Heliyon · 6 authors, 2 centres
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This mixed-methods study assessed discharge readiness in patients after initial percutaneous transhepatic biliary drainage for malignant jaundice. It found generally high readiness scores, but identified areas for improvement in health status assessment and discharge teaching.
This convergent parallel mixed-methods study assessed readiness for hospital discharge in patients with malignant obstructive jaundice following initial percutaneous transhepatic biliary drainage (PTBD). The quantitative strand used the Readiness for Hospital Discharge Scale (RHDS) to score patient perceptions, while the qualitative strand involved semi-structured interviews with 10 patients, 10 family caregivers, and 10 healthcare providers. The quantitative results showed high average scores for overall discharge readiness, though the health status sub-dimension scored lowest. Qualitative analysis revealed three main themes: improved health condition, self-care knowledge, and preparedness for homecare. The study suggests that while readiness is generally high, healthcare providers should pay closer attention to individual patient health status and implement gradual, comprehensive discharge teaching rather than waiting until the day of discharge.
