{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T01:12:29Z","timestamp":1791508349120,"version":"4.3.4"},"reference-count":40,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2025,4,10]],"date-time":"2025-04-10T00:00:00Z","timestamp":1744243200000},"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":[[2025,11]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>To investigate the status of discharge readiness of patients undergoing daytime lung cancer surgery and analyse its influencing factors.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>This was a cross\u2010sectional study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>In this study, patients who underwent daytime lung cancer surgery from August 2022 to February 2023 at a Tertiary Care Hospital in Shanghai were selected via the convenience sampling method. A general data questionnaire, the Readiness for Hospital Discharge Scale, the Brief Illness Perception Questionnaire and the 10\u2010item Connor Davidson Resilience Scale were used to assess 203 patients. Multiple linear regression analysis was used to analyse the factors influencing discharge readiness.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The total Readiness for Hospital Discharge Scale score for patients who underwent daytime lung cancer surgery was 72.76\u2009\u00b1\u200920.91. Multiple regression analysis revealed that residence, monthly family income, the presence of postoperative adverse effects, illness perception and resilience were influencing factors for discharge readiness (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.05), with illness perception (<jats:italic>\u03b2<\/jats:italic>\u2009=\u2009\u22120.391, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001) and resilience (<jats:italic>\u03b2<\/jats:italic>\u2009=\u20090.317, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001) being the most significant factors, which together explained 44.9% of the total variance.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The discharge readiness of day surgery patients with lung cancer is moderate, indicating room for improvement. Clinical practice should focus on lower\u2010income, rural or postoperative patients with adverse reactions. Additionally, promoting patients\u2019 positive perceptions of their illness and increasing their resilience can further enhance their discharge readiness.<\/jats:p><\/jats:sec><jats:sec><jats:title>Reporting Methods<\/jats:title><jats:p>The reporting of the study was guided by the STROBE checklist: cross\u2010sectional studies (Table\u00a0).<\/jats:p><\/jats:sec><jats:sec><jats:title>Relevance to Clinical Practice<\/jats:title><jats:p>Healthcare professionals should focus on assessing patients\u2019 readiness for discharge, consistent with the World Health Organization's emphasis on patient\u2010centred discharge planning. We recommend (1) establishing post\u2010discharge support systems for rural and low\u2010income patients, (2) including resilience\u2010building interventions in preoperative education and (3) adopting a multiform health promotion approach to change negative illness perceptions and coping strategies. Additionally, we strongly advocate for the development of nurse\u2010led transitional care plans that address both medical and psychosocial needs to optimise patient recovery and long\u2010term well\u2010being.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jocn.17743","type":"journal-article","created":{"date-parts":[[2025,4,11]],"date-time":"2025-04-11T01:11:46Z","timestamp":1744333906000},"page":"4779-4787","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Status and Influencing Factors of Discharge Readiness in Day Surgery Lung Cancer Patients Under a Fast\u2010Track Rehabilitation Pathway"],"prefix":"10.1111","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5647-1643","authenticated-orcid":false,"given":"Jie","family":"Yang","sequence":"first","affiliation":[{"name":"Intensive Care Unit Shanghai Chest Hospital, School of Medicine, Shanghai Jiao Tong University  Shanghai China"},{"name":"School of Nursing Shanghai Jiao Tong University  Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ling","family":"Ge","sequence":"additional","affiliation":[{"name":"Day Surgery Ward, Shanghai Chest Hospital, School of Medicine Shanghai Jiao Tong University  Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xin\u2010Xing","family":"Ju","sequence":"additional","affiliation":[{"name":"Nursing Department, Shanghai Chest Hospital, School of Medicine Shanghai Jiao Tong University  Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiao\u2010Xin","family":"Liu","sequence":"additional","affiliation":[{"name":"Nursing Department, Shanghai Chest Hospital, School of Medicine Shanghai Jiao Tong University  Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,4,10]]},"reference":[{"key":"e_1_2_14_2_1","unstructured":"American Psychological Association.2012.\u201cBuilding Your Resilience.\u201dhttps:\/\/www.apa.org\/topics\/resilience."