影響內科病人主觀出院準備度之相關因素

Background: Readiness for hospital discharge has been identified as a crucial part of continuous care and may be related to a reduced risk of readmission. However, research on inpatients self-reporting their readiness for hospital discharge medical inpatients is lacking. Purpose: This study investigated factors related to readiness for discharge among medical inpatients. Methods: This cross-sectional study recruited medical inpatients older than 20 years between February and June 2019. The study employed a 12-item Chinese version of the Readiness for Hospital Discharge Scale (CRHDS), consisting of three dimensions: personal status, coping ability, and expected support. Logistic regression was used to examine the factors associated with the medical inpatients' readiness for discharge. Results: A total of 65.7% (354/539) of the inpatients responded to the CRHDS questionnaire. Of these, 78.2% self-reported a high level of readiness (CRHDS score ＞7). The expected support subscale received the highest score of the three subscales. Inpatients with a high level of readiness had a significantly shorter (8 days) duration of hospitalization than did those with a low level of readiness (p ＜ .001). Shorter hospitalization [adjusted odds ratio (AOR) = 0.96, p = .039], full consciousness (AOR = 2.66, p = .045), living more independently (AOR = 1.89, p = .024), and discharge to home (AOR = 3.41, p = .013) were significantly associated with a high level of readiness for hospital discharge. Conclusions/Implications for Practice: These results suggest that health-care providers should strengthen their assessments of readiness for hospital discharge, especially for those with longer hospital stays or without full consciousness or for those being discharged to home to support patients and their families in the difficult transition from hospital to home.