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Kanser Hastalarında Hastaneden Taburcu Olmaya Hazıroluşu Etkileyen Faktörler: Tanımlayıcı Bir Çalışma

Yıl 2023, Cilt: 7 Sayı: 3, 136 - 148, 24.12.2023

Nazli Öztürk Fatma Arıkan Burcu Çelik Kocabıyık Hasan Şenol Coşkun

Öz

Bu çalışma, kanser hastalarında taburcu olmaya hazıroluşu etkileyen faktörleri incelemeyi amaçlamıştır. Tanımlayıcı, kesitsel bir çalışma tasarımı kullanılmıştır. Araştırmanın örneklemini taburcu edilmesi planlanan ve araştırmaya katılmaya gönüllü olan 118 kanser hastası oluşturmuştur. Verilerin toplanmasında Hasta Bilgi Formu ve Taburcu Olmaya Hazır Olma Ölçeği/Kısa Form kullanılmıştır. Veri analizi için tanımlayıcı istatistikler ve Backward Linear Regresyon kullanılmıştır. Hastaların yaş ortalaması 54.40±14.38, %53.3'ü gastrointestinal kanser, %56'sı evre III ve evre IV’tür. Hastaların %50'si durumlarından emin değildir veya hastalık seyri konusunda umutsuzdur. Bu çalışmada; metastaz varlığı, evre 2,3,4 kanser, ilaç tedavisine uyum, taburcu olma konusunda eğitim alma öyküsü, hastalığın seyri hakkında umutsuz düşünce, yaş, gelir durumu ve taburcu olmaya istekli olma durumunun kanser hastalarında taburculuğa hazıroluşluğu çeşitli alt boyutlarda etkilediği belirlenmiştir. Tıbbi onkoloji kliniğinde hastaların taburculuk hazırlıkları planlı, bireye özgü taburculuk eğitimleri ile desteklenmeli ve ailelerini de kapsamalıdır.

