Factors affecting discharge delay in lumbar spinal surgery patients who were treated according to a critical pathway

Jeoung Hee Kim, Eun Ha Lee, Su Ran Kim, Sung Reul Kim

Research output: Contribution to journalArticlepeer-review

1 Citation (Scopus)

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 languageEnglish
Pages (from-to)43-52
Number of pages10
JournalKorean Journal of Adult Nursing
Volume28
Issue number1
DOIs
Publication statusPublished - 2016

Keywords

  • Critical pathways
  • Lumbar vertebrae
  • Patient discharge

ASJC Scopus subject areas

  • Nursing(all)

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