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


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Correlation matrix among the independent and dependent variables (n = 120).

Discharge readiness Self-efficacy Social support Quality of discharge teaching
Discharge readiness 1.00
Self-efficacy 0.76*** 1.00
Social support 0.48*** 0.57*** 1.00
Quality of discharge teaching 0.54*** 0.40*** 0.27*** 1.00

Frequency, percentage, mean, and SD of demographic characteristics of the participants (n = 120).

Characteristic Number (n) Percentage (%)
Gender
  Male  68 56.7
  Female  52 43.3
Age, years (M = 63.7, SD = 11.79, Min = 37, Max = 84)
  30–44  10  8.3
  45–59  35 29.2
  60–74  50 41.7
  ≥75  25 20.8
Educational attainment
  Primary school  74 61.6
  Middle school  32 26.7
  High school   9  7.5
  College, university, or above   5  4.2
Marital status
  Single   2  1.7
  Married 105 87.5
  Divorced   1  0.8
  Widowed  12 10.0
Per capita RMB monthly household income (in US$)
  ≤¥ 2000 ($315)  32 26.7
  ¥ 2001–¥ 4000 ($315–$629)  32 26.7
  ¥ 4001–¥ 6000 ($629–$944) 34 28.3
  >¥ 6000 ($944)  22 18.3
Occupation
  Employed  54 45.0
  Civil servant/government staff   1  0.8
  Labor (e.g., builder, factory worker, or sanitation worker)  36 30.0
  Farmer  17 14.2
  Unemployed  38 31.7
  Retired  28 23.3
Place of residence
  Urban area  57 47.5
  Rural area  63 52.5
Discharge destination
  Home 106 88.3
  Community health service center   5  4.2
  Rehabilitation facility   9  7.5
Number of family caregivers after discharge (M = 3.1, SD = 1.36, Min = 1, Max = 7)
  1–2  39 32.5
  3–4  62 51.7
  ≥5  19 15.8
NIHSS score
  Admission day (M = 3.1, SD = 2.19, Min = 1, Max = 11)
  1–4 (mild stroke)  98 81.7
  5–15 (moderate stroke) 22 18.3
  Discharge day (M = 2.0, SD = 1.52, Min = 1, Max = 8)
  1–4 (mild stroke) 111 92.5
  5–15 (moderate stroke) 9 7.5
GCS score
  Admission day
  9–12 (moderate head injury)   7 5.8
  13–15 (mild head injury) 113 94.2
  Discharge day
  13–15 (mild head injury) 120 100
ADL score
  Admission day (M = 71.7, SD = 22.72, Min = 10, Max = 100)
  0–40 (severe dependence)  11 9.2
  41–60 (moderate dependence) 39 32.5
  61–99 (slight dependence) 57 47.5
  100 (independent) 13 10.8
  Discharge day (M = 79.9, SD = 18.35, Min = 45, Max = 100)
  41–60 (moderate dependence) 25 20.8
  61–99 (slight dependence) 65 54.2
  100 (independent) 30 25.0
mRS score
  Admission day
  1 (no significant disability despite symptoms) 56 46.7
  2 (slight disability) 28 23.3
  3 (moderate disability) 27 22.5
  4 (moderately severe disability) 7 5.8
  5 (severe disability) 2 1.7
  Discharge day
  0 (no symptoms)  6  5.0
  1 (no significant disability despite symptoms)  77 64.2
  2 (slight disability)  21 17.5
  3 (moderate disability) 16 13.3
Accompanying impairment*
  No  85 70.8
  Yes  35 29.2
Comorbidities
  No  25 20.8
  Yes**  95 79.2
  Hypertension  89 74.2
  Diabetes  39 32.5
  Heart disease   3 2.5
  Others (gout, hyperthyroidism, hyperlipidemia)  10 8.3
Smoking status
  Currently smoking  42 35.0
  Quit smoking  10  8.3
  No history of smoking  68 56.7
Alcohol drinking status
  Currently drinking  43 35.8
  Quit drinking   9 7.5
  No history of drinking  68 56.7
Length of stay, days (M = 7.9, SD = 2.03, Min = 2, Max = 14)
  1–3   3 2.5
  4–6  15 12.5
  7–9  80 66.7
  ≥10 22 18.3

Determinants of discharge readiness among the participants (n = 120)

Predictor B SE b t P-value
Self-efficacy 0.44 0.05 0.62 8.83 <0.001
Social support 0.08 0.11 0.05 0.74 0.46
Quality of discharge teaching 0.36 0.08 0.28 4.62 <0.001

Range, mean, SD, and interpretation of discharge readiness and its subscales among the participants (n = 120).

Discharge readiness Range M SD Interpretation
Possible score Actual score
Discharge readiness 0–10 5.2–9.3 7.6 0.92 Moderate
Personal status 0–10 3.7–10.0 7.9 1.54 Moderate
Coping ability 0–10 3.8–9.4 7.0 1.23 Low
Expected support 0–10 5.8–9.5 8.2 0.74 High

Range, mean, SD, and interpretation of self-efficacy, social support, and quality of discharge teaching among the participants (n = 120).

Independent variable Range M SD Interpretation
Possible score Actual score
Self-efficacy 1–10 3.5–9.3 6.7 1.30 Moderate
   Symptom management 1–10 3.3–10.0 6.9 1.45 -
   Common disease management 1–10 2.0–9.0 6.1 1.21 -
Social support 1–7 3.2–6.1 4.6 0.57 Moderate
   Family 1–7 4.5–7.0 5.7 0.53 -
   Friends 1–7 2.0–5.8 3.9 0.76 -
   Significant other 1–7 2.3–6.0 4.3 0.75 -
Quality of discharge teaching 0–10 5.7–8.9 7.3 0.72 -
   Content needed 0–10 3.8–8.8 6.5 1.01 -
   Content received 0–10 4.8–8.7 6.6 0.86 -
   Delivery 0–10 5.1–9.3 7.7 0.91 -
eISSN:
2544-8994
Język:
Angielski
Częstotliwość wydawania:
4 razy w roku
Dziedziny czasopisma:
Medicine, Assistive Professions, Nursing