Anahtar Kelimeler

kanser hemşirelik taburculuk

Proje Numarası

-

Kaynakça

  • Aunan, J. R., Cho, W. C., & Soreide, K. (2017). The biology of aging and cancer: a brief overview of shared and divergent molecular hallmarks. Aging and Disease, 8(5), 628-642. https://doi.org/10.14336/ad.2017.0103
  • Aoyanagi, M., Shindo, Y., & Takahashi, K. (2022). General Ward Nurses’ Self-Efficacy, Ethical Behavior, and Practice of Discharge Planning for End-Stage Cancer Patients: Path Analysis. Healthcare, 10(7), 1161. https://doi.org/10.3390/healthcare10071161
  • Bahr, S. J., Bang, J., Yakusheva, O., Bobay, K. L., Krejci, J., Costa, L., Ronda, H., Morris, H., Danielle, S., & Weiss, M. E. (2020). Nurse continuity at discharge and return to hospital. Nursing Research, 69(3), 186-196. https://doi.org/10.1097/nnr.0000000000000417
  • Borghans, I., Heijink, R., Kool, T., Lagoe, R. J., & Westert, G. P. (2008). Benchmarking and reducing length of stay in Dutch hospitals. BMC Health Services Research, 8, 1-9. http://dx.doi.org/10.1186/1472-6963-8-220
  • Chen, Y., Chen, Y., Qin, T., Fu, G., & Bai, J. (2022). Associations of readiness for hospital discharge with symptoms and non-routine utilization of post-discharge services among cancer patients receiving oral chemotherapy at home: A prospective study. Journal of Oncology Pharmacy Practice, 29(5), 1135-1143. https://doi.org/10.1177/10781552221100720
  • Cohen, J. (1992). Statistical power analysis. Current Directions in Psychological Science, 1(3), 98-101. https://doi.org/10.1111/1467-8721.ep10768783
  • Deng, J., & Murphy, B. A. (2016). Lymphedema self-care in patients with head and neck cancer: A qualitative study. Supportive Care Cancer, 24(12), 4961-4970. https://doi.org/10.1007/s00520-016-3356-2
  • Dorney, K. M., Growdon, W. B., Clemmer, J., Rauh-Hain, J. A., Hall, T. R., Diver, E., Boruta, D., del Carmen, M.G., Goodman, A., Schorge, J.O., Horowitz, N., & Clark, R. M. (2017). Patient, treatment and discharge factors associated with hospital readmission within 30 days after surgery for vulvar cancer. Gynecologic Oncology, 144(1), 136-139. https://doi.org/10.1016/j.ygyno.2016.11.009
  • Uslusoy, E., Tezcan, M., & Korkmaz, M. (2021). The priorities of discharge training according to lung cancer patients and health care workers: a descriptive study. Journal of Basic Clinical Health Sciences, 5(3), 85-92. https://doi.org/10.30621/jbachs.912942
  • Galvin, E. C., Wills, T., & Coffey, A. (2017). Readiness for hospital discharge: A concept analysis. Journal of Advanced Nursing, 73(11), 2547-2557. https://doi.org/10.1111/jan.13324
  • Han, X., Robinson, L. A., Jensen, R. E., Smith, T. G., & Yabroff, K. R. (2021). Factors associated with health-related quality of life among cancer survivors in the United States. Cancer Spectrum, 5(1), 1-8. https://doi.org/10.1093/jncics/pkaa123
  • Hromadkova, L., Soukup, T., Cermakova, E., & Vlcek, J. (2012). Drug compliance in patients with systemic scleroderma. Journal of Clinical Rheumatology, 31(11), 1577-1583. https://doi.org/10.1007/s10067-012-2050-0
  • Huang, R. Y., Lee, T. T., Lin, Y. H., Liu, C. Y., Wu, H. C., & Huang, S. H. (2022). Factors Related to Family Caregivers’ Readiness for the Hospital Discharge of Advanced Cancer Patients. Journal of Environmental and Public Health, 19(13), 8097. https://doi.org/10.3390/ijerph19138097
  • Kaya, S., Sain Guven, G., Aydan, S., Kar, A., Teleş, M., Yıldız, A., Koca, G., Kartal, N., Korku, C., Ürek, D., Bilgin Demir, İ., & Toka, O. (2018a). Patients’ readiness for discharge: Predictors and effects on unplanned readmissions, emergency department visits and death. Journal of Nursing Management, 26(6), 707-716. https://doi.org/10.1111/jonm.12605
  • Kaya, S., Sain Guven, G., Teleş, M., Korku, C., Aydan, S., Kar, A., Kartal, N., Koca, G.Ş., & Yıldız, A. (2018b). Validity and reliability of the Turkish version of the readiness for hospital discharge scale/short form. Journal of Nursing Management, 26(3), 295-301. https://doi.org/10.1111/jonm.12547
