Korean J Adult Nurs.  2016 Feb;28(1):43-52. 10.7475/kjan.2016.28.1.43.

Factors Affecting Discharge Delay in Lumbar Spinal Surgery Patients Who were Treated according to a Critical Pathway

• Kim JH
• Lee EH
• Kim SR
• Kim SR

• KMID: 2221707
• DOI: http://doi.org/10.7475/kjan.2016.28.1.43

Abstract

PURPOSE
The aim of this study was to identify demographic, clinical, physical, and psychosocial factors affecting discharge delay in lumbar spinal surgery patients who were treated according to a critical pathway.
METHODS
A sample of 170 patients with lumbar spinal surgery agreed to participate in the study, between April 1, 2014 and August 30, 2015. Data were analyzed by mean, standard deviation, t-test, χ2-test, ANCOVA, and logistic regression analysis using SPSS 22.0 program.
RESULTS
Approximately fifty-nine percent of the participants was delayed discharge. On logistic regression analysis, female gender (OR=2.63, 95% CI=1.40~4.94), age (OR=1.03, 95% CI=1.01~1.05), spondylolisthesis (OR=4.49, 95% CI=1.90~10.61), and spinal fusion operation (OR=4.14, 95% CI=1.89~9.05) were significant factors predicting discharge delay of the participants. However, discharge delay was not related with pain, physical function, depression, or family support.
CONCLUSION
An analysis of discharge delay may assist in evaluating and revising critical pathway for optimal care. In addition, nurses need to understand the factors affecting discharge delay of the given population who were treated according to a critical pathway.

MeSH Terms

Critical Pathways*
Depression
Female
Humans
Logistic Models
Lumbar Vertebrae
Patient Discharge
Psychology
Spinal Fusion
Spondylolisthesis

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