Abstract:
ObjectiveTo understand the discharge readiness of patients with early gastric cancer undergoing endoscopic submucosal dissection(ESD), and analyze the mediating effect of mental resilience on self-care ability and discharge readiness.
MethodsA total of 210 patients with early gastric cancer undergoing ESD were selected as the research subjects, and surveyed with the general situation questionnaire, psychological resilience scale, self-care ability implementation scale and readiness for hospital discharge scale.The correlations between discharge readiness and self-care ability, mental resilience of patients with early gastric cancer undergoing ESD were analyzed, and the structural equation modeling was constructed to test the mediating effect of mental resilience on the self-care ability and discharge readiness of patients with early gastric cancer undergoing ESD.
ResultsGender, age, education level, with caregiver or not, and social support were the influencing factors of discharge readiness of patients with early gastric cancer undergoing ESD(P < 0.01).The total score of discharge readiness of patients with early gastric cancer undergoing ESD was(88.55±8.76) points, the total score of self-care ability was(97.45±11.83) points, and the total score of mental resilience was(51.98±7.87) points.Except that there was no significant correlation between adaptive ability and self-concept(P>0.05), the self-care ability of patients with early gastric cancer undergoing ESD was positively correlated with the total score of discharge readiness and the score of its each dimension(P < 0.05 to P < 0.01);there was a positive correlation between self-care ability and the total score of mental resilience and the score of its each dimension(P < 0.05 to P < 0.01);there was a positive correlation between discharge readiness and the total score of mental resilience and the score of its each dimension(P < 0.05 to P < 0.01).Mental resilience had a 42.37% mediating effect on discharge readiness and self-care ability.
ConclusionsSelf-care ability can not only directly and positively predict discharge readiness, but also indirectly predict discharge readiness through mental resilience.Clinical medical staff should pay attention to the importance of communication, promote the patient to maintain a positive and optimistic psychological state, and help to improve the patient's discharge readiness level.