Purpose:To explore the effect of comprehensive intervention based on transition theory
in enhancing the readiness for discharge of post-operative breast cancer patients. Method: In a non-simultaneous controlled study test, 99 post-operative breast
cancer patients hospitalized between August 2019 and February 2020 were selected
as the control group and 93 post-operative breast cancer patients hospitalized between
March and August 2020 were selected as the test group at a Grade A tertiary tumor
hospital. While the control group used the conventional care model, the test group
added a comprehensive intervention based on transition theory to the routine nursing,
which focused on stimulating patients’ awareness of health transitions, assisting
patients to identify health critical events, strengthening social support and promoting
self-management. The differences between the two groups were compared in terms of patient
readiness for discharge and patient evaluation of the quality of discharge teaching. Result: The total score of readiness for discharge was higher in the test
group than in the control group (171.7 ± 24.5 vs. 155.9 ± 28.9) and the scores for
“Self-condition” (55.6 ± 8.2 vs. 50.8 ± 9.7), “Disease Knowledge” (64.7 ± 13.1 vs.
57.7 ± 13.8), “Coping Ability after Discharge” (24.6 ± 4.8 vs. 22.2 ± 5.6), “Expected
Social Support after Discharge” (26.8 ± 4.5 vs. 25.2 ± 4.8) were higher than those
of the control group, and all differences
were statistically significant (p < 0.05). The total score of the test group
on the quality of discharge teaching scale was higher than that of the control
group (162.1 ± 19.9 vs. 152.6 ± 28.7), and the scores for “Content that
Patients Self-perceived they required before discharge” (53.2 ± 9.5 vs. 49.4 ±
12.1), “Content that Patients Actually Acquired before
Discharge” (51.2 ± 9.2vs. 48.3 ± 11.3) and “Guiding Skills and Effects of Discharge for Nurses”
(110.9 ±
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