{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T17:17:12Z","timestamp":1792084632232,"version":"4.4.0"},"reference-count":46,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2024,2,7]],"date-time":"2024-02-07T00:00:00Z","timestamp":1707264000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Clinical Nursing"],"published-print":{"date-parts":[[2024,10]]},"abstract":"Abstract<\/jats:title>\n \n Aim<\/jats:title>\n To examine the level and influencing factors of discharge readiness among patients with oesophageal cancer following oesophagectomy and to explore its association with post\u2010discharge outcomes (post\u2010discharge coping difficulty and unplanned readmission).<\/jats:p>\n <\/jats:sec>\n \n Background<\/jats:title>\n Oesophageal cancer is common and usually treated via oesophagectomy in China. The assessment of patient's discharge readiness gradually attracts attention as patients tend to be discharged more quickly.<\/jats:p>\n <\/jats:sec>\n \n Design<\/jats:title>\n Prospective observational study. The STROBE statement was followed.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n In total, 154 participants with oesophageal cancer after oesophagectomy were recruited in a tertiary cancer centre in Southern China from July 2019 to January 2020. The participants completed a demographic and disease\u2010related questionnaire, the Quality of Discharge Teaching Scale and Readiness for Hospital Discharge Scale before discharge. Post\u2010discharge outcomes were investigated on the 21st day (post\u2010discharge coping difficulty) and 30th day (unplanned readmission) after discharge separately. Multiple linear regressions were used for statistical analysis.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n The mean scores of discharge readiness and quality of discharge teaching were (154.02\u2009\u00b1\u200931.58) and (138.20\u2009\u00b1\u200924.20) respectively. The quality of discharge teaching, self\u2010care ability, dysphagia and primary caregiver mainly influenced patient's discharge readiness and explained 63.0% of the variance. The low discharge readiness could predict more risk of post\u2010discharge coping difficulty (\n r<\/jats:italic>\n \u2009=\u2009\u22120.729,\n p<\/jats:italic>\n \u2009<\u20090.01) and unplanned readmission (\n t<\/jats:italic>\n \u2009=\u2009\u22122.721,\n p<\/jats:italic>\n \u2009<\u20090.01).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n Discharge readiness among patients with oesophageal cancer following oesophagectomy is influenced by various factors, especially the quality of discharge teaching. A high discharge readiness corresponds to good post\u2010discharge outcomes.<\/jats:p>\n <\/jats:sec>\n \n Implications for the Profession and Patient Care<\/jats:title>\n Healthcare professionals should improve the discharge readiness by constructing high\u2010quality discharge teaching, cultivating patients' self\u2010care ability, mobilizing family participation and alleviating dysphagia to decrease adverse post\u2010discharge outcomes among patients with oesophageal cancer.<\/jats:p>\n <\/jats:sec>\n \n Patients or Public Contribution<\/jats:title>\n Patients with oesophageal cancer after oesophagectomy who met the inclusion criteria were recruited.<\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/jocn.17055","type":"journal-article","created":{"date-parts":[[2024,2,7]],"date-time":"2024-02-07T06:44:11Z","timestamp":1707288251000},"page":"3969-3978","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Readiness for hospital discharge and its association with post\u2010discharge outcomes among oesophageal cancer patients after oesophagectomy: A prospective observational study"],"prefix":"10.1111","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-6132-7782","authenticated-orcid":false,"given":"Qian","family":"Yu","sequence":"first","affiliation":[{"name":"School of Nursing Sun Yat\u2010sen University Guangzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-6109-1807","authenticated-orcid":false,"given":"Le\u2010jian","family":"He","sequence":"additional","affiliation":[{"name":"Outpatient Department The Second Affiliated Hospital of Nanchang University Nanchang China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jiu\u2010di","family":"Zhong","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery Sun Yat\u2010sen University Cancer Center Guangzhou 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