The Variables of the Readiness for Discharge from Hospital in Patients after Myocardial Infarction
Abstract
:1. Introduction
2. Materials and Methods
2.1. Study Design
2.2. Settings, and Participants
2.3. Instruments
2.4. Statistical Analyses
2.5. Ethical Procedure
3. Results
3.1. Characteristics of the Study Group
3.2. Readiness for Hospital Discharge (RHD-MIS)
3.2.1. RHD-MIS Subscale 1: The Assessment of Subjective Knowledge
3.2.2. RHD-MIS Subscale 3: The Assessment of Objective Knowledge
3.2.3. RHD-MIS Subscale 3: The Assessment of Expectations
3.3. The Functioning in Chronic Illness Scale (FCIS)
3.3.1. Part 1 of FCIS Scale: The Impact of Illness on Patient
3.3.2. Part 2 of FCIS Scale: The Patient’s Impact on the Illness
3.3.3. Part 3 of FCIS Scale: The Impact of Illness on Patient’s Attitude
3.4. Correlation between Readiness for Discharge from Hospital after MI and Functioning with Chronic Illness
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
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Variable | n | M ± SD | Me | Q1–Q3 | p | |
---|---|---|---|---|---|---|
Gender | women | 70 | 48.16 ± 8.97 | 49.00 | 43.00–54.00 | 0.057 2 |
men | 149 | 45.94 ± 11.37 | 45.00 | 39.00–53.00 | ||
Age range | ≤60 years | 78 | 47.83 ± 12,06 | 47.50 | 39.00–57.00 | 0.392 4 |
61–70 years | 73 | 47.47 ± 11.78 | 45.00 | 40.00–55.00 | ||
≥70 years | 66 | 44.44 ± 7.05 | 45.50 | 39.00–50.00 | ||
BMI range | normal | 54 | 47.72 ± 10.19 | 48.00 | 40.00–54.00 | 0.959 3 |
overweight | 93 | 46.65 ± 10.76 | 45.00 | 40.00–54.00 | ||
obesity | 71 | 46.00 ± 11.05 | 45.00 | 39.00–53.00 | ||
Marital status | in relationship | 148 | 46.82 ± 11.26 | 46.00 | 39.00–54.00 | 0.917 1 |
single | 57 | 46.65 ± 9.19 | 46.00 | 40.00–52.00 | ||
Place of residence | city | 107 | 47.17 ± 10.05 | 47.00 | 41.00–54.00 | 0.482 1 |
village | 77 | 46.04 ± 11.59 | 45.00 | 39.00–54.00 | ||
Education | primary | 35 | 45.37 ± 9.78 | 45.00 | 40.00–53.00 | 0.681 3 |
vocational | 88 | 46.11 ± 11.42 | 45.50 | 39.00–53.50 | ||
secondary | 68 | 47.79 ± 9.82 | 48.00 | 41.50–54.00 | ||
higher | 23 | 47.43 ± 12.10 | 45.00 | 39.00–57.00 | ||
Professional activity | active | 67 | 48.75 ± 11.74 | 48.00 | 39.00–58.00 | 0.176 2 |
inactive | 100 | 45.70 ± 11.01 | 44.50 | 39.00–53.00 | ||
Children | yes | 184 | 46.87 ± 10.93 | 46.00 | 39.50–54.00 | 0.861 1 |
no | 16 | 46.38 ± 9.07 | 44.50 | 41.00–49.50 | ||
Arterial hypertension | no | 71 | 47.63 ± 11.51 | 47.00 | 40.00–55.00 | 0.346 1 |
yes | 148 | 46.18 ± 10.29 | 46.00 | 39.00–53.00 | ||
Diabetes | no | 152 | 47.19 ± 10.78 | 46.50 | 40.00–54.00 | 0.259 1 |
yes | 67 | 45.42 ± 10.49 | 46.00 | 39.00–52.00 | ||
Lipid disorders | no | 164 | 46.48 ± 11.18 | 45.50 | 39.00–54.00 | 0.681 1 |
yes | 55 | 47.16 ± 9.16 | 47.00 | 40.00–52.00 | ||
Other chronic diseases | no | 149 | 46.79 ± 11.10 | 47.00 | 39.00–54.00 | 0.783 1 |
