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

Ru-Yu Huang, Ting-Ting Lee, Yi-Hsien Lin, Chieh-Yu Liu, Hsiu-Chun Wu and Shu-He Huang
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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
Chieh-Yu Liu: Department of Health Care Management, 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

IJERPH, 2022, vol. 19, issue 13, 1-14

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.

Keywords: caregivers; home care services; hospitalisation; patient discharge; palliative care (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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