Factors Related to Family Caregivers’ Readiness for the Hospital Discharge of Advanced Cancer Patients

Ru Yu Huang, Ting Ting Lee, Yi Hsien Lin, Chieh Yu Liu, Hsiu Chun Wu, Shu He Huang*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

3 Scopus citations

Abstract

Background: Many family caregivers of advanced cancer patients worry about being unable to provide in-home care and delay the discharge. Little is known about the influencing factors of discharge readiness. Methods: This study aimed to investigate the influencing factors of family caregivers’ readiness, used a cross-sectional survey, and enrolled 123 sets of advanced cancer patients and family caregivers using convenience sampling from four oncology wards in a medical centre in northern Taiwan. A self-developed five-point Likert questionnaire, the “Discharge Care Assessment Scale”, surveyed the family caregivers’ difficulties with providing in-home care. Results: The study showed that the discharge readiness of family caregivers affects whether patients can be discharged home. Moreover, the influencing factors of family caregivers’ discharge readiness were the patient’s physical activity performance status and expressed discharge willingness; the presence of someone to assist family caregivers with in-home care; and the difficulties of in-home care. The best prediction model accuracy was78.0%, and the Nagelkerke R2 was 0.52. Conclusion: Discharge planning should start at the point of admission data collection, with the influencing factors of family caregivers’ discharge readiness. It is essential to help patients increase the likelihood of being discharged home.

Original languageEnglish
Article number8097
JournalInternational journal of environmental research and public health
Volume19
Issue number13
DOIs
StatePublished - 1 Jul 2022

Keywords

  • caregivers
  • home care services
  • hospitalisation
  • palliative care
  • patient discharge

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