yes | 70 | 46.36 ± 9.84 | 45.00 | 40.00–53.00 | ||
Smoking | currently | 60 | 48.10 ± 10.30 | 47.50 | 42.50–54.50 | 0.307 3 |
never | 105 | 47.19 ± 11.50 | 47.00 | 40.00–54.00 | ||
in the past | 54 | 43.98 ± 9.09 | 42.00 | 37.00–48.00 | ||
Myocardial infarction | first | 178 | 46.80 ± 10.44 | 46.00 | 40.00–54.00 | 0.689 1 |
next | 40 | 46.05 ± 12.00 | 44.50 | 37.00–53.50 | ||
Total | 219 | 46.65 ± 10.70 | 46.00 | 39.50–54.00 | - | |
Readiness for hospital discharge | Number of points | Interpretation | n | % | ||
0–43 | Low level | 89 | 40.6% | |||
44–57 | Intermediate level | 94 | 42.9% | |||
58–69 | High level | 36 | 16.5% |
Variable | n | M ± SD | Me | Q1–Q3 | p | |
---|---|---|---|---|---|---|
Gender | women | 70 | 17.03 ± 4.19 | 18.00 | 15.00–20.00 | 0.783 2 |
men | 149 | 17.24 ± 4.61 | 18.00 | 14.00–21.00 | ||
Age range | ≤60 years | 78 | 17.88 ± 4.79 | 19.00 | 15.00–21.00 | 0.232 4 |
61–70 years | 73 | 16.88 ± 4.57 | 18.00 | 14.00–21.00 | ||
≥70 years | 66 | 16.58 ± 3.93 | 17.00 | 15.00–20.00 | ||
BMI range | normal | 54 | 16.81 ± 4.22 | 17.00 | 15.00–21.00 | 0.786 4 |
overweight | 93 | 17.54 ± 4.86 | 19.00 | 15.00–21.00 | ||
obesity | 71 | 17.03 ± 4.15 | 18.00 | 14.00–21.00 | ||
Marital status | in relationship | 148 | 17.21 ± 4.59 | 18.00 | 15.00–21.00 | 0.376 2 |
single | 57 | 17.61 ± 3.79 | 19.00 | 15.00–21.00 | ||
Place of residence | City | 107 | 17.36 ± 3.66 | 19.00 | 14.00–21.00 | 0.603 2 |
village | 77 | 17.57 ± 3.72 | 18.00 | 15.00–21.00 | ||
Education | primary | 35 | 16.80 ± 4.34 | 17.00 | 15.00–20.00 | 0.403 4 |
vocational | 88 | 16.93 ± 5.15 | 18.00 | 14.00–21.00 | ||
secondary | 68 | 17.71 ± 3.56 | 18.50 | 15.00–21.00 | ||
higher | 23 | 17.57 ± 3.89 | 19.00 | 16.00–21.00 | ||
Professional activity | active | 67 | 18.61 ± 4.55 | 19.00 | 17.00–21.00 | 0.293 2 |
inactive | 100 | 17.41 ± 4.28 | 19.00 | 15.00–21.00 | ||
Children | yes | 184 | 17.36 ± 4.51 | 18.50 | 15.00–21.00 | 0.221 2 |
no | 16 | 16.44 ± 3.16 | 15.00 | 14.50–20.00 | ||
Arterial hypertension | no | 71 | 17.82 ± 5.22 | 19.00 | 16.00–21.00 | 0.192 2 |
yes | 148 | 16.86 ± 4.05 | 18.00 | 14.00–21.00 | ||
Diabetes | no | 152 | 17.39 ± 4.54 | 18.00 | 15.00–21.00 | 0.388 2 |
yes | 67 | 16.69 ± 4.31 | 17.00 | 14.00–21.00 | ||
Lipid disorders | no | 164 | 17.24 ± 4.22 | 19.00 | 15.00–21.00 | 0.159 2 |
yes | 55 | 16.98 ± 5.20 | 17.00 | 15.00–20.00 | ||
Other chronic diseases | no | 149 | 17.51 ± 4.30 | 18.00 | 15.00–21.00 | 0.311 2 |
yes | 70 | 16.46 ± 4.78 | 18.00 | 14.00–21.00 | ||
Smoking | currently | 60 | 17.32 ± 5.50 | 18.00 | 15.00–21.00 | 0.182 4 |
never | 105 | 17.35 ± 4.30 | 19.00 | 15.00–21.00 | ||
in the past | 54 | 16.67 ± 3.45 | 17.00 | 14.00–20.00 | ||
Myocardial infarction | first | 178 | 17.35 ± 4.44 | 18.50 | 15.00–21.00 | 0.480 2 |
next | 40 | 16.40 ± 4.62 | 17.00 | 14.00–21.00 | ||
