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

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

Open Access
|Mar 2024

Figures & Tables

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

Discharge readinessSelf-efficacySocial supportQuality of discharge teaching
Discharge readiness1.00
Self-efficacy0.76***1.00
Social support0.48***0.57***1.00
Quality of discharge teaching0.54***0.40***0.27***1.00

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

CharacteristicNumber (n)Percentage (%)
Gender
  Male 6856.7
  Female 5243.3
Age, years (M = 63.7, SD = 11.79, Min = 37, Max = 84)
  30–44 10 8.3
  45–59 3529.2
  60–74 5041.7
  ≥75 2520.8
Educational attainment
  Primary school 7461.6
  Middle school 3226.7
  High school  9 7.5
  College, university, or above  5 4.2
Marital status
  Single  2 1.7
  Married10587.5
  Divorced  1 0.8
  Widowed 1210.0
Per capita RMB monthly household income (in US$)
  ≤¥ 2000 ($315) 3226.7
  ¥ 2001–¥ 4000 ($315–$629) 3226.7
  ¥ 4001–¥ 6000 ($629–$944)3428.3
  >¥ 6000 ($944) 2218.3
Occupation
  Employed 5445.0
  Civil servant/government staff  1 0.8
  Labor (e.g., builder, factory worker, or sanitation worker) 3630.0
  Farmer 1714.2
  Unemployed 3831.7
  Retired 2823.3
Place of residence
  Urban area 5747.5
  Rural area 6352.5
Discharge destination
  Home10688.3
  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 3932.5
  3–4 6251.7
  ≥5 1915.8
NIHSS score
  Admission day (M = 3.1, SD = 2.19, Min = 1, Max = 11)
  1–4 (mild stroke) 9881.7
  5–15 (moderate stroke)2218.3
  Discharge day (M = 2.0, SD = 1.52, Min = 1, Max = 8)
  1–4 (mild stroke)11192.5
  5–15 (moderate stroke)97.5
GCS score
  Admission day
  9–12 (moderate head injury)  75.8
  13–15 (mild head injury)11394.2
  Discharge day
  13–15 (mild head injury)120100
ADL score
  Admission day (M = 71.7, SD = 22.72, Min = 10, Max = 100)
  0–40 (severe dependence) 119.2
  41–60 (moderate dependence)3932.5
  61–99 (slight dependence)5747.5
  100 (independent)1310.8
  Discharge day (M = 79.9, SD = 18.35, Min = 45, Max = 100)
  41–60 (moderate dependence)2520.8
  61–99 (slight dependence)6554.2
  100 (independent)3025.0
mRS score
  Admission day
  1 (no significant disability despite symptoms)5646.7
  2 (slight disability)2823.3
  3 (moderate disability)2722.5
  4 (moderately severe disability)75.8
  5 (severe disability)21.7
  Discharge day
  0 (no symptoms) 6 5.0
  1 (no significant disability despite symptoms) 7764.2
  2 (slight disability) 2117.5
  3 (moderate disability)1613.3
Accompanying impairment*
  No 8570.8
  Yes 3529.2
Comorbidities
  No 2520.8
  Yes** 9579.2
  Hypertension 8974.2
  Diabetes 3932.5
  Heart disease  32.5
  Others (gout, hyperthyroidism, hyperlipidemia) 108.3
Smoking status
  Currently smoking 4235.0
  Quit smoking 10 8.3
  No history of smoking 6856.7
Alcohol drinking status
  Currently drinking 4335.8
  Quit drinking  97.5
  No history of drinking 6856.7
Length of stay, days (M = 7.9, SD = 2.03, Min = 2, Max = 14)
  1–3  32.5
  4–6 1512.5
  7–9 8066.7
  ≥102218.3

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

PredictorBSEbtP-value
Self-efficacy0.440.050.628.83<0.001
Social support0.080.110.050.740.46
Quality of discharge teaching0.360.080.284.62<0.001

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

Discharge readinessRangeMSDInterpretation
Possible scoreActual score
Discharge readiness0–105.2–9.37.60.92Moderate
Personal status0–103.7–10.07.91.54Moderate
Coping ability0–103.8–9.47.01.23Low
Expected support0–105.8–9.58.20.74High

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

Independent variableRangeMSDInterpretation
Possible scoreActual score
Self-efficacy1–103.5–9.36.71.30Moderate
   Symptom management1–103.3–10.06.91.45-
   Common disease management1–102.0–9.06.11.21-
Social support1–73.2–6.14.60.57Moderate
   Family1–74.5–7.05.70.53-
   Friends1–72.0–5.83.90.76-
   Significant other1–72.3–6.04.30.75-
Quality of discharge teaching0–105.7–8.97.30.72-
   Content needed0–103.8–8.86.51.01-
   Content received0–104.8–8.76.60.86-
   Delivery0–105.1–9.37.70.91-
DOI: https://doi.org/10.2478/fon-2024-0006 | Journal eISSN: 2544-8994 | Journal ISSN: 2097-5368
Language: English
Page range: 57 - 66
Submitted on: Jan 21, 2023
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Accepted on: May 12, 2023
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Published on: Mar 26, 2024
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year

© 2024 Li-Fei Wang, Niphawan Samartkit, Khemaradee Masingboon, published by Shanxi Medical Periodical Press
This work is licensed under the Creative Commons Attribution 4.0 License.