  • Lau, D., Padwal, R. S., Majumdar, S. R., Pederson, J. L., Belga, S., Kahlon, S., BscPharm, M.F., Boyko, D., McAlister, F.A., & McAlister, F. A. (2016). Patient-reported discharge readiness and 30-day risk of readmission or death: a prospective cohort study. The American Journal of Medicine, 129(1), 89-95. https://doi.org/10.1016/j.amjmed.2015.08.018
  • Lu, W., Greuter, M. J. W., Schaapveld, M., Vermeulen, K. M., Wiggers, T., & De Bock, G. H. (2012). Safety and cost-effectiveness of shortening hospital follow-up after breast cancer treatment. The British Journal of Surgery, 99(9), 1227-1233. https://doi.org/10.1002/bjs.8850
  • Lundereng, E. D., Dihle, A., & Steindal, S. A. (2020). Nurses’ experiences and perspectives on collaborative discharge planning when patients receiving palliative care for cancer are discharged home from hospitals. Journal of Clinical Nursing, 29(17-18), 3382-3391. https://doi.org/10.1111/jocn.15371
  • Ministry of Health. Nursing Regulation of the Ministry of Health of the Republic of Turkey. (2011). Retrieved from https://www.resmigazete.gov.tr/eskiler/2011/04/20110419-5.html on June 1st, 2023.
  • Nowak, M., Lee, S., Karbach, U., Pfaff, H., & Gross, S. E. (2019). Short length of stay and the discharge process: preparing breast cancer patients appropriately. Patient Education and Counseling, 102(12), 2318-2324. https://doi.org/10.1016/j.pec.2019.08.012
  • Poh, P. F., Lee, J. H., Loh, Y. J., Tan, T. H., & Cheng, K. K. F. (2020). Readiness for hospital discharge, stress, and coping in mothers of children undergoing cardiac surgeries: a single-center prospective study. Pediatric Critical Care Medicine, 21(5), 301-310. https://doi.org/10.1097/pcc.0000000000002276
  • Ravindran, O. S., Shankar, A., & Murthy, T. (2019). A comparative study on perceived stress, coping, quality of life, and hopelessness between cancer patients and survivors. Indian Journal of Palliative Care, 25(3), 414. https://doi.org/10.4103/ijpc.ijpc_1_19
  • Rooeintan, M., Khademi, M., Toulabi, T., Nabavi, F. H., & Gorji, M. (2019). Explaining postdischarge care needs of cancer patients: a qualitative study. Indian Journal of Palliative Care, 25(1), 110. https://doi.org/10.4103/ijpc.ijpc_164_18
  • Salmani, S., Imanipour, M., & Nasrabadi, A. N. (2018). The implementation of a discharge planning to improve quality of life in breast cancer patients: a quasi-experimental study. Archives of Breast Cancer, 5(4), 163-167. https://doi.org/10.32768/abc.201854163-167
  • Trindade, A. J., Ehrlich, A., Kornbluth, A., & Ullman, T. A. (2011). Are your patients taking their medicine? Validation of a new adherence scale in patients with inflammatory bowel disease and comparison with physician perception of adherence. Inflammatory Bowel Diseases, 17(2), 599-604. https://doi.org/10.1002/ibd.21310
  • Uğur, O., Elcigil, A., Arslan, D., & Sonmez, A. (2014). Responsibilities and difficulties of caregivers of cancer patients in home care. Asian Pacific Journal of Cancer Prevention, 15(2), 725-729. https://doi.org/10.7314/apjcp.2014.15.2.725
  • Wallace, A. S., Perkhounkova, Y., Bohr, N. L., & Chung, S. J. (2016). Readiness for hospital discharge, health literacy, and social living status. Clinical Nursing Research, 25(5), 494-511. https://doi.org/10.1177/1054773815624380
  • Weiss, M. E., Costa, L. L., Yakusheva, O., & Bobay, K. L. (2014). Validation of patient and nurse short forms of the Readiness for Hospital Discharge Scale and their relationship to return to the hospital. Health Services Research, 49(1), 304. https://doi.org/10.1111/1475-6773.12092
  • Yang, J., He, Y., Jiang, L., & Li, K. (2020). Colorectal patients’ readiness for hospital discharge following management of enhanced recovery after surgery pathway: A cross-sectional study from China. Medicine, 99(8),19219. https://doi.org/10.1097/md.0000000000019219
  • Zhao, H., Feng, X., Yu, R., Gu, D., & Zhang, X. (2020). Factors influencing readiness for hospital discharge among patients undergoing laryngectomy. International Journal of Nursing Practice, 26(5), 12875. https://doi.org/10.1111/ijn.12875

