Abstract
Background: Hospital discharge readiness is important for safe transitions from hospital to home, particularly among patients with chronic diseases requiring ongoing treatment and self-management after discharge.
Objectives: To assess hospital discharge readiness and identify associated factors among patients with chronic diseases at a tertiary hospital in central Vietnam.
Materials and methods: A hospital-based analytical cross-sectional study was conducted from September 2025 to January 2026. A total of 390 adults with chronic diseases scheduled for discharge were selected using simple random sampling. Discharge readiness and quality of discharge teaching were assessed using the Readiness for Hospital Discharge Scale (RHDS) and Quality of Discharge Teaching Scale (QDTS). Descriptive statistics, group comparisons, Spearman correlation, and multivariable linear regression were used.
Results: The mean overall RHDS score was 7.06 ± 0.84. Personal status had the highest domain score (7.43 ± 0.92), whereas expected support had the lowest (5.70 ± 2.70). The mean total QDTS score was 7.36 ± 0.82. In multivariable analysis, higher QDTS score (B = 0.238; p < 0.001) and living with a spouse or family (B = 0.343; p < 0.001) were associated with higher discharge readiness, while older age was associated with lower readiness (B = −0.011; p < 0.001). The model explained 25.3% of the variance in RHDS scores.
Conclusion: Discharge readiness among patients with chronic diseases was associated with quality of discharge teaching, age, and living arrangement. These findings highlight the importance of structured discharge education and assessment of family and post-discharge support needs during discharge preparation.
| Published | 2026-11-15 | |
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| Issue | Vol. 16 No. S-3 (2026) | |
| Section | Original Articles | |
| DOI | 10.34071/jmp.2026.S-3.16 | |
| Keywords | discharge readiness, chronic disease, discharge teaching, transitional care, nursing, Discharge Teaching Scale |
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Copyright (c) 2026 Hue Journal of Medicine and Pharmacy
World Health Organization. Noncommunicable diseases country profiles 2024. Geneva: World Health Organization; 2024.
Joo JY, Liu MF. The experience of chronic illness transitional care: a qualitative systematic review. Clin Nurs Res. 2022;31(2):163–173. doi:10.1177/10547738211056166.
Tyler N, Hodkinson A, Planner C, Angelakis I, Keyworth C, Hall A, et al. Transitional care interventions from hospital to community to reduce health care use and improve patient outcomes: a systematic review and network meta-analysis. JAMA Netw Open. 2023;6(11):e2344825. doi:10.1001/jamanetworkopen.2023.44825.
Galvin EC, Wills T, Coffey A. Readiness for hospital discharge: a concept analysis. J Adv Nurs. 2017;73(11):2547–2557. doi:10.1111/jan.13324.
Weiss ME, Piacentine LB, Lokken L, Ancona J, Archer J, Gresser S, et al. Perceived readiness for hospital discharge in adult medical-surgical patients. Clin Nurse Spec. 2007;21(1):31–42. doi:10.1097/00002800-200701000-00008.
Feldbusch H, Schmidt M, Steeb EM, Paschek N, Nemesch M, Sartory Y, et al. Theoretical concepts and instruments for measuring hospital discharge readiness: a scoping review. Heliyon. 2024;10(5):e26554. doi:10.1016/j.heliyon.2024.e26554.
Wu DL, Luo CL, Du X, Li PP, Jiang M, Liu T, et al. Current status and influencing factors of readiness for discharge of elderly patients with chronic obstructive pulmonary disease. Patient Prefer Adherence. 2023;17:1323–1333. doi:10.2147/PPA.S410725.
Li S, Luo C, Xie M, Lai J, Qiu H, Xu L, et al. Factors influencing readiness for hospital discharge among patients undergoing enterostomy: a descriptive, cross-sectional study. Adv Skin Wound Care. 2024;37(6):319–327. doi:10.1097/ASW.0000000000000159.
