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Factors Affecting the Readmission Experience of Liver Cirrhosis Patients

간경변증 환자의 재입원 경험에 영향을 미치는 요인

  • Yoon, Mi-Lim (College of Nursing, Gyeongsang National University) ;
  • Eun, Young (College of Nursing, Institute of Health Sciences, Gyeongsang National University)
  • 윤미림 (경상대학교 간호 대학원) ;
  • 은영 (경상대학교 간호대학, 건강과학연구원)
  • Received : 2020.02.10
  • Accepted : 2020.05.08
  • Published : 2020.05.31

Abstract

This study examined the factors affecting the readmission of patients with liver cirrhosis, and focused on self-care, social support, and drinking refusal self-efficacy. The subjects were 75 cirrhosis patients who were admitted to medium-sized hospitals at S-city for two months from May 2019 to June 2019. The data was analyzed with the SPSS (Version 25) program, and logistic regression analysis was performed on the factors affecting readmission. The results were self-care (27.49±0.53 out of 60), social support (52.80±16.44 out of 90), and drinking refusal self-efficacy (42.39±22.76 out of 80). The readmission method was classified into planned and unplanned admissions. Unplanned readmission was found to differ depending on the drinking experience (OR: 4.16) and the presence of complications (OR: 5.11) within a month of discharge rather than that of the planned readmissions, accounted for 19.7%. It will be very important to reduce the occurrence of complications by early management of patients with cirrhosis, and increase the drinking refusal self-efficacy, and so reduce unplanned readmission and prevent the progression and deterioration of cirrhosis. The drinking experience and the occurrence of complications can be reduced through interventions that increase self-care, social support, and drinking refusal self-efficacy. Nursing interventions are needed to prevent patients with cirrhosis from drinking and to manage the complications due to relapse into alcoholism.

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