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Peer-reviewedCC BY 4.0Frontiers in Psychology

Discharge readiness and associated factors among thyroid cancer patients under ERAS-based perioperative management: a cross-sectional study

  • Yajun Wang1
  • Shanshan Li1
  • Lei Guo1
  • Junyi Gao1
  • Xiaotian Zhang1
  • Danping Song2
  • Bei Yang1
  • Xiangyun Yin1
  • Weinan Liu1
  1. 1Department of General Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China
  2. 2Department of Thoracic Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China
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Abstract

Objective: To investigate the current status of discharge readiness and its associated factors among postoperative thyroid cancer patients receiving ERAS-based perioperative management.

Methods: A convenience sampling method was employed to select 154 discharged patients with thyroid cancer who underwent surgery under the ERAS protocol from the department of general surgery at Peking Union Medical College Hospital as the research objects. They were investigated with a general information questionnaires, Readiness for Hospital Discharge Scale (RHDS), Hospital Anxiety and Depression Scale (HADS), and Social Support Rating Scale (SSRS). Pearson correlation analysis was used to analyze the correlation between readiness for hospital discharge, hospital anxiety and depression, and social support levels for patients. Univariate analysis was used to screen independent variables based on literature support, and multiple stepwise regression analysis was employed to identify the factors associated with patients’ RHDS.

Results: The total score of RHDS in patients with thyroid cancer after surgery was 95.25 ± 13.21 (mean item score: 7.94 ± 1.10). The total RHDS score was negatively correlated with the total HADS score (r = −0.777, P < 0.01), and positively correlated with the total SSRS score (r = 0.729, P < 0.01). Multiple linear regression analysis showed that the total score of HADS (B = −1.077, 95% CI: −1.424 to −0.731) and SSRS (B = 0.472, 95% CI: 0.155–0.789) were significantly associated with RHDS scores (P < 0.05). The final regression model explained 62.6% of the variance in RHDS scores (R2 = 0.626, adjusted R2 = 0.621).

Conclusion: Among postoperative thyroid cancer patients receiving ERAS-based perioperative management, psychological distress and social support were associated with discharge readiness. These findings highlight the importance of incorporating psychological assessment, social support evaluation, and individualized discharge preparation into perioperative care. Tailoring discharge planning to patients’ individual needs and involving family caregivers when appropriate may help facilitate the transition from hospital to home.

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Cite

BibTeXRIS
BibTeX
@article{wang2026discharge,
  title = {{Discharge readiness and associated factors among thyroid cancer patients under ERAS-based perioperative management: a cross-sectional study}},
  author = {Yajun Wang and Shanshan Li and Lei Guo and Junyi Gao and Xiaotian Zhang and Danping Song and Bei Yang and Xiangyun Yin and Weinan Liu},
  journal = {Frontiers in Psychology},
  year = {2026},
  month = oct,
  doi = {10.3389/fpsyg.2026.1954989},
  url = {https://doi.org/10.3389/fpsyg.2026.1954989},
  note = {CC BY 4.0},
}
RIS
TY  - JOUR
TI  - Discharge readiness and associated factors among thyroid cancer patients under ERAS-based perioperative management: a cross-sectional study
AU  - Yajun Wang
AU  - Shanshan Li
AU  - Lei Guo
AU  - Junyi Gao
AU  - Xiaotian Zhang
AU  - Danping Song
AU  - Bei Yang
AU  - Xiangyun Yin
AU  - Weinan Liu
PY  - 2026
DA  - 2026/10/26
JO  - Frontiers in Psychology
DO  - 10.3389/fpsyg.2026.1954989
UR  - https://doi.org/10.3389/fpsyg.2026.1954989
AB  - Objective: To investigate the current status of discharge readiness and its associated factors among postoperative thyroid cancer patients receiving ERAS-based perioperative management.  Methods: A convenience sampling method was employed to select 154 discharged patients with thyroid cancer who underwent surgery under the ERAS protocol from the department of general surgery at Peking Union Medical College Hospital as the research objects. They were investigated with a general information questionnaires, Readiness for Hospital Discharge Scale (RHDS), Hospital Anxiety and Depression Scale (HADS), and Social Support Rating Scale (SSRS). Pearson correlation analysis was used to analyze the correlation between readiness for hospital discharge, hospital anxiety and depression, and social support levels for patients. Univariate analysis was used to screen independent variables based on literature support, and multiple stepwise regression analysis was employed to identify the factors associated with patients’ RHDS.  Results: The total score of RHDS in patients with thyroid cancer after surgery was 95.25 ± 13.21 (mean item score: 7.94 ± 1.10). The total RHDS score was negatively correlated with the total HADS score (r = −0.777, P < 0.01), and positively correlated with the total SSRS score (r = 0.729, P < 0.01). Multiple linear regression analysis showed that the total score of HADS (B = −1.077, 95% CI: −1.424 to −0.731) and SSRS (B = 0.472, 95% CI: 0.155–0.789) were significantly associated with RHDS scores (P < 0.05). The final regression model explained 62.6% of the variance in RHDS scores (R2 = 0.626, adjusted R2 = 0.621).  Conclusion: Among postoperative thyroid cancer patients receiving ERAS-based perioperative management, psychological distress and social support were associated with discharge readiness. These findings highlight the importance of incorporating psychological assessment, social support evaluation, and individualized discharge preparation into perioperative care. Tailoring discharge planning to patients’ individual needs and involving family caregivers when appropriate may help facilitate the transition from hospital to home.
SN  - 1664-1078
ER  -