Korean Journal of Adult Nursing (성인간호학회지)

Korean Society of Adult Nursing (한국성인간호학회)
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Factors Affecting Discharge Delay in Lumbar Spinal Surgery Patients Who were Treated according to a Critical Pathway

표준진료지침을 적용한 요추 수술 환자의 퇴원 지연에 영향을 미치는 요인

  • Kim, Jeoung Hee (Department of Nursing, Asan Medical Center) ;
  • Lee, Eun Ha (Department of Nursing, Asan Medical Center) ;
  • Kim, Su Ran (Department of Nursing, Asan Medical Center) ;
  • Kim, Sung Reul (College of Nursing.Research Institute of Nursing Science, Chonbuk National University)
  • 김정희 (서울아산병원 간호부) ;
  • 이은하 (서울아산병원 간호부) ;
  • 김수란 (서울아산병원 간호부) ;
  • 김성렬 (전북대학교 간호대학.간호과학연구소)
  • Received : 2015.10.05
  • Accepted : 2016.02.04
  • Published : 2016.02.29
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Abstract

Purpose: The aim of this study was to identify demographic, clinical, physical, and psychosocial factors affecting discharge delay in lumbar spinal surgery patients who were treated according to a critical pathway. Methods: A sample of 170 patients with lumbar spinal surgery agreed to participate in the study, between April 1, 2014 and August 30, 2015. Data were analyzed by mean, standard deviation, t-test, ${\chi}^2$-test, ANCOVA, and logistic regression analysis using SPSS 22.0 program. Results: Approximately fifty-nine percent of the participants was delayed discharge. On logistic regression analysis, female gender (OR=2.63, 95% CI=1.40~4.94), age (OR=1.03, 95% CI=1.01~1.05), spondylolisthesis (OR=4.49, 95% CI=1.90~10.61), and spinal fusion operation (OR=4.14, 95% CI=1.89~9.05) were significant factors predicting discharge delay of the participants. However, discharge delay was not related with pain, physical function, depression, or family support. Conclusion: An analysis of discharge delay may assist in evaluating and revising critical pathway for optimal care. In addition, nurses need to understand the factors affecting discharge delay of the given population who were treated according to a critical pathway.

Keywords

References

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