Total | 219 | 17.17 ± 4.47 | 18.00 | 15.00–21.00 | - | |
Subjective knowledge | Number of points | Interpretation | n | % | ||
0–15 | Low level | 73 | 33.3% | |||
16–18 | Intermediate level | 41 | 18.8% | |||
19–21 | High level | 105 | 47.9% |
Variable | n | M ± SD | Me | Q1–Q3 | p | |
---|---|---|---|---|---|---|
Gender | women | 80 | 81.99 ± 11.73 | 82.00 | 73.50–88.50 | 0.347 1 |
men | 162 | 83.52 ± 12.05 | 85.00 | 76.00–92.00 | ||
Age range | ≤60 years | 85 | 85.04 ± 11.81 | 87.00 | 76.00–93.00 | 0.444 3 |
61–70 years | 83 | 83.60 ± 11.48 | 85.00 | 77.00–90.00 | ||
≥70 years | 72 | 79.93 ± 12.30 | 81.00 | 72.50–87.00 | ||
BMI range | normal | 57 | 83.09 ± 13.95 | 84.00 | 74.00–92.00 | 0.902 3 |
overweight | 99 | 84.63 ± 11.22 | 85.00 | 79.00–93.00 | ||
obesity | 84 | 81.06 ± 11.25 | 82.00 | 72.00–88.50 | ||
Marital status | In relationship | 162 | 83.41 ± 11.21 | 84.00 | 77.00–91.00 | 0.538 1 |
single | 66 | 82.35 ± 13.24 | 84.00 | 74.00–91.00 | ||
Place of residence | city | 123 | 82.65 ± 11.14 | 84.00 | 76.00–89.00 | 0.383 1 |
village | 83 | 84.08 ± 12.16 | 84.00 | 76.00–94.00 | ||
Education | primary | 40 | 82.63 ± 11.72 | 85.00 | 74.50–90.50 | 0.500 4 |
vocational | 98 | 82.68 ± 11.90 | 82.50 | 76.00–90.00 | ||
secondary | 74 | 82.43 ± 11.99 | 84.00 | 75.00–89.00 | ||
higher | 25 | 87.04 ± 12.27 | 86.00 | 79.00–97.00 | ||
Professional activity | active B | 74 | 86.04 ± 11.63 | 87.50 | 80.00–93.00 | 0.026 1 |
inactive | 116 | 82.03 ± 12.18 | 82.00 | 74.00–90.00 | ||
Children | yes | 205 | 83.42 ± 11.42 | 85.00 | 76.00–91.00 | 0.065 1 |
no | 17 | 77.94 ± 14.84 | 79.00 | 71.00–82.00 | ||
Arterial hypertension | noB | 83 | 85.37 ± 11.65 | 86.00 | 77.00–93.00 | 0.034 2 |
yes | 159 | 81.79 ± 11.94 | 82.00 | 75.00–89.00 | ||
Diabetes | noB | 169 | 84.99 ± 11.41 | 86.00 | 80.00–92.00 | <0.001 2 |
yes | 73 | 78.45 ± 11.96 | 78.00 | 70.00–86.00 | ||
Lipid disorders | no | 184 | 83.76 ± 11.73 | 85.00 | 77.00–91.50 | 0.084 1 |
yes | 58 | 80.66 ± 12.38 | 81.50 | 73.00–87.00 | ||
Other chronic diseases | no B | 168 | 84.15 ± 10.99 | 85.00 | 78.00–91.00 | 0.040 1 |
yes | 74 | 80.43 ± 13.60 | 81.00 | 71.00–89.00 | ||
Smoking | currently | 64 | 85.31 ± 11.56 | 87.00 | 78.00–93.00 | 0.191 3 |
never | 114 | 82.21 ± 12.80 | 82.00 | 74.00–90.00 | ||
In the past | 64 | 82.16 ± 10.52 | 84.00 | 76.50–88.00 | ||
Myocardial infarction | first | 199 | 83.64 ± 11.88 | 84.00 | 76.00–92.00 | 0.094 1 |
next | 42 | 80.24 ± 12.06 | 85.00 | 72.00–89.00 | ||
Total | 242 | 83.02 ± 11.94 | 84.00 | 76.00–90.75 | - | |
General functioning in the illness | Number of points | Interpretation | n | % | ||
24–78 | Low level | 76 | 31.4% | |||
79–93 | Intermediate level | 118 | 48.8% | |||
94–120 | High level | 48 | 19.8% |
Variable | n | M ± SD | Me | Q1–Q3 | p | |
---|---|---|---|---|---|---|
Gender | women | 80 | 26.18 ± 4.88 | 25.50 | 23.00–29.00 | 0.005 2 |
