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, x2-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.
| Original language | English |
|---|---|
| Pages (from-to) | 43-52 |
| Number of pages | 10 |
| Journal | Korean Journal of Adult Nursing |
| Volume | 28 |
| Issue number | 1 |
| DOIs | |
| Publication status | Published - 2016 Jan 1 |
| Externally published | Yes |
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Keywords
- Critical pathways
- Lumbar vertebrae
- Patient discharge
ASJC Scopus subject areas
- Nursing(all)
Cite this
Factors affecting discharge delay in lumbar spinal surgery patients who were treated according to a critical pathway. / Kim, Jeoung Hee; Lee, Eun Ha; Kim, Su Ran; Kim, Sung Reul.
In: Korean Journal of Adult Nursing, Vol. 28, No. 1, 01.01.2016, p. 43-52.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Factors affecting discharge delay in lumbar spinal surgery patients who were treated according to a critical pathway
AU - Kim, Jeoung Hee
AU - Lee, Eun Ha
AU - Kim, Su Ran
AU - Kim, Sung Reul
PY - 2016/1/1
Y1 - 2016/1/1
N2 - 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, x2-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.
AB - 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, x2-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.
KW - Critical pathways
KW - Lumbar vertebrae
KW - Patient discharge
UR - http://www.scopus.com/inward/record.url?scp=84963552924&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84963552924&partnerID=8YFLogxK
U2 - 10.7475/kjan.2016.28.1.43
DO - 10.7475/kjan.2016.28.1.43
M3 - Article
AN - SCOPUS:84963552924
VL - 28
SP - 43
EP - 52
JO - Korean Journal of Adult Nursing
JF - Korean Journal of Adult Nursing
SN - 1225-4886
IS - 1
ER -