Status and predictors of readiness for hospital discharge in women with caesarean section: A latent profile analysis.
Midwifery
; 133: 103994, 2024 06.
Article
en En
| MEDLINE
| ID: mdl-38608543
ABSTRACT
BACKGROUND:
Women undergoing caesarean section (CS) experience difficulties when preparing for discharge, and readiness for hospital discharge (RHD) may depend on individual characteristics.OBJECTIVE:
To explore the status of RHD in women with CS, identify the latent classes of RHD, and analyse predictors from a bio-psycho-social perspective.METHODS:
A sample of 410 women with CS completed the following questionnaires on demographic and obstetric characteristics Readiness for Hospital Discharge Study-New Mother Form (RHDS-NMF), Parents' Postnatal Sense of Security (PPSS), Quality of Discharge Teaching Scale (OB-QDTS), and Postpartum Support Questionnaire (PSQ). Latent profile analysis was used to identify the latent classes of RHD. Multiple logistic regression analysis was used to analyse the predictors.RESULTS:
In total, 96.6 % of women with CS reported discharge ready, and the score of RHDS-NMF was 136.09 ± 25.59. Three latent classes were identified as Low RHD (16.1 %), Moderate RHD (41.7 %), and High RHD (42.2 %). Primiparas (OR = 2.867 / 1.773; P = 0.012 / 0.033), emergency CS (OR = 3.134 / 2.470; P = 0.006 / 0.002), lower levels of PPSS (OR = 0.909 / 0.942; P = 0.009 / 0.013) and OB-ODTS (OR = 0.948 / 0.975; P < 0.001) were associated with Moderate and Low RHD. Lower PSQ predicted a higher probability of Low RHD (OR = 0.955; P = 0.038).CONCLUSIONS:
The perception of RHD by women in the study was inaccurate, with more than half not being classified as High RHD. Healthcare professionals can anticipate interventions for maternal well-being based on the characteristics of the different RHD classes.Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Contexto en salud:
1_ASSA2030
Problema de salud:
1_recursos_humanos_saude
Asunto principal:
Alta del Paciente
/
Cesárea
Límite:
Adult
/
Female
/
Humans
/
Pregnancy
Idioma:
En
Revista:
Midwifery
Asunto de la revista:
ENFERMAGEM
/
OBSTETRICIA
Año:
2024
Tipo del documento:
Article