Discharge teaching, patient-reported discharge readiness and postsurgical outcomes in gynecologic patients undergoing day surgery: a generalized estimating equation

Abstract Background Gynecologic patients undergoing day surgery are discharged in an intermediate stage of recovery. The quality of discharge teaching and discharge readiness are important to patients’ postsurgical outcomes, but little research has focused on them. Methods Quality of discharge teach...

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Main Authors: Huaxuan You, Anjiang Lei, Xin Li, Xu Liao, Jing Chang
Format: Article
Language:English
Published: BMC 2022-05-01
Series:BMC Surgery
Subjects:
Online Access:https://doi.org/10.1186/s12893-022-01607-x
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author Huaxuan You
Anjiang Lei
Xin Li
Xu Liao
Jing Chang
author_facet Huaxuan You
Anjiang Lei
Xin Li
Xu Liao
Jing Chang
author_sort Huaxuan You
collection DOAJ
description Abstract Background Gynecologic patients undergoing day surgery are discharged in an intermediate stage of recovery. The quality of discharge teaching and discharge readiness are important to patients’ postsurgical outcomes, but little research has focused on them. Methods Quality of discharge teaching and discharge readiness were measured, and Spearman correlations were conducted. Postsurgical outcomes were recorded on postoperative Day 1, postoperative Day 7, and postoperative Day 28. Generalized estimating equations were used to explore factors that influence postsurgical outcomes. Results Discharge teaching was verified to be positively correlated with the discharge readiness of participants. The generalized estimating equations indicated that discharge teaching skills, effects of doctors and nurses, patient-reported physical conditions and social support following discharge were protective factors for postsurgical outcomes. Conclusions Doctors and nurses should improve discharge teaching skills and effects to improve the postsurgical outcomes of gynecological patients undergoing day surgery. At discharge, doctors and nurses should assess patients’ physical condition and facilitate a social support system.
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spelling doaj.art-f60e7ec065144f04ae58fb57905aba2a2022-12-22T02:22:30ZengBMCBMC Surgery1471-24822022-05-012211910.1186/s12893-022-01607-xDischarge teaching, patient-reported discharge readiness and postsurgical outcomes in gynecologic patients undergoing day surgery: a generalized estimating equationHuaxuan You0Anjiang Lei1Xin Li2Xu Liao3Jing Chang4Department of Obstetrics and Gynecology Nursing, West China Second University Hospital, Sichuan University/West China School of Nursing, Sichuan UniversityDepartment of Obstetrics and Gynecology Nursing, West China Second University Hospital, Sichuan University/West China School of Nursing, Sichuan UniversityDepartment of Obstetrics and Gynecology Nursing, West China Second University Hospital, Sichuan University/West China School of Nursing, Sichuan UniversityDepartment of Obstetrics and Gynecology Nursing, West China Second University Hospital, Sichuan University/West China School of Nursing, Sichuan UniversityDepartment of Obstetrics and Gynecology Nursing, West China Second University Hospital, Sichuan University/West China School of Nursing, Sichuan UniversityAbstract Background Gynecologic patients undergoing day surgery are discharged in an intermediate stage of recovery. The quality of discharge teaching and discharge readiness are important to patients’ postsurgical outcomes, but little research has focused on them. Methods Quality of discharge teaching and discharge readiness were measured, and Spearman correlations were conducted. Postsurgical outcomes were recorded on postoperative Day 1, postoperative Day 7, and postoperative Day 28. Generalized estimating equations were used to explore factors that influence postsurgical outcomes. Results Discharge teaching was verified to be positively correlated with the discharge readiness of participants. The generalized estimating equations indicated that discharge teaching skills, effects of doctors and nurses, patient-reported physical conditions and social support following discharge were protective factors for postsurgical outcomes. Conclusions Doctors and nurses should improve discharge teaching skills and effects to improve the postsurgical outcomes of gynecological patients undergoing day surgery. At discharge, doctors and nurses should assess patients’ physical condition and facilitate a social support system.https://doi.org/10.1186/s12893-022-01607-xDischarge teachingDischarge readinessPostsurgical outcomesDay surgeryGynecological patients
spellingShingle Huaxuan You
Anjiang Lei
Xin Li
Xu Liao
Jing Chang
Discharge teaching, patient-reported discharge readiness and postsurgical outcomes in gynecologic patients undergoing day surgery: a generalized estimating equation
BMC Surgery
Discharge teaching
Discharge readiness
Postsurgical outcomes
Day surgery
Gynecological patients
title Discharge teaching, patient-reported discharge readiness and postsurgical outcomes in gynecologic patients undergoing day surgery: a generalized estimating equation
title_full Discharge teaching, patient-reported discharge readiness and postsurgical outcomes in gynecologic patients undergoing day surgery: a generalized estimating equation
title_fullStr Discharge teaching, patient-reported discharge readiness and postsurgical outcomes in gynecologic patients undergoing day surgery: a generalized estimating equation
title_full_unstemmed Discharge teaching, patient-reported discharge readiness and postsurgical outcomes in gynecologic patients undergoing day surgery: a generalized estimating equation
title_short Discharge teaching, patient-reported discharge readiness and postsurgical outcomes in gynecologic patients undergoing day surgery: a generalized estimating equation
title_sort discharge teaching patient reported discharge readiness and postsurgical outcomes in gynecologic patients undergoing day surgery a generalized estimating equation
topic Discharge teaching
Discharge readiness
Postsurgical outcomes
Day surgery
Gynecological patients
url https://doi.org/10.1186/s12893-022-01607-x
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