Factors of Parents-Reported Readiness for Hospital Discharge in Children with Acute Leukemia: A Cross-Sectional Study

Overview

Journal J Healthc Eng

Specialty Biomedical Engineering

Date 2022 May 2

PMID 35494518

Authors

Wei Cai

Xiaofen Zheng

Runping Wang

Huifen Zhu

Xinxin Xu

Xiaowen Shen

Chunmei Zhang

Affiliations

Soon will be listed here.

Abstract

Aim: The aim of this study is to investigate the existing status and to explore the influencing factors of parents-reported readiness for hospital discharge in children with acute leukemia (AL) in China and to propose optimizing pathways and recommendations of discharge readiness for clinical reference.

Methods: A cross-sectional survey was conducted for the 122 children with AL who were discharged from the Second Affiliated Hospital and Yuying Children's Hospital, Wenzhou Medical University; their parents were investigated by using the modified Chinese version of Readiness for Hospital Discharge Scale (RHDS) and Quality of Discharge Teaching Scale (QDTS). Data were collected between September 2020 and May 2021.Univariate analysis and multivariate logistic regression analysis were performed to explore the influencing factors of readiness for hospital discharge.

Results: The 122 children with AL included 52 females and 70 males with mean age 6.08 years. The total RHDS score was 7.7 ± 1.2, and 68.9% of the participants had high readiness for hospital discharge (RHDS score >7). The total QDTS score was 7.6 ± 2.0. Parent marital status (OR = 4.86, 95% CI: 1.31-18.05), education status (OR = 3.86, 95% CI: 1.18-12.55), family per capita monthly income (OR = 1.08, 95% CI: 1.01-2.99), and high QDTS (OR = 1.56, 95% CI: 1.11-2.68) were risk factors for high RHDS.

Conclusions: Our data suggest parents of children with AL had high readiness for hospital discharge and had the ability to take care of their children after discharge. Parental marital status, education status, QDTS score, and family per capita monthly income were independently associated with high RHDS.

Citing Articles

Readiness for hospital discharge among patients requiring home nutrition support: a cross-sectional study.

Chen C, Ye X, Han Y, Li J, Liu S, Shen R Asia Pac J Clin Nutr. 2025; 34(1):76-83.

PMID: 39828260 PMC: 11742598. DOI: 10.6133/apjcn.202502_34(1).0007.

Position Adherence in Patients Underwent Pars Plana Vitrectomy with Silicone Oil Tamponade.

Gao S, Huang N, Huang W, Lian Y, Xiao H, Yao S Patient Prefer Adherence. 2024; 18:829-838.

PMID: 38645698 PMC: 11027915. DOI: 10.2147/PPA.S453683.

Retracted: Factors of Parents-Reported Readiness for Hospital Discharge in Children with Acute Leukemia: A Cross-Sectional Study.

Healthcare Engineering J J Healthc Eng. 2023; 2023:9871412.

PMID: 38078168 PMC: 10700018. DOI: 10.1155/2023/9871412.

References

Liang W, Zuo D, Candidate M, Li T, Zhao H . Patient-Readiness for Discharge and 30-Day Adherence to Treatment After Coronary Stent Implantation. Clin Nurs Res. 2021; 30(8):1271-1280. DOI: 10.1177/1054773821998550. View

Mabire C, Bachnick S, Ausserhofer D, Simon M . Patient readiness for hospital discharge and its relationship to discharge preparation and structural factors: A cross-sectional study. Int J Nurs Stud. 2018; 90:13-20. DOI: 10.1016/j.ijnurstu.2018.09.016. View

Luther B, Wilson R, Kranz C, Krahulec M . Discharge Processes: What Evidence Tells Us Is Most Effective. Orthop Nurs. 2019; 38(5):328-333. DOI: 10.1097/NOR.0000000000000601. View

Wang M, Wang Y, Meng N, Li X . The factors of patient-reported readiness for hospital discharge in patients with depression: A cross-sectional study. J Psychiatr Ment Health Nurs. 2020; 28(3):409-421. DOI: 10.1111/jpm.12693. View