men A | 162 | 27.60 ± 4.42 | 28.00 | 25.00–31.00 | ||
Age range | ≤60 years C | 85 | 28.21 ± 3.86 | 28.00 | 25.00–32.00 | <0.001 4 |
61–70 years C | 83 | 27.39 ± 4.53 | 28.00 | 25.00–30.00 | ||
≤70 years | 72 | 25.40 ± 5.06 | 25.50 | 23.00–28.00 | ||
BMI range | normal | 57 | 26.63 ± 5.18 | 26.00 | 24.00–30.00 | 0.676 4 |
overweight | 99 | 27.34 ± 4.57 | 28.00 | 25.00–30.00 | ||
obesity | 84 | 27.17 ± 4.32 | 27.00 | 24.00–30.50 | ||
Marital status | in relationship | 162 | 27.35 ± 4.20 | 28.00 | 25.00–30.00 | 0.483 2 |
single | 66 | 27.05 ± 5.35 | 27.00 | 24.00–31.00 | ||
Place of residence | city | 123 | 27.37 ± 4.44 | 28.00 | 25.00–30.00 | 0.525 2 |
village | 83 | 27.07 ± 4.85 | 27.00 | 24.00–30.00 | ||
Education | primary | 40 | 26.98 ± 4.05 | 26.00 | 24.00–30.00 | 0.123 4 |
vocational | 98 | 26.70 ± 5.20 | 27.00 | 24.00–29.00 | ||
secondary | 74 | 27.09 ± 3.73 | 28.00 | 25.00–29.00 | ||
higher | 25 | 29.20 ± 4.84 | 31.00 | 25.00–33.00 | ||
Professional activity | active B | 74 | 28.70 ± 3.75 | 29.00 | 26.00–32.00 | 0.020 1 |
inactive | 116 | 27.30 ± 4.19 | 28.00 | 24.00–30.00 | ||
Children | yes | 205 | 27.42 ± 4.27 | 28.00 | 25.00–30.00 | 0.052 2 |
no | 17 | 24.76 ± 6.76 | 25.00 | 23.00–29.00 | ||
Arterial hypertension | noB | 83 | 28.06 ± 3.72 | 28.00 | 25.00–31.00 | 0.034 2 |
yes | 159 | 26.64 ± 4.96 | 27.00 | 24.00–29.00 | ||
Diabetes | noB | 169 | 27.55 ± 4.36 | 28.00 | 25.00–31.00 | 0.035 2 |
yes | 73 | 26.15 ± 5.04 | 26.00 | 24.00–29.00 | ||
Lipid disorders | no | 184 | 27.48 ± 4.03 | 28.00 | 25.00–30.00 | 0.070 2 |
yes | 58 | 26.00 ± 6.01 | 25.00 | 24.00–29.00 | ||
Other chronic diseases | no | 168 | 27.35 ± 4.64 | 28.00 | 25.00–31.00 | 0.167 2 |
yes | 74 | 26.64 ± 4.56 | 27.00 | 24.00–30.00 | ||
Smoking | currently | 64 | 28.33 ± 3.82 | 28.00 | 25.00–32.00 | 0.060 4 |
never | 114 | 26.65 ± 4.69 | 27.00 | 24.00–29.00 | ||
in the past | 64 | 26.78 ± 5.04 | 27.00 | 24.50–30.00 | ||
Myocardial infarction | first | 199 | 27.32 ± 4.66 | 27.00 | 25.00–30.00 | 0.184 2 |
next | 42 | 26.24 ± 4.41 | 26.50 | 24.00–29.00 | ||
Total | 242 | 27.13 ± 4.61 | 27.00 | 25.00–30.00 | - | |
The patient’s impact on the illness | Number of points | Interpretation | n | % | ||
8–24 | Low level | 59 | 24.4% | |||
25–29 | Intermediate level | 115 | 47.5% | |||
30–40 | High level | 68 | 28.1% |
Variable | n | M ± SD | Me | Q1–Q3 | p | |
---|---|---|---|---|---|---|
Gender | women | 80 | 28.69 ± 4.90 | 28.00 | 26.00–31.50 | 0.079 2 |
men | 162 | 29.60 ± 5.37 | 30.00 | 26.00–34.00 | ||
Age range | ≤60 years | 85 | 29.96 ± 5.47 | 30.00 | 27.00–34.00 | 0.802 3 |
61–70 years | 83 | 29.53 ± 5.37 | 30.00 | 27.00–34.00 | ||
≥70 years | 72 | 28.29 ± 4.71 | 28.00 | 25.00–32.00 | ||
BMI range | normal | 57 | 29.32 ± 5.99 | 29.00 | 25.00–34.00 | 0.736 3 |
overweight | 99 | 29.94 ± 4.62 | 30.00 | 28.00–33.00 | ||