Factors Influencing Readiness for Hospital Discharge among Cancer Patients: A Descriptive Study

Yıl 2023, Cilt: 7 Sayı: 3, 136 - 148, 24.12.2023

Nazli Öztürk Fatma Arıkan Burcu Çelik Kocabıyık Hasan Şenol Coşkun

Öz

This study aimed to examine factors influencing readiness for hospital discharge among cancer patients. A descriptive, cross-sectional study design was used. The sample of the study consisted of 118 cancer patients who were planned to be discharged and volunteered to participate in the study. Patient Information Form and Readiness for Hospital Discharge Scale/Short Form were used to collect data. Descriptive statistics and Backward Linear Regression were used for data analysis. The mean age of the patients was 54.40±14.38 years, 53.3% had gastrointestinal cancer, 56% were stage III and stage IV. 50% of patients were unsure of their condition or were hopeless about their disease course. In this study, it was determined that variables such as the presence of metastases, stage 2,3,4 cancer, compliance with drug therapy, history of receiving education about discharge, hopeless thinking about the progression of the disease, age, income status and willingness to be discharged influence readiness for discharge in various sub-dimensions in cancer patients. The discharge preparations of the patients in the medical oncology clinic should be supported with planned personalized discharge training and should include their families.

Anahtar Kelimeler

cancer nursing patient discharge

Destekleyen Kurum

-

Proje Numarası

-

Teşekkür

We are especially grateful to all the patients for their understanding and cooperation.

