Journals / Journal of Innovative Healthcare Practices / 2023 / Cilt: 4 - Sayı: 1

Determination of Factors Affecting the Readiness of Orthopedic Surgery Patients for Hospital Discharge

Pages
22–33
Publication Date
2023-03-23
DOI
—
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

In this regard, nurses must take the initiatives to support the preparation of patients for discharge.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:This study was conducted to determine the discharge readiness of patients undergoing orthopedic surgery and the factors affecting it.
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Key Findings & Data:This descriptive study was conducted with 125 patients who underwent total hip prosthesis (THP) and total knee prosthesis (TKP) surgery between October 2019 and March 2020 at a private university hospital in Istanbul.
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Conclusion & Impact:In this regard, nurses must take the initiatives to support the preparation of patients for discharge.
🔬Design:Research Article
📍Scope:2019 Verileri
⚙️Variables:Patient Discharge · Orthopedic Nursing · Knee Prosthesis

Abstract

This study was conducted to determine the discharge readiness of patients undergoing orthopedic surgery and the factors affecting it. This descriptive study was conducted with 125 patients who underwent total hip prosthesis (THP) and total knee prosthesis (TKP) surgery between October 2019 and March 2020 at a private university hospital in Istanbul. The study’s data were collected using the 'Patient Information Form' and 'Discharge from Hospital Readiness Scale/Short Form (RHDS/SF)'. The data were analyzed by using number, percentage, mean, standard deviation, Mann Whitney-U test, Kruskal Wallis test, and Logistic Regression Analysis in SPSS 25.0 program. It was determined that the mean scores of the HTHÖ/KF scale were higher in patients who thought that the discharge training given was sufficient (p=0.023) and that they were ready to go home (p<0.001), that they could easily walk alone when discharged (p=0.013) and that they could easily get out of bed/chair (p=0.004). It was revealed that the mean of information (p=0.004) and coping (p=0.034) sub-dimension scores of patients who had not previously undergone orthopedic surgery were lower than patients without orthopedic surgery experience. This study reveals that orthopedic surgery patients need support in preparation for discharge. In this regard, nurses must take the initiatives to support the preparation of patients for discharge.

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Cite This Article

DURMAZ, M. Ö., ÖZBAŞ, A. (2023). Determination of Factors Affecting the Readiness of Orthopedic Surgery Patients for Hospital Discharge. Journal of Innovative Healthcare Practices, Cilt: 4 - Sayı: 1, 22–33. https://ajindex.com/articles/884395

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References (12)

  1. Ö. Bilik, ‘‘Total diz protezi ameliyatı uygulanan hastaların ameliyat öncesi ve sonrası hemşirelik bakımı,’’ Türkiye Klinikleri Journal Surgical Nursing-Special Topics, vol. 3, no. 1, pp. 54-64, 2017
  2. F. Büyükyılmaz & N. Güven Özdemir, ‘‘Total kalça ve diz protezinde yeni yaşam: hasta eğitiminde anahtar kavramlar,’’ İnönü Üniversitesi Sağlık Hizmetleri Meslek Yüksekokulu Dergisi, vol. 6, no. 2, pp. 86-96, 2018
  3. OECD. ‘‘Hip and knee replacement,’’ In Health at a Glance 2021: OECD Indicators, OECD Publishing, Paris, pp. 144-145, 2021
  4. S. Knier, J. F. Stichler, L. Ferber & K. Catterall. ‘‘Patients’ perceptions of the quality of discharge teaching and readiness for discharge,’’ Association of Rehabilitation Nurses Rehabilitation Nursing, vol. 40, pp. 30-39, 2015
  5. B. Ohta, A. Mola, P. Rasenfeld & S. Ford. ‘‘Early discharge planning and improved care transitions: pre-admission assessment for readmission risk in an elective orthopedic and cardiovascular surgical population,’’ International Journal of Integrated Care, vol. 16, no. 2, pp. 1-16, 2016
  6. N. Akyüz, ‘‘Elektif ortopedik cerrahi girişim öncesi, sırası ve sonrası hemşirelik bakımı,’’ Türkiye Klinikleri Journal Surgical Nursing-Special Topics, vol. 3, no. 1, pp. 32-37, 2017
  7. R. Causey-Upton, D. N. Howell, P. H. Kitzman, M. G. Custer & E. V. Dressler, ‘‘Factors influencing discharge readiness after total knee replacement,’’ Orthopaedic Nursing, vol. 38, no. 1, pp. 6-14, 2019. doi: 10.1097/NOR.0000000000000513
  8. S. Kaya, G. Güven, M. Teleş, S. Aydan, C. Korku & A. Kar ‘‘Taburculuğa hazır olmanın boyutları: belirleyicileri, hasta sonuçları ve hastane harcamaları ile ilişkisi,’’ Hacettepe Sağlık İdaresi Dergisi, vol. 21, no. 2, pp. 305-334, 2018
  9. A. M. Fenwick. ‘‘An interdisciplinary tool for assessing patients' readiness for discharge in the rehabilitation setting,’’ Journal of Advanced Nursing, vol. 4, pp. 9-21, 1979
  10. H. Türkmen & F. Özbaşaran, ‘‘Vaginal doğum yapan lohusalarda taburculuğa hazır olma durumlarının değerlendirilmesi,’’ Düzce Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi, vol. 7, no. 1, pp. 24-29, 2017
  11. C. Mabire, S. Bachnick, D. Ausserhofer, M. Simon & the Match RN Study Group, ‘‘Patient readiness for hospital discharge and its relationship to discharge preparation and structural factors: A cross sectional study,’’ International Journal of Nursing Studies, vol. 90, pp. 13-20, 2019.
  12. K. L. Bobay, T.