Assessment of Stroke Patients’ Readiness for Discharge using the Therapeutic Self-care Scale C-HOBIC
DOI:
https://doi.org/10.15225/PNN.2025.14.3.2Keywords
health education, readiness for discharge, self-care, strokeAbstract
Introduction. Stroke is a leading cause of adult morbidity and long-term disability and the second leading cause of death worldwide. Therapeutic self-care refers to the patient’s perceived ability to engage in behaviours aimed at managing the condition and is recognised as a fundamental patient-centred outcome of care.
Aim. The aim of the study was to assess stroke patients’ readiness for discharge using the C-HOBIC therapeutic self-care scale.
Material and Methods. The study was conducted at the Adult Neurology Clinic of the University Clinical Centre in Gdańsk and included 100 patients hospitalised for stroke. The majority of respondents were men living in urban areas (N=71). The mean age was 70.8 years. The study used a diagnostic survey method and questionnaire technique. The research tool was a questionnaire containing the C-HOBIC Discharge Readiness/Self-Care Assessment Scale and 19 original questions concerning the socio-demographic situation of the patients, the number and type of strokes suffered, the treatment and rehabilitation received, and the health education process. The non-parametric Mann–Whitney U test and the Spearman correlation test were used for statistical analysis. The significance level was set at p≤0.05.
Results. Stroke patients are not very ready to be discharged because they need help with activities of daily living and with taking prescribed medication and self-monitoring. Patients who were employed before the stroke and those who received health education showed a greater ability to self-care (p<0.05). The older the patients, the lower their self-care ability (p<0.001). Gender and place of residence did not have a significant effect on patients’ self-care ability (p>0.05).
Conclusions. Patients are unable to fully follow the instructions of healthcare staff, take their own medication, recognise worrying symptoms or carry out daily activities. Patients’ low level of self-care is due to their current state of health, neurological deficits and insufficient time allocated for their education. (JNNN 2025;14(3):111–117)
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Copyright (c) 2025 Paulina Bilińska, Hanna Grabowska, Marcelina Skrzypek-Czerko
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