Kaynakça

  • Aunan, J. R., Cho, W. C., & Soreide, K. (2017). The biology of aging and cancer: a brief overview of shared and divergent molecular hallmarks. Aging and Disease, 8(5), 628-642. https://doi.org/10.14336/ad.2017.0103
  • Aoyanagi, M., Shindo, Y., & Takahashi, K. (2022). General Ward Nurses’ Self-Efficacy, Ethical Behavior, and Practice of Discharge Planning for End-Stage Cancer Patients: Path Analysis. Healthcare, 10(7), 1161. https://doi.org/10.3390/healthcare10071161
  • Bahr, S. J., Bang, J., Yakusheva, O., Bobay, K. L., Krejci, J., Costa, L., Ronda, H., Morris, H., Danielle, S., & Weiss, M. E. (2020). Nurse continuity at discharge and return to hospital. Nursing Research, 69(3), 186-196. https://doi.org/10.1097/nnr.0000000000000417
  • Borghans, I., Heijink, R., Kool, T., Lagoe, R. J., & Westert, G. P. (2008). Benchmarking and reducing length of stay in Dutch hospitals. BMC Health Services Research, 8, 1-9. http://dx.doi.org/10.1186/1472-6963-8-220
  • Chen, Y., Chen, Y., Qin, T., Fu, G., & Bai, J. (2022). Associations of readiness for hospital discharge with symptoms and non-routine utilization of post-discharge services among cancer patients receiving oral chemotherapy at home: A prospective study. Journal of Oncology Pharmacy Practice, 29(5), 1135-1143. https://doi.org/10.1177/10781552221100720
  • Cohen, J. (1992). Statistical power analysis. Current Directions in Psychological Science, 1(3), 98-101. https://doi.org/10.1111/1467-8721.ep10768783
  • Deng, J., & Murphy, B. A. (2016). Lymphedema self-care in patients with head and neck cancer: A qualitative study. Supportive Care Cancer, 24(12), 4961-4970. https://doi.org/10.1007/s00520-016-3356-2
  • Dorney, K. M., Growdon, W. B., Clemmer, J., Rauh-Hain, J. A., Hall, T. R., Diver, E., Boruta, D., del Carmen, M.G., Goodman, A., Schorge, J.O., Horowitz, N., & Clark, R. M. (2017). Patient, treatment and discharge factors associated with hospital readmission within 30 days after surgery for vulvar cancer. Gynecologic Oncology, 144(1), 136-139. https://doi.org/10.1016/j.ygyno.2016.11.009
  • Uslusoy, E., Tezcan, M., & Korkmaz, M. (2021). The priorities of discharge training according to lung cancer patients and health care workers: a descriptive study. Journal of Basic Clinical Health Sciences, 5(3), 85-92. https://doi.org/10.30621/jbachs.912942
  • Galvin, E. C., Wills, T., & Coffey, A. (2017). Readiness for hospital discharge: A concept analysis. Journal of Advanced Nursing, 73(11), 2547-2557. https://doi.org/10.1111/jan.13324
  • Han, X., Robinson, L. A., Jensen, R. E., Smith, T. G., & Yabroff, K. R. (2021). Factors associated with health-related quality of life among cancer survivors in the United States. Cancer Spectrum, 5(1), 1-8. https://doi.org/10.1093/jncics/pkaa123
  • Hromadkova, L., Soukup, T., Cermakova, E., & Vlcek, J. (2012). Drug compliance in patients with systemic scleroderma. Journal of Clinical Rheumatology, 31(11), 1577-1583. https://doi.org/10.1007/s10067-012-2050-0
  • Huang, R. Y., Lee, T. T., Lin, Y. H., Liu, C. Y., Wu, H. C., & Huang, S. H. (2022). Factors Related to Family Caregivers’ Readiness for the Hospital Discharge of Advanced Cancer Patients. Journal of Environmental and Public Health, 19(13), 8097. https://doi.org/10.3390/ijerph19138097
  • Kaya, S., Sain Guven, G., Aydan, S., Kar, A., Teleş, M., Yıldız, A., Koca, G., Kartal, N., Korku, C., Ürek, D., Bilgin Demir, İ., & Toka, O. (2018a). Patients’ readiness for discharge: Predictors and effects on unplanned readmissions, emergency department visits and death. Journal of Nursing Management, 26(6), 707-716. https://doi.org/10.1111/jonm.12605
  • Kaya, S., Sain Guven, G., Teleş, M., Korku, C., Aydan, S., Kar, A., Kartal, N., Koca, G.Ş., & Yıldız, A. (2018b). Validity and reliability of the Turkish version of the readiness for hospital discharge scale/short form. Journal of Nursing Management, 26(3), 295-301. https://doi.org/10.1111/jonm.12547
  • Lau, D., Padwal, R. S., Majumdar, S. R., Pederson, J. L., Belga, S., Kahlon, S., BscPharm, M.F., Boyko, D., McAlister, F.A., & McAlister, F. A. (2016). Patient-reported discharge readiness and 30-day risk of readmission or death: a prospective cohort study. The American Journal of Medicine, 129(1), 89-95. https://doi.org/10.1016/j.amjmed.2015.08.018
  • Lu, W., Greuter, M. J. W., Schaapveld, M., Vermeulen, K. M., Wiggers, T., & De Bock, G. H. (2012). Safety and cost-effectiveness of shortening hospital follow-up after breast cancer treatment. The British Journal of Surgery, 99(9), 1227-1233. https://doi.org/10.1002/bjs.8850
