Current status and influencing factors of discharge readiness in patients undergoing local anesthesia percutaneous nephrolithotomy
HE Zong-bin
YANG Xiu-dong
HUANG Jing-wen
WU Wei-xia
SHEN Hai-yan
Abstract：Objective To understand the current status of discharge readiness and its influencing factors in patients undergoing local anesthesia percutaneous nephrolithotomy(PCNL).Methods A survey was conducted on patients undergoing PCNL in urology department using a General Information Questionnaire,Readiness for Hospital Discharge,Quality of Discharge Teaching Scale,Hospital Anxiety and Depression Scale,and Social Support Scale.Results The mean score for discharge readiness in patients undergoing PCNL was 98.43±16.21,with item scores aver-aging 8.20±1.35.The scores for each dimension were as follows:personal status(7.64±1.9),adaptability(8.35± 1.39),and expected support(8.44±1.32).The quality of discharge guidance,anxiety,depression,and social support were identified as the main factors influencing patients'self-perceived level of discharge readiness(R2=0.611,adjusted R2=0.604,F=80.168,P＜0.001).Conclusion Patients undergoing local anesthesia percutaneous nephrolithotomy demonstrated a relatively high level of discharge readiness.However,the personal status dimension score was relatively low,indicating a need to enhance perioperative psychological care and discharge guidance to boost patients'confidence in self-management during the transition period.
Keywords：kidney stonepercutaneous nephrolithotomyreadiness for hospital dischargeinfluencing factors
Publication Date：2024-01-28
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：5( 94-98 )