The Variables of the Readiness for Discharge from Hospital in Patients after Myocardial Infarction

Ewelina Kolarczyk (), Agnieszka Witkowska, Marek Szymiczek and Agnieszka Młynarska
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Ewelina Kolarczyk: Department of Gerontology and Geriatric Nursing, Faculty of Health Sciences, Medical University of Silesia, 40-635 Katowice, Poland
Agnieszka Witkowska: Department of Cardiology, Electrotherapy and Angiology, Scanmed S.A. Racibórz Medical Center, 47-400 Racibórz, Poland
Marek Szymiczek: Department of Cardiology, Electrotherapy and Angiology, Scanmed S.A. Racibórz Medical Center, 47-400 Racibórz, Poland
Agnieszka Młynarska: Department of Gerontology and Geriatric Nursing, Faculty of Health Sciences, Medical University of Silesia, 40-635 Katowice, Poland

IJERPH, 2023, vol. 20, issue 2, 1-15

Abstract: Discharge after myocardial infarction (MI) reduces the risk of repeated myocardial infarction and stroke and has a positive effect on the patient’s prognosis. An important element of preparation is the assessment of the patient’s readiness for discharge from hospital. This study aimed to evaluate the associations between a patient’s readiness for hospital discharge after MI, their functioning in the chronic illness, and socio-demographic and clinical variables. Methods: This was a cross-sectional, single-center study. The study was conducted among 242 patients who were hospitalized for myocardial infarction after percutaneous coronary intervention (PCI). The Readiness for Hospital Discharge After Myocardial Infarction Scale (RHD-MIS) and the Functioning in Chronic Illness Scale (FCIS) were used. Results: No statistically significant differences were found between socio-demographic and clinical factors and the overall result of the RHD-MIS ( p >0.05).There is a positive correlation between hospital discharge readiness and functioning in chronic disease in patients after MI (r = 0.20; p < 0.001). The higher the level of subjective knowledge, the better the functioning in chronic disease (rho = 0.16; p < 0.05), the greater the increase in the sense of influence on the course of the disease (rho = 0.17; p < 0.05) and the greater the decrease in the impact of the disease on the patient’s attitude (rho = 0.23, p < 0.05). Conclusions: The higher the readiness for discharge from hospital, the better the patient’s functioning in the disease and the lower the impact of the disease on the patient.

Keywords: myocardial infarction; chronic illness; discharge from hospital (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2023
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