-discharge outcomes associated with patients' readiness for discharge from the emergency medicine ward:a prospective study[J].Int Emerg Nurs,2019,46:100773.
[26] Baksi A,Sürücü HA,Nal GI.Postcraniotomy patients' readiness for discharge and predictors of their readiness for discharge[J].J Neurosci Nurs,2020,52(6):295-299.
[27] Zhao HL,Feng XQ,Yu R,et al.Factors influencing readiness for hospital discharge among patients undergoing laryngectomy[J].Int J Nurs Pract,2020,26(5):e12875.
[28] Baksi A,Arda sürücü H,Turhan damar H,et al.Examining the relationship between older adults' readiness for discharge after surgery and satisfaction with nursing care and the associated factors[J].Clin Nurs Res,2021,30(8):1251-1262.
[29] 金佳佳,徐小,刘晓莉,等.脊柱骨折伴脊髓损伤患者出院准备度现状及其影响因素分析[J].中华现代护理杂志,2019,25(9):1120-1124.
[30] 章雪芳,郑林宏,吴谦.患者出院准备度影响因素的研究进展[J].中国实用护理杂志,2017,33(3):233-238.
[31] Nurhayati N,Songwathana P,Vachprasit R.Surgical patients' experiences of readiness for hospital discharge and perceived quality of discharge teaching in acute care hospitals[J].J Clin Nurs,2019,28(9/10):1728-1736.
[32] 胡小懿,汤爱玲,张月,等.术后出院时伴尿失禁的老年患者出院准备度现状及其影响因素[J].解放军护理杂志,2020,37(6):28-31.
[33] 高杰,王冰花,汪晖,等.宫颈癌根治术后居家清洁间歇导尿患者出院准备度及影响因素调查[J].护理学杂志,2019,34(14):16-18.
[34] 何洋,沙丽艳,勾玉莉,等.行经皮肝动脉化疗栓塞术肝癌患者出院准备度现状及其影响因素分析[J].中国实用护理杂志,2018,34(10):756-760.
[35] 左丹妮,赵慧华,许方蕾,等.冠心病患者出院准备度现状及影响因素分析[J].齐鲁护理杂志,2020,26(17):1-4.
[36] Dong LJ,Liu N,Tian XY,et al.Reliability and validity of the Tilburg Frailty Indicator (TFI) among Chinese community-dwelling older people[J].Arch Gerontol Geriatr,2017,73:21-28.
[37] 石春凤,郝春梅,熊文娟,等.原发性肝癌手术患者出院准备度调查[J].解放军医院管理杂志,2020,27(12):1125-1128.
[38] 梁玮,赵慧华,许方蕾,等.上海三级医院老年慢性病患者出院准备度及影响因素研究[J].护理管理杂志,2020,20(9):614-619.
