Factors Associated with Nursing Intention of Discharged Patients With Drainage Tubes During Transitional Care: a Case–Control Study

Xiaoying Ding,&ast; Weijie Jiao,&ast; Xue Gong, Yuanyuan Sun, Lin Sang, Ming Yu Department of Ultrasound, Xijing Hospital, The Fourth Military Medical University, Xi’an, Shaanxi, 710032, People’s Republic of China&ast;These authors contributed equally to this workCorrespondence: Ming Yu, Department of Ultrasound, Xijing Hospital, The Fourth Military Medical University, No. 127 Changle West Road, Xi’an, Shaanxi, 710032, People’s Republic of China, Email [email protected]: This study aimed to assess the crucial factors that contribute to the self-nursing intention of discharged patients with drainage tubes, with a specific emphasis on percutaneous surgeries.Patients and Methods: A case–control study was conducted in accordance with the EQUATOR-STROBE statement. Over the period of January 2023 to December 2023, a cohort of 146 discharged patients with drainage tubes were recruited. Upon their return to the hospital for the removal of the drainage tubes, an anonymous questionnaire was administered to gather data on various aspects, including basic demographic characteristics, comprehensive disease information, and the respondents’ self-nursing intention concerning the drainage tubes. Chi-square tests and binary logistic regression analysis were used to explore the factors associated with self-nursing intention and the degree of influence. Bivariate analysis was conducted to examine the relevance of the variables showing significant differences.Results: Excluding 5 questionnaires (logic errors), 141 respondents were enrolled in this analysis (effective accomplished ratio=96.58%). The median age of study subjects was 63 years. Rank correlation analysis results showed there is statistical significance between income level and education level (SCC=0.647, P< 0.01). Resident area is statistically significant with education level and income level (SCC=− 0.635, P< 0.01, SCC=− 0.653, P< 0.01, respectively). Binary logistic regression analysis showed that married status (OR=4.996, p=0.077, 95% CI: 0.841– 29.664), income level (OR=3.112, p=0.01, 95% CI: 1.308– 7.402), occupation (OR=1.124, P=0.013, 95% CI: 0.331– 1.5), and degree of apprehending nursing video (OR=12.636, p< 0.001, 95% CI: 4.104– 38.906) were the crucial factors that affect nursing intention.Conclusion: The degree of apprehending nursing video contributed most to nursing intention of discharged patients with drainage tubes. Transitional care teams should devise more readily available care models (eg, mobile health) tailored to the needs of older individuals.Plain language summary: In clinical practice, it has been observed that, due to various factors such as cost, older patients are more inclined to be discharged from the hospital following puncture surgery and the placement of drainage tubes. Upon discharge, the drainage tube requires careful care until the patient has sufficiently recovered to return to the hospital for its removal. However, patients often lack the basic knowledge for drainage tube nursing. Additionally, the straightforward transmission of nursing knowledge to patients often leads to rapid forgetfulness.So, how can patients with drainage tubes effectively obtain basic nursing knowledge after discharge? We explored the application of the “mobile healthcare” model and the WeChat platform to disseminate nursing knowledge in the form of video content, so that patients and their families can easily obtain and learn this information anytime and anywhere. Moreover, factors associated with nursing intention for discharged patients with drainage tubes were analyzed, aiming to provide reference value for patient management during transitional care. Keywords: self-nursing intention, drainage tube, transitional care, mobile health