关键词: 胃癌；手术；加速康复外科；出院准备度；影响分析

Abstract: Objective: To investigate and analyze the influencing factors of the readiness for hospital discharge of patients with gastric cancer under the concept of Enhanced Recovery After Surgery (ERAS). Methods: A convenient sampling method was used to select 141 gastric cancer patients who were discharged from our hospital underwent radical surgery. Questionnaires were performed using the discharge check list, information questionnaire, and Readiness for Hospital Discharge Scale (RHDS) for adults and the influencing factors were analyzed. Results: The total score of 141 patients in RHDS was (151.36±15.64). The scores in the 4 dimensions were: score of self-condition (35.01±5.75), score of disease knowledge (60.08±10.89), score of post-discharge ability (23.31±4.41). and score of expected social support after discharge (32.96±4.10). Compared with the score of other items, physical symptoms, understanding of the next treatment plan, and medical care support after discharge were relatively lower. Multiple linear regression analysis showed that age, place of residence, and occupation were the major factors influencing the score of RHDS. Conclusion: The methods of RHD for patients with gastric cancer should be suited the development of ERAS. Nursing staff should strengthen care for discharge preparation of gastric cancer according to different ages, places of residence, occupations, and relatively weak items of RHDS.

Key words: gastric cancer, surgery; Enhanced Recovery After Surgery; readiness for hospital discharge; influencing factors