Factors influencing discharge readiness among patients with mild-to-moderate ischemic stroke:a cross-sectional study

Objective:To describe discharge readiness and determine whether self-efficacy,social support,and the quality of discharge teaching can predict discharge readiness among patients with mild-to-moderate ischemic stroke.Methods:A total of 120 patients with mild-to-moderate ischemic stroke were recruited using simple random sampling.Five instruments,namely,the Demographic Data Questionnaire,the Chinese version of the Readiness for Hospital Discharge Scale(RHDS_C),the SelfEfficacy for Managing Chronic Disease 6-Item Scale(SES6),the Perceived Social Support Scale(PSSS),and the Quality of Discharge Teaching Scale(QDTS),were used for data collection.Descriptive statistics and standard multiple linear regression were used for data analysis.Results:The mean score of discharge readiness among patients with mild-to-moderate ischemic stroke was at a moderate level(M=7.6,SD=0.92),and 75.8%of the participants felt ready for discharge.Standard multiple linear regression revealed that selfefficacy(β=0.62,P<0.001)and the quality of discharge teaching(β=0.28,P<0.001)were the influencing factors.However,social support could not predict discharge readiness significantly.All the factors combined explained 64.9%of the variance in discharge readiness.Conclusions:Intervention programs aimed at improving self-efficacy and the quality of discharge teaching may be helpful in promoting discharge readiness in patients with mild-to-moderate ischemic stroke,especially in coping ability.

Nursing discharge teaching of hospitalized postpartum women in China:A cross-sectional study

Background:Postpartum women encounter a diverse array of physiological challenges following childbirth,and they may also contend with issues such as a lack of self-care knowledge childcare knowledge,and childcare experience.This study aimed to explore the quality of discharge teaching for hospitalized postpartum women.Methods:A total of 292 parturients who gave birth in a tertiary hospital were selected using the convenience sampling method and surveyed using a general data questionnaire and discharge teaching quality scale.Results:The total score for the quality of discharge teaching was 111.95±28.64.In bivariate analysis,significant differences were identified between postpartum women with differences in postpartum complications,ambulation time,wound pain,infant health status,and infant feeding methods(p<0.05).Wound pain and infant feeding methods were significant factors in a multiple linear regression model(p<0.05).Conclusions:Nursing staff should focus on psychological nursing care and give more personalized teaching to postpartum women with severe wound pain and who bottle feed their newborns.