Naylor MD, Aiken LH, Kurtzman ET, Olds DM, Hirschman KB. The care span: The importance of transitional care in achieving health reform. Health Aff. 2011;30(4):746–754. doi:10.1377/hlthaff.2011.0041.
Coleman EA, Parry C, Chalmers S, Min SJ. The care transitions intervention: results of a randomized controlled trial. Arch Intern Med. 2006;166(17):1822–1828. doi:10.1001/archinte.166.17.1822.
Nguyen HP, Mai BH. Readiness for hospital discharge on people after hip replacement surgery in Vietnam: a cross-sectional study. Nurs Pract Today. 2024;11(4):353–360. doi:10.18502/npt.v11i4.16814.
Dam MT, Dinh NS, Vu HA, Phung TH. Assessment of the readiness for hospital discharge after surgery for disc and lumbar spinal disc at the Department of Spine Surgery of Viet Duc University Hospital. Vietnam J Community Med. 2024;65(Special Issue 11):180–185. doi:10.52163/yhc.v65iCD11.1768.
Meleis AI, Sawyer LM, Im EO, Hilfinger Messias DK, Schumacher K. Experiencing transitions: an emerging middle-range theory. ANS Adv Nurs Sci. 2000;23(1):12–28. doi:10.1097/00012272-200009000-00006.
Wang M, Lv L, Yu Z, Gao L, Lu Q, Ou J, et al. A cross-sectional study of readiness for discharge, chronic illness resources and postdischarge outcomes in patients with diabetic foot ulcer. Nurs Open. 2021;8(5):2645–2654. doi:10.1002/nop2.813.
Weiss ME. Adult QDTS, English [Internet]. Milwaukee (WI): Marquette University; 2008 [cited 2026 Nov 11]. Available from: https://epublications.marquette.edu/qdts/9/
Nguyen TTT, Ho TMY. Translation, cross-cultural adaptation and validation of Quality of Discharge Teaching Scale. Hue J Med Pharm. 2024;Special Issue Nursing Science Conference:220–227.
Whitehead L, Jacob E, Towell A, Abu-Qamar M, Cole-Heath A. The role of the family in supporting the self-management of chronic conditions: a qualitative systematic review. J Clin Nurs. 2018;27(1–2):22–30. doi: 10.1111/jocn.13775.
Gallant MP. The influence of social support on chronic illness self-management: a review and directions for research. Health Educ Behav. 2003;30(2):170–195. doi: 10.1177/1090198102251030.
Glinskaya EE, De Kleine Feige AI, Vu Thi LH, Long GT, Hoang T, Viet CN, et al. Vietnam: Adapting to an Aging Society. Washington, DC: World Bank; 2021.
Li S, Chen R, Zhang L, Li H, Gong Y, Hang Y, et al. Relationships between quality of discharge teaching, readiness for hospital discharge, self-efficacy and self-management in patients with first-episode stroke: a cross-sectional study. J Clin Nurs. 2025;34(7):2830–2839. doi: 10.1111/jocn.17481.
Oh EG, Lee HJ, Yang YL, Kim YM. Effectiveness of discharge education with the teach-back method on 30-day readmission: a systematic review. J Patient Saf. 2021;17(4):305–310. doi: 10.1097/PTS.0000000000000596.
Berkman ND, Sheridan SL, Donahue KE, Halpern DJ, Crotty K. Low health literacy and health outcomes: an updated systematic review. Ann Intern Med. 2011;155(2):97–107. doi: 10.7326/0003-4819-155-2-201107190-00005.
Wallace AS, Perkhounkova Y, Bohr NL, Chung SJ. Readiness for hospital discharge, health literacy, and social living status. Clin Nurs Res. 2016;25(5):494–511. doi: 10.1177/1054773815624380.
Chartrand J, Shea B, Hutton B, Dingwall O, Kakkar A, Chartrand M, et al. Patient- and family-centred care transition interventions for adults: a systematic review and meta-analysis of RCTs. Int J Qual Health Care. 2023;35(4):mzad102. doi: 10.1093/intqhc/mzad102.