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Purpose: To investigate the discharge readiness index, to improve the quality of life of patients who undergo enterostomies, and to improve the quality of care.
Methodology: One hundred and fifty patients who underwent enterostomies were randomly divided into two groups (75 patients per group), with the control group receiving usual care and the intervention group completing the discharge readiness planning program.
Results: The patients in the intervention group had significantly higher discharge readiness scores than did those in the control group (116.60 ± 2.45 vs. 101.99 ± 11.04, t = -11.187, P = 0.000). The quality-of-life scores of the patients in the intervention group were significantly higher than those of the patients in the control group on the day of postoperative discharge (116.19 ± 11.67 vs. 104.45 ± 18.09, t = -7.152, P = 0.000) and 1 month after discharge (126.65 ± 6.44 vs. 120.36 ± 6.27, t = -6.067, P = 0.000). The self-care scores of the patients in the intervention group were also significantly higher than those of the patients in the control group on the day of discharge (128.96 ± 8.64 vs. 103.01 ± 18.38, t = -11.060, P = 0.000) and 1 month after discharge (142.85 ± 11.98 vs. 129.39 ± 13.90, t = -6.355, P = 0.000. The incidence of stoma-related complications in the intervention group was significantly lower than that in the control group (2.67 % vs. 12.00 %, χ2 = 4.807, P = 0.000).
Conclusions: The program was effective in improving discharge readiness, self-care, and quality of life and in reducing the incidence of stoma-related complications in patients with enterostomies.
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http://dx.doi.org/10.1016/j.gerinurse.2025.103489 | DOI Listing |
N Z Vet J
September 2025
Diagnostics, Readiness and Surveillance, Biosecurity New Zealand, Ministry for Primary Industries, Wellington, New Zealand.
Case History: In 2023, 160/245 (65%) 2-year-old KiwiCross dairy heifers from a seasonally calving Otago herd developed severe granular vulvovaginitis after calving.
Clinical Findings: Affected heifers presented 3-12 days post-calving with tail elevation, vaginal discharge and, in most cases, vulval swelling. Heifers were afebrile although some were inappetent.
Background: Individuals with chronic obstructive pulmonary disease (COPD) often lead sedentary lives, which is linked to negative health outcomes. Understanding the causes of this behaviour is essential for designing effective interventions. In the time following a hospital discharge, people with COPD may be especially sedentary and develop habits that contribute to this behaviour.
View Article and Find Full Text PDFJ Res Nurs
August 2025
Reader in Clinical Epidemiology, Lifespan and Population Health, School of Medicine, University of Nottingham, Nottingham, UK.
Background: Understanding the reasons for delays in leaving hospital once an in-patient is considered ready for discharge is important to inform the development of interventions to improve patient flow through resource-stressed healthcare systems.
Aims: To identify risk factors for delayed discharge from hospital during the COVID-19 pandemic.
Methods: The study population was all patients admitted with COVID-19 infection from February 2020 to September 2021 to a large UK teaching hospital.
Support Care Cancer
August 2025
Department of Nursing, Shanghai Proton and Heavy Ion Center, Fudan University Cancer Hospital, Shanghai, 201315, China.
Objective: To explore the psychological experiences related to discharge readiness among head and neck cancer (HNC) patients undergoing particle radiotherapy, so as to provide nurses with guidance for personalized discharge education and continuous care programs.
Method: A descriptive phenomenological research design was used. Face-to-face semi-structured interviews were conducted with 12 HNC patients who were about to be discharged from the Shanghai Proton Heavy Ion Hospital after completing particle radiotherapy.
Healthcare (Basel)
August 2025
Care and Public Health Research Institute (CAPHRI), Maastricht University, 6200 MD Maastricht, The Netherlands.
: Elderly patients who require aftercare in an intramural care (IMC) facility may contribute to "bed blocking," which occurs when patients who are ready for discharge remain hospitalized longer than medically necessary. While most bed-blocking studies focus on capacity issues, this study also investigates the coordination process. In a regional hospital in the Netherlands, we examine the extent to which bed blocking occurs due to patients awaiting IMC, and how this issue can be characterized in terms of capacity and coordination challenges.
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