Association between adaptive capacity and readiness for hospital discharge among patients with acute myocardial infarction

A cross-sectional study

Bibliographic Data

ID22079481
AuthorsWenfang Mu, Wenbo Mu (0009-0009-1154-5560, Shanghai Jiao Tong University), Li Xu (0000-0001-5665-4861, Shanghai Jiao Tong University), Antai Song (Shanghai Jiao Tong University), Huiqin Xi (Shanghai Jiao Tong University, corresponding author), Xiyi Wang (0000-0002-6470-8556, Shanghai Jiao Tong University, corresponding author)
Year2025
Volume13
Pages1711366-1711366
Publication date2025-12-11
Open AccessYes
TypeARTICLE
VenueFrontiers in Public Health (JOURNAL)
Journal identifiersISSN: 2296-2565 • E-ISSN: 2296-2565
PublisherFrontiers Media SA (PUBLISHER • CH)
DOI10.3389/fpubh.2025.1711366
PMID41458408
OpenAlexW4417221434
LanguageEN
References cited45

Background Readiness for hospital discharge is a crucial concept in acute myocardial infarction (AMI). Positive coping and adaptation strategies are recognized as health assets that can enhance outcomes in cardiovascular disease. This study aims to investigate the relationship between readiness for hospital discharge and the patients’ adaptive capacity. Materials and methods A cross-sectional observational study was conducted from July 2021 to March 2024 at two tertiary hospitals in Shanghai, China. A total of 373 patients diagnosed with AMI participated in this study. Data collection was conducted using a demographic information checklist and questionnaires including self-rating scale of systematic family dynamics, Chinese coping and adaptation processing–short form, and the readiness for hospital discharge scale. Statistical analyses were employed the Pearson Chi-squared test and Logistic regression. Results The results indicate that 51.7% of AMI patients demonstrate a low level of readiness for hospital discharge. Furthermore, there is a significant positive correlation between adaptive capacity and readiness for hospital discharge (odds ratio [OR] = 1.53, 95% confidence interval [CI]: [1.01, 2.32], p < 0.05). Among the various dimensions of adaptive capacity, the dimensions of resourceful and focused (OR = 1.55, 95% CI [1.01, 2.36], p < 0.05), as well as self-initiated and knowing-based (OR = 2.26, 95% CI [1.47, 3.48], p < 0.001), exhibit a significant positive correlation with hospital discharge readiness, with the latter showing a stronger association. Conclusion This study highlights that over half of patients with AMI exhibit insufficient readiness for hospital discharge. Furthermore, the patients’ adaptive capacity significantly influences their readiness for hospital discharge

Acute hospital · Hospital admission · Hospital discharge · MEDLINE · Patient discharge · Acute Myocardial Infarction Research · Cardiac Health and Mental Health · Heart Failure Treatment and Management

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