obesity | 84 | 28.60 ± 5.35 | 28.00 | 25.00–33.00 | ||
Marital status | in relationship | 162 | 29.44 ± 4.95 | 30.00 | 27.00–33.00 | 0.301 2 |
single | 66 | 28.77 ± 5.86 | 28.50 | 25.00–33.00 | ||
Place of residence | city | 123 | 28.83 ± 4.96 | 29.00 | 25.00–32.00 | 0.162 2 |
village | 83 | 29.72 ± 5.31 | 30.00 | 27.00–33.00 | ||
Education | primary | 40 | 28.48 ± 5.06 | 29.00 | 25.00–32.00 | 0.821 4 |
vocational | 98 | 29.31 ± 5.26 | 30.00 | 26.00–34.00 | ||
secondary | 74 | 29.55 ± 5.38 | 29.00 | 27.00–32.00 | ||
higher | 25 | 29.84 ± 5.00 | 30.00 | 27.00–33.00 | ||
Professional activity | active B | 74 | 30.51 ± 5.37 | 31.00 | 28.00–35.00 | 0.017 2 |
inactive | 116 | 28.73 ± 5.22 | 29.00 | 25.00–32.00 | ||
Children | yes B | 205 | 29.40 ± 5.20 | 30.00 | 26.00–33.00 | 0.046 2 |
no | 17 | 26.88 ± 5.60 | 27.00 | 23.00–30.00 | ||
Arterial hypertension | no | 83 | 30.07 ± 5.25 | 30.00 | 28.00–34.00 | 0.068 2 |
yes | 159 | 28.89 ± 5.18 | 29.00 | 25.00–33.00 | ||
Diabetes | noB | 169 | 30.21 ± 4.98 | 30.00 | 28.00–34.00 | <0.001 2 |
yes | 73 | 27.18 ± 5.21 | 27.00 | 24.00–30.00 | ||
Lipid disorders | no | 184 | 29.43 ± 5.42 | 30.00 | 26.50–33.00 | 0.313 2 |
yes | 58 | 28.88 ± 4.58 | 29.00 | 26.00–32.00 | ||
Other chronic diseases | no | 168 | 29.68 ± 5.00 | 30.00 | 27.00–33.00 | 0.147 2 |
yes | 74 | 28.42 ± 5.65 | 29.00 | 25.00–33.00 | ||
Smoking | currently | 64 | 30.20 ± 5.23 | 30.50 | 27.00–34.00 | 0.397 3 |
never | 114 | 28.99 ± 5.18 | 29.00 | 26.00–32.00 | ||
in the past | 64 | 28.94 ± 5.29 | 29.50 | 25.00–32.50 | ||
Myocardial infarction | first | 199 | 29.48 ± 5.16 | 30.00 | 27.00–33.00 | 0.344 2 |
next | 42 | 28.45 ± 5.59 | 29.00 | 25.00–32.00 | ||
Total | 242 | 29.30 ± 5.23 | 29.00 | 26.00–33.00 | - | |
The impact of illness on patient’s attitude | Number of points | Interpretation | n | % | ||
8–27 | Low level | 78 | 32.2% | |||
28–33 | Intermediate level | 111 | 45.9% | |||
34–40 | High level | 53 | 21.9% |
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Kolarczyk, E.; Witkowska, A.; Szymiczek, M.; Młynarska, A. The Variables of the Readiness for Discharge from Hospital in Patients after Myocardial Infarction. Int. J. Environ. Res. Public Health 2023, 20, 1582. https://doi.org/10.3390/ijerph20021582
Kolarczyk E, Witkowska A, Szymiczek M, Młynarska A. The Variables of the Readiness for Discharge from Hospital in Patients after Myocardial Infarction. International Journal of Environmental Research and Public Health. 2023; 20(2):1582. https://doi.org/10.3390/ijerph20021582
Chicago/Turabian StyleKolarczyk, Ewelina, Agnieszka Witkowska, Marek Szymiczek, and Agnieszka Młynarska. 2023. "The Variables of the Readiness for Discharge from Hospital in Patients after Myocardial Infarction" International Journal of Environmental Research and Public Health 20, no. 2: 1582. https://doi.org/10.3390/ijerph20021582