  • Lundereng, E. D., Dihle, A., & Steindal, S. A. (2020). Nurses’ experiences and perspectives on collaborative discharge planning when patients receiving palliative care for cancer are discharged home from hospitals. Journal of Clinical Nursing, 29(17-18), 3382-3391. https://doi.org/10.1111/jocn.15371
  • Ministry of Health. Nursing Regulation of the Ministry of Health of the Republic of Turkey. (2011). Retrieved from https://www.resmigazete.gov.tr/eskiler/2011/04/20110419-5.html on June 1st, 2023.
  • Nowak, M., Lee, S., Karbach, U., Pfaff, H., & Gross, S. E. (2019). Short length of stay and the discharge process: preparing breast cancer patients appropriately. Patient Education and Counseling, 102(12), 2318-2324. https://doi.org/10.1016/j.pec.2019.08.012
  • Poh, P. F., Lee, J. H., Loh, Y. J., Tan, T. H., & Cheng, K. K. F. (2020). Readiness for hospital discharge, stress, and coping in mothers of children undergoing cardiac surgeries: a single-center prospective study. Pediatric Critical Care Medicine, 21(5), 301-310. https://doi.org/10.1097/pcc.0000000000002276
  • Ravindran, O. S., Shankar, A., & Murthy, T. (2019). A comparative study on perceived stress, coping, quality of life, and hopelessness between cancer patients and survivors. Indian Journal of Palliative Care, 25(3), 414. https://doi.org/10.4103/ijpc.ijpc_1_19
  • Rooeintan, M., Khademi, M., Toulabi, T., Nabavi, F. H., & Gorji, M. (2019). Explaining postdischarge care needs of cancer patients: a qualitative study. Indian Journal of Palliative Care, 25(1), 110. https://doi.org/10.4103/ijpc.ijpc_164_18
  • Salmani, S., Imanipour, M., & Nasrabadi, A. N. (2018). The implementation of a discharge planning to improve quality of life in breast cancer patients: a quasi-experimental study. Archives of Breast Cancer, 5(4), 163-167. https://doi.org/10.32768/abc.201854163-167
  • Trindade, A. J., Ehrlich, A., Kornbluth, A., & Ullman, T. A. (2011). Are your patients taking their medicine? Validation of a new adherence scale in patients with inflammatory bowel disease and comparison with physician perception of adherence. Inflammatory Bowel Diseases, 17(2), 599-604. https://doi.org/10.1002/ibd.21310
  • Uğur, O., Elcigil, A., Arslan, D., & Sonmez, A. (2014). Responsibilities and difficulties of caregivers of cancer patients in home care. Asian Pacific Journal of Cancer Prevention, 15(2), 725-729. https://doi.org/10.7314/apjcp.2014.15.2.725
  • Wallace, A. S., Perkhounkova, Y., Bohr, N. L., & Chung, S. J. (2016). Readiness for hospital discharge, health literacy, and social living status. Clinical Nursing Research, 25(5), 494-511. https://doi.org/10.1177/1054773815624380
  • Weiss, M. E., Costa, L. L., Yakusheva, O., & Bobay, K. L. (2014). Validation of patient and nurse short forms of the Readiness for Hospital Discharge Scale and their relationship to return to the hospital. Health Services Research, 49(1), 304. https://doi.org/10.1111/1475-6773.12092
  • Yang, J., He, Y., Jiang, L., & Li, K. (2020). Colorectal patients’ readiness for hospital discharge following management of enhanced recovery after surgery pathway: A cross-sectional study from China. Medicine, 99(8),19219. https://doi.org/10.1097/md.0000000000019219
  • Zhao, H., Feng, X., Yu, R., Gu, D., & Zhang, X. (2020). Factors influencing readiness for hospital discharge among patients undergoing laryngectomy. International Journal of Nursing Practice, 26(5), 12875. https://doi.org/10.1111/ijn.12875
Toplam 30 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Hemşirelik
Bölüm Araştırma Makalesi
Yazarlar

Nazli Öztürk 0000-0003-2108-0735

Fatma Arıkan 0000-0003-0481-1903

Burcu Çelik Kocabıyık 0000-0003-4166-9408

Hasan Şenol Coşkun 0000-0003-2969-7561

Proje Numarası -
Erken Görünüm Tarihi 18 Aralık 2023
Yayımlanma Tarihi 24 Aralık 2023
Yayımlandığı Sayı Yıl 2023 Cilt: 7 Sayı: 3

Kaynak Göster

APA Öztürk, N., Arıkan, F., Çelik Kocabıyık, B., Coşkun, H. Ş. (2023). Factors Influencing Readiness for Hospital Discharge among Cancer Patients: A Descriptive Study. Kırşehir Ahi Evran Üniversitesi Sağlık Bilimleri Dergisi, 7(3), 136-148.
 Kapak Resmi İndir

Dergimiz; Cite Factor, Türk Medline, Sobiad Atıf Dizini, Türk Eğitim İndeksi, Türkiye Atıf Dizini (Turkiye Citation Index) ve Index Copernicus'ta taranmaktadır.


Dergimizin Önceki Editörleri:

2017-2019: Doç. Dr. Rıdvan Karabulut