Turkiye Klinikleri Journal of Nursing Sciences

.: ORIGINAL RESEARCH
The Discharge Readiness of People Who Had Experienced COVID-19 Infection and Influencing Factors: A Descriptive and Cross-Sectional Study
COVID-19 Enfeksiyonu Geçirmiş Kişilerin Taburculuğa Hazır Olma Durumu ve Etkileyen Faktörler: Tanımlayıcı ve Kesitsel Bir Çalışma
Ayşe YILDIZ KESKİNa , Ayşegül YILMAZb , Nalan SÜRENc
aMersin University Faculty of Nursing, Department of Nursing Management, Mersin, Türkiye
bKonya Selçuk University Faculty of Health Sciences, Department of Midwifery, Konya, Türkiye
cMersin City Training and Research Hospital, Clinic of General Surgery, Mersin, Türkiye
Turkiye Klinikleri J Nurs Sci. 2024;16(4):1160-9
doi: 10.5336/nurses.2024-103534
Article Language: EN
Full Text
ABSTRACT
 Objective: The aim of this study was to determine whether there was a correlation between the discharge readiness of coronavirus disease-2019 (COVID-19) patients and the influencing factors. Material and Methods: This descriptive-cross-sectional and relationship-seeking study. A total of 272 patients undergoing treatment in COVID-19 service of a city hospital participated in this descriptive-cross-sectional and relationship-seeking study. The data were collected using the ''personal information form'' and the ''Readiness for Hospital Discharge Scale/Short Form (RHDS/SF)''. The research was conducted between February-August 2022. In addition to descriptive statistics, independent samples t-test, Kruskal-Wallis, and Mann-Whitney U tests were used for data analysis. Results: The score obtained from the overall scale was 5.20±2.08, and the highest score was obtained from the expected support subscale (8.71±2.43), while the lowest score was obtained from the knowledge subscale (0.69±1.45). There was a statistically significant difference between the RHDS/SF and age, marital status, educational status, occupation, cohabiting people, duration of hospitalization and status of receiving training in previous admissions (p<0.05). Conclusion: It was determined that the COVID-19 patients were not adequately prepared for discharge. It is recommended that effective discharge training be provided by nursing and hospital management by taking measures to reduce the risk of contamination, taking into account the factors affecting the patients' readiness for discharge. At the same time, in epidemic diseases with high contagiousness, it is recommended to provide remote discharge training using communication tools in patient rooms.

Keywords: COVID-19 infection; patients; discharge readiness; influencing factors
ÖZET
 Amaç: Bu çalışmanın amacı, koronavirüs hastalığı-2019 [coronavirus disease-2019 (COVID-19)] hastalarının taburculuğa hazır olma durumları ve etkileyen faktörler arasında bir ilişki olup olmadığını belirlemektir. Gereç ve Yöntemler: Tanımlayıcı-kesitsel ve ilişki arayıcı tipteki bu çalışmaya, bir şehir hastanesinin COVID-19 kliniklerinde tedavi gören 272 hasta katılmıştır. Veriler ''kişisel bilgi formu'' ve ''Hastaneden Taburcu Olma Hazıroluş Ölçeği/Kısa Form'' kullanılarak toplanmıştır. Araştırma Şubat-Ağustos 2022 tarihleri arasında gerçekleştirilmiştir. Verilerin analizinde tanımlayıcı istatistiklerin yanı sıra bağımsız gruplarda t-testi, Kruskal-Wallis ve Mann-Whitney U testi kullanılmıştır. Bulgular: Hastaların taburculuğa hazır olma toplam puanı 5,20±2,08 olup, en yüksek puan beklenen destek (8,71±2,43) iken, en düşük puan bilgi (0,69±1,45) alt boyutundan alınmıştır. RHDS/SF ölçeği ile yaş, medeni durum, öğrenim durumu, meslek, birlikte yaşanılan kişi, yatış süresi ve daha önceki yatışlarda taburculuk eğitimi alma durumu arasında istatistiksel olarak anlamlılık saptanmıştır (p<0,05). Sonuç: Bu çalışmada, COVID-19 hastalarının taburculuğa yeterince hazır olmadıkları saptanmıştır. Hastaların taburculuğa hazır olma durumunu etkileyen faktörleri de göz önünde bulundurarak, hemşirelik ve hastane yönetimi tarafından bulaş riskini azaltacak tedbirler alınarak etkili taburculuk eğitimlerinin yapılması önerilmektedir. Aynı zamanda bulaşıcılığı yüksek olan salgın hastalıklarda hasta odalarında iletişim araçları ile uzaktan taburculuk eğitiminin yapılması önerilmektedir.

Anahtar Kelimeler: COVID-19 enfeksiyonu; hastalar; taburculuğa hazır olma durumu; etkileyen faktörler
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