Gray C, Christensen M, Bakon S . Nurse-initiated and criteria-led discharge from hospital for children and young people. Nurs Child Young People. 2016; 28(8):26-29. DOI: 10.7748/ncyp.2016.e714. View

Lerret S, Weiss M, Stendahl G, Chapman S, Menendez J, Williams L . Pediatric solid organ transplant recipients: transition to home and chronic illness care. Pediatr Transplant. 2014; 19(1):118-29. PMC: 4280334. DOI: 10.1111/petr.12397. View

Carron M, Zarantonello F, Lazzarotto N, Tellaroli P, Ori C . Role of sugammadex in accelerating postoperative discharge: A meta-analysis. J Clin Anesth. 2017; 39:38-44. DOI: 10.1016/j.jclinane.2017.03.004. View

Neglia J, Robison L . Epidemiology of the childhood acute leukemias. Pediatr Clin North Am. 1988; 35(4):675-92. DOI: 10.1016/s0031-3955(16)36505-1. View

Wu H, Zhou C, Kong W, Zhang Y, Pan D . Prognostic nutrition index is associated with the all-cause mortality in sepsis patients: A retrospective cohort study. J Clin Lab Anal. 2022; 36(4):e24297. PMC: 8993644. DOI: 10.1002/jcla.24297. View

10.

Qian J, Qian M, Ren Y, Ye L, Qian F, Jin L . Readiness for hospital discharge and influencing factors: a cross-sectional study on patients discharged with tubes from the department of hepatobiliary surgery. BMC Surg. 2021; 21(1):121. PMC: 7941921. DOI: 10.1186/s12893-021-01119-0. View

11.

Knier S, Stichler J, Ferber L, Catterall K . Patients' perceptions of the quality of discharge teaching and readiness for discharge. Rehabil Nurs. 2014; 40(1):30-9. DOI: 10.1002/rnj.164. View

12.

Egnell C, Heyman M, Jonsson O, Raja R, Niinimaki R, Albertsen B . Obesity as a predictor of treatment-related toxicity in children with acute lymphoblastic leukaemia. Br J Haematol. 2021; 196(5):1239-1247. DOI: 10.1111/bjh.17936. View

13.

Castellino A, Santambrogio E, Rapezzi D, Massaia M . Atypical Chronic Myeloid Leukemia: New Developments from Molecular Diagnosis to Treatment. Medicina (Kaunas). 2021; 57(10). PMC: 8540192. DOI: 10.3390/medicina57101104. View

14.

Smith V . Discharge planning considerations for the neonatal intensive care unit. Arch Dis Child Fetal Neonatal Ed. 2020; 106(4):442-445. DOI: 10.1136/archdischild-2019-318021. View

15.

Pellet J, Weiss M, Rapin J, Jaques C, Mabire C . Nursing discharge teaching for hospitalized older people: A rapid realist review. J Adv Nurs. 2020; 76(11):2885-2896. DOI: 10.1111/jan.14511. View

16.

Titler M, Pettit D . Discharge readiness assessment. J Cardiovasc Nurs. 1995; 9(4):64-74. DOI: 10.1097/00005082-199507000-00007. View

17.

Cyrille N, Patel S . Late In-Hospital Management of Patients Hospitalized with Acute Heart Failure. Prog Cardiovasc Dis. 2017; 60(2):198-204. DOI: 10.1016/j.pcad.2017.05.003. View

18.

Chen Y, Bai J . Reliability and validity of the Chinese version of the Readiness for Hospital Discharge Scale-Parent Form in parents of preterm infants. Int J Nurs Sci. 2019; 4(2):88-93. PMC: 6626122. DOI: 10.1016/j.ijnss.2017.01.009. View

19.

Zapata-Tarres M, Balandran J, Rivera-Luna R, Pelayo R . Childhood Acute Leukemias in Developing Nations: Successes and Challenges. Curr Oncol Rep. 2021; 23(5):56. DOI: 10.1007/s11912-021-01043-9. View

20.

Stone K, Jackson Y . Linking Foster Family Characteristics and Mental Health Symptoms of Youth in Care. J Child Fam Stud. 2021; 30(11):2792-2807. PMC: 8455304. DOI: 10.1007/s10826-021-02107-x. View