},{"key":"e_1_2_14_3_1","doi-asserted-by":"publisher","DOI":"10.1093\/ejcts\/ezy301"},{"key":"e_1_2_14_4_1","doi-asserted-by":"publisher","DOI":"10.3322\/caac.21834"},{"key":"e_1_2_14_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpsychores.2005.10.020"},{"key":"e_1_2_14_6_1","doi-asserted-by":"publisher","DOI":"10.4103\/jfmpc.jfmpc_264_19"},{"key":"e_1_2_14_7_1","doi-asserted-by":"publisher","DOI":"10.3760\/cma.j.cn112137\u201020210207\u201000377"},{"key":"e_1_2_14_8_1","first-page":"188","article-title":"Enhancing Postoperative Recovery and Reducing Risk Events in Lung Cancer Patients Through an ERAS\u2010Based Nursing Strategy: A Meta\u2010Analysis","volume":"30","author":"Dai Y.","year":"2024","journal-title":"Alternative Therapies in Health and Medicine"},{"key":"e_1_2_14_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.31634"},{"key":"e_1_2_14_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365\u20102648.1979.tb02984.x"},{"key":"e_1_2_14_11_1","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.59918"},{"key":"e_1_2_14_12_1","doi-asserted-by":"publisher","DOI":"10.21037\/jtd.2018.01.157"},{"key":"e_1_2_14_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.17454"},{"key":"e_1_2_14_14_1","doi-asserted-by":"publisher","DOI":"10.3969\/j.issn.1672\u20101756.2018.09.022"},{"key":"e_1_2_14_15_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00520\u2010014\u20102514\u20107"},{"key":"e_1_2_14_16_1","doi-asserted-by":"publisher","DOI":"10.20047\/j.issn1673\u20107210.2024.18.30"},{"key":"e_1_2_14_17_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41562\u2010017\u20100200\u20108"},{"key":"e_1_2_14_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/jonm.12605"},{"key":"e_1_2_14_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjmed.2015.08.018"},{"key":"e_1_2_14_20_1","doi-asserted-by":"publisher","DOI":"10.3760\/cma.j.issn.0529\u20105815.2018.12.003"},{"key":"e_1_2_14_21_1","doi-asserted-by":"publisher","DOI":"10.3969\/j.issn.1008\u20109993.2019.04.013"},{"key":"e_1_2_14_22_1","doi-asserted-by":"publisher","DOI":"10.6224\/JN.61.4.56"},{"key":"e_1_2_14_23_1","doi-asserted-by":"publisher","DOI":"10.3760\/cma.j.issn.1672\u20107088.2017.17.020"},{"key":"e_1_2_14_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejon.2024.102526"},{"key":"e_1_2_14_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2018.09.016"},{"key":"e_1_2_14_26_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-1-4419-1005-9_1220"},{"key":"e_1_2_14_27_1","doi-asserted-by":"publisher","DOI":"10.3761\/j.issn.0254\u20101769.2010.04.037"},{"key":"e_1_2_14_28_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamcollsurg.2015.09.009"},{"key":"e_1_2_14_29_1","volume-title":"Study of Factors Influencing Discharge Readiness of Patients After Radical Lung Cancer Surgery Under ERAS and Construction of Structural Equation Modelling","author":"Sun C. N.","year":"2024"},{"key":"e_1_2_14_30_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00520\u2010016\u20103158\u20106"},{"key":"e_1_2_14_31_1","doi-asserted-by":"publisher","DOI":"10.1093\/intqhc\/mzy139"},{"key":"e_1_2_14_32_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1440\u20101819.2010.02130.x"},{"key":"e_1_2_14_33_1","volume-title":"A Study of the Correlation Between Family Resilience, Illness Perception, Spiritual Health and Readiness for Discharge in Postoperative Breast Cancer Patients","author":"Wang Z.","year":"2023"},{"key":"e_1_2_14_34_1","doi-asserted-by":"publisher","DOI":"10.1891\/jnm\u2010v14i3a002"},{"key":"e_1_2_14_35_1","first-page":"4324","article-title":"Application Effect of Enhanced Recovery After Surgery Technology in Elderly Patients With Lung Cancer Surgery: A Meta\u2010Analysis","volume":"34","author":"Wu X.","year":"2020","journal-title":"Nursing Research"},{"key":"e_1_2_14_36_1","doi-asserted-by":"publisher","DOI":"10.3761\/j.issn.1672\u20109234.2024.04.019"},{"key":"e_1_2_14_37_1","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000019219"},{"key":"e_1_2_14_38_1","doi-asserted-by":"publisher","DOI":"10.1177\/10732748241287011"},{"key":"e_1_2_14_39_1","doi-asserted-by":"publisher","DOI":"10.12235\/E20210438"},{"key":"e_1_2_14_40_1","doi-asserted-by":"publisher","DOI":"10.16833\/j.cnki.jbmc.2022.09.015"},{"key":"e_1_2_14_41_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.apjon.2022.100110"}],"container-title":["Journal of Clinical Nursing"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jocn.17743","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,2]],"date-time":"2025-10-02T06:18:04Z","timestamp":1759385884000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jocn.17743"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,4,10]]},"references-count":40,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2025,11]]}},"alternative-id":["10.1111\/jocn.17743"],"URL":"https:\/\/doi.org\/10.1111\/jocn.17743","archive":["Portico"],"relation":{},"ISSN":["0962-1067","1365-2702"],"issn-type":[{"value":"0962-1067","type":"print"},{"value":"1365-2702","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,4,10]]},"assertion":[{"value":"2024-11-10","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-03-10","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-04-10","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}