Key result
Severe depression is linked to ~34% lower odds of discharge readiness in MDD patients.
Why the study?
Little was known regarding readiness for hospital discharge and its influencing factors in adult patients with major depressive disorder.
Cross-Sectional (n=224)
No
Over one-third (36.2%) of hospitalized adult patients with major depressive disorder in this Chinese cohort were not ready for discharge, highlighting the need for routine discharge readiness assessments, improved discharge teaching content, and careful balancing of bed turnover with residual depressive symptoms.
Answers are grounded in this paper and cite their sources.
Supports routine discharge readiness assessment in MDD inpatients; leaves open whether targeting identified factors improves outcomes in prospective trials.
PURPOSE: Being ready for discharge is vital to successful hospital-to-home transitions. However, despite a wealth of evidence on its effectiveness, little is known about readiness for hospital discharge (RHD) in adult patients with major depressive disorder (MDD) and its influencing factors. In this study, we investigated the patient-reported RHD and its influencing factors among Chinese adult patients with MDD. PATIENTS AND METHODS: In this cross-sectional design study, 230 adult patients with MDD were recruited according to the inclusion and exclusion criteria, 6 were excluded due to incomplete questionnaires, finally 224 patients were included in our study. Data were collected from March to September 2019 in a tertiary general hospital in Hunan Province (China). The general information, RHD, quality of discharge teaching and level of depression were assessed by using questionnaires. Univariate analysis and ordinal logistic regression analysis were performed to explore the influencing factors of RHD. RESULTS: The RHD score was 7.37 ± 1.40, and 36.2% of participants were not ready for discharge. The score of quality of discharge teaching scale (QDTS) was 6.36 ± 1.89, the dimension of delivery scored highest, followed by content-needed and content-received. The proportions of patients with no, mild, moderate, moderately severe and severe depression were 12.5%, 27.7%, 25.0%, 25.4% and 9.4%, respectively. The following factors were associated with RHD: the level of depression (OR=0.66), the content-received dimension of QDTS (OR=1.16), education level (OR=1.24), work status (OR=1.76) and length of hospitalization (OR=0.53). CONCLUSION: The RHD among participants was at a moderate level. It is strongly suggested to take the assessment of RHD as a routine process. High education level, employment and the content-received dimension of QDTS were protective factors of participants' RHD, and long-term hospitalization, the high level of depression were its risk factors.
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Xiong et al. (2021) conducted a cross-sectional in Major Depressive Disorder (MDD) (n=224). Level of depression (PHQ-9) and other demographic/clinical factors was evaluated on Readiness for hospital discharge (RHD) measured by the Readiness for Hospital Discharge Scale (RHDS) (OR 0.661, 95% CI 0.562-0.777, p=<0.001). Higher depression severity and longer hospitalization lowered discharge readiness in MDD patients, whereas employment, education, and teaching content improved it.
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