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Factors Related to Family Caregivers’ Readiness for the Hospital Discharge of Advanced Cancer Patients

Author

Listed:
  • Ru-Yu Huang

    (Department of Nursing, Mackay Memorial Hospital Tamsui Branch, New Taipei City 25160, Taiwan)

  • Ting-Ting Lee

    (Department of Nursing, College of Nursing, National Yang Ming Chiao Tung University, Taipei 11221, Taiwan)

  • Yi-Hsien Lin

    (Division of Radiotherapy, Cheng Hsin General Hospital, Taipei 11220, Taiwan
    School of Medicine, National Yang Ming Chiao Tung University, Taipei 11221, Taiwan)

  • Chieh-Yu Liu

    (Department of Health Care Management, National Taipei University of Nursing and Health Sciences, Taipei 11219, Taiwan
    Department of Nursing, National Taipei University of Nursing and Health Sciences, Taipei 11219, Taiwan)

  • Hsiu-Chun Wu

    (Department of Nursing, Mackay Memorial Hospital Tamsui Branch, New Taipei City 25160, Taiwan)

  • Shu-He Huang

    (Department of Nursing, College of Nursing, National Yang Ming Chiao Tung University, Taipei 11221, Taiwan)

Abstract

Background: Many family caregivers of advanced cancer patients worry about being unable to provide in-home care and delay the discharge. Little is known about the influencing factors of discharge readiness. Methods: This study aimed to investigate the influencing factors of family caregivers’ readiness, used a cross-sectional survey, and enrolled 123 sets of advanced cancer patients and family caregivers using convenience sampling from four oncology wards in a medical centre in northern Taiwan. A self-developed five-point Likert questionnaire, the “Discharge Care Assessment Scale”, surveyed the family caregivers’ difficulties with providing in-home care. Results: The study showed that the discharge readiness of family caregivers affects whether patients can be discharged home. Moreover, the influencing factors of family caregivers’ discharge readiness were the patient’s physical activity performance status and expressed discharge willingness; the presence of someone to assist family caregivers with in-home care; and the difficulties of in-home care. The best prediction model accuracy was78.0%, and the Nagelkerke R 2 was 0.52. Conclusion: Discharge planning should start at the point of admission data collection, with the influencing factors of family caregivers’ discharge readiness. It is essential to help patients increase the likelihood of being discharged home.

Suggested Citation

  • Ru-Yu Huang & Ting-Ting Lee & Yi-Hsien Lin & Chieh-Yu Liu & Hsiu-Chun Wu & Shu-He Huang, 2022. "Factors Related to Family Caregivers’ Readiness for the Hospital Discharge of Advanced Cancer Patients," IJERPH, MDPI, vol. 19(13), pages 1-14, July.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:13:p:8097-:d:853858
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    References listed on IDEAS

    as
    1. Jungyoon Kim & Valerie Pacino & Hongmei Wang & April Recher & Isha Jain & Vaibhavi Mone & Jihyun Ma & Mary Jo Spurgin & Daniel Jeffrey & Stephen Mohring & Jane Potter, 2021. "System Redesign: The Value of a Primary Care Liaison Model to Address Unmet Social Needs among Older Primary Care Patients," IJERPH, MDPI, vol. 18(21), pages 1-11, October.
    2. Yen‐Han Lee & Ting Fang Alvin Ang & Timothy C. Chiang & Warren A. Kaplan, 2018. "Growing concerns and controversies to Taiwan's National Health Insurance—what are the lessons from mainland China, South Korea and Singapore?," International Journal of Health Planning and Management, Wiley Blackwell, vol. 33(1), pages 357-366, January.
    3. José Batista & Carla Munhoz Pinheiro & Carla Madeira & Pedro Gomes & Óscar Ramos Ferreira & Cristina Lavareda Baixinho, 2021. "Transitional Care Management from Emergency Services to Communities: An Action Research Study," IJERPH, MDPI, vol. 18(22), pages 1-12, November.
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