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

Purpose: 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.