Correlation and influencing factors between care dependency of family members of hospitalized children with acute exacerbation of bronchial asthma and readiness for hospital discharge

doi:10.19983/j.issn.2096-8493.20260065

Abstract

Abstract:

Objective: To investigate the correlation between care dependency and discharge readiness among family members of hospitalized children with acute exacerbation of bronchial asthma. Methods: A cross-sectional survey was carried out on 198 children hospitalized due to acute exacerbation of bronchial asthma and their family members at the First Hospital of Putian City from January 2024 to October 2025. Data were collected using the general information questionnaire, the Care Dependency Scale, and the Discharge Readiness Scale. The correlation between care dependency and discharge readiness among family members of hospitalized children with acute exacerbation of bronchial asthma was analyzed with Pearson correlation analysis, and factors influencing discharge readiness were identified with multiple linear regression. Results: The score of the Care Dependency Scale for 198 family members of hospitalized children with acute exacerbation of bronchial asthma was 46.15±5.17, and the score of the Discharge Readiness Scale was 93.31±7.19. Among the dimensions of the Discharge Readiness Scale, the personal status dimension scored 22.34±3.05, the adaptability dimension scored 39.45±3.05, and the anticipatory support dimension scored 31.52±3.22. Pearson correlation analysis showed that the care dependency of family members of hospitalized children with acute exacerbation of bronchial asthma was positively correlated with the scores of each dimension and the total score of the Discharge Readiness Scale (r=0.236, 0.262, 0.283, 0.337, all P<0.05). Multiple linear regression analysis showed that child’s age ≥6 years (standardized regression coefficient=0.137, P=0.023), length of hospital stay <7 days (standardized regression coefficient=0.137, P=0.019), family members’ educational level of college degree or above (standardized regression coefficient=0.344, P<0.001), family monthly income ≥5000 yuan (standardized regression coefficient=0.204, P=0.001), and family members’ care dependency (standardized regression coefficient=0.252, P<0.001) were independently associated with higher scores of readiness for hospital discharge. Conclusion: There is a significant positive correlation between care dependency of family members of hospitalized children with acute exacerbation of bronchial asthma and readiness for hospital discharge. Clinically, targeted measures should be taken according to the characteristics of children and their caregivers to improve their discharge readiness.

Key words: Bronchial diseases, Pediatric nursing, Aftercare, Factor analysis, statistical

CLC Number:

Xie Tingting, Ye Baobao. Correlation and influencing factors between care dependency of family members of hospitalized children with acute exacerbation of bronchial asthma and readiness for hospital discharge[J]. Journal of Tuberculosis and Lung Disease , 2026, 7(4): 514-519. doi: 10.19983/j.issn.2096-8493.20260065

Figures/Tables 4

References 19

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因素	人数 (例/名)	出院准备度得分 (分,$\overline{\mathit{x}}$±s)	统计检验值	P值
患儿因素
年龄(岁)			t=4.141	<0.001
<6	118	91.68±7.35
≥6	80	95.71±6.27
性别			t=0.921	0.358
男性	112	93.71±7.57
女性	86	92.78±6.68
住院时长(d)			t=4.437	<0.001
≥7	80	90.68±7.92
<7	118	95.09±6.07
家属因素
年龄(岁)			t=0.147	0.883
<35	140	93.26±6.96
≥35	58	93.43±7.79
与患儿关系			F=1.174	0.311
父亲	44	94.77±7.54
母亲	103	92.89±7.00
其他	51	92.88±7.26
文化水平			t=8.087	<0.001
高中及以下	84	89.12±6.29
大学及以上	114	96.39±6.20
职业			F=1.456	0.228
私企员工	84	92.67±6.70
公务员及事业单位人员	32	95.53±6.77
个体经营者	48	92.60±7.44
无业	34	93.79±8.21
居住地			t=0.705	0.482
农村	134	93.57±6.72
城镇	64	92.75±8.13
家庭月收入(元)			t=6.371	<0.001
<5000	60	88.80±8.04
≥5000	138	95.27±5.82

变量	赋值
患儿年龄	<6岁=0,≥6岁=1
住院时长	≥7d=0,<7d=1
家属文化水平	高中及以下=0,大学及以上=1
家庭月收入	<5000元=0,≥5000元=1
护理依赖	原值输入

因素	非标准化系数		标准化系数β值	t值	P值	95%CI值	共线性统计量
因素	β值	标准误差	标准化系数β值	t值	P值	95%CI值	容差	VIF
患儿年龄≥6岁	2.004	0.875	0.137	2.291	0.023	0.279~3.729	0.842	1.187
住院时长<7d	2.009	0.853	0.137	2.356	0.019	0.327~3.692	0.886	1.129
家属文化水平大学及以上	4.994	0.886	0.344	5.639	<0.001	3.247~6.741	0.810	1.235
家庭月收入≥5000元	3.193	0.944	0.204	3.382	0.001	1.331~5.055	0.824	1.213
家属护理依赖	0.351	0.079	0.252	4.429	<0.001	0.195~0.508	0.928	1.078
常量	57.785	3.919	-	14.744	<0.001	50.055~65.516	-	-