Background: After discharge, surgical patients have to deal with many problems. Discharge education was believed to be the solution to improve patient's ability to deal with difficulties going home. The quality of discharge education was different from the patient's and nurse's perspectives. These differences increase rehospitalization rates, postoperative complications, and decreased problem resolution. This emphasizes the importance of exploring the quality of discharge education from the patient's perspective, and its predictors.

Purpose: The objective of this study was to examine the quality of hospital discharge education from the perspective of surgical patients in Vietnam and its predictors.

Methods: A cross-sectional descriptive study was conducted from December 2020 to February 2021 at Hue University of Medicine and Pharmacy hospital in Vietnam. Surgical patients older than 18 years of age were selected to complete the Quality of Discharge Teaching Scale (QDTS) within 4 hours before discharge. To explore predictors of patient's perspective on quality of discharge education, multiple linear regression was used.

Result: Total of 152 surgical patients with mean age of 50.38 years old (SD = 19.37) was completed the questionnaire. Discharge content need was perceived as low with a score of 5.39 (SD = 2.64). Patients considered quality of discharge content received as low quality with score of 5.58 (SD = 2.14). Patients received more information about emotions and practices treatment and medication than their needed (p<0.01). In contrast, they rated the received information about their emergency contact as lower than they expected (p <0.001). Quality of discharge education delivery was perceived as moderate with a score of 7.53 (SD = 1.47). Inferential analysis showed that age (r=0.17, p<0.05) and length of hospital stay (r=0.23, p<0.01) was associated with content need. Type of surgery was related to patient perceived on quality of content received (F=3.53, p<0.01) and delivery (F=3.26, p<0.01). Meanwhile, occupational status was related to how patients perceived the fulfillment of discharge content need (t=-2.41, p<0.05). Multiple linear regression results suggested that patient’s characteristic and hospitalized factors were not predictors of patient’s perspective on quality of discharge education.

Conclusion: This study provided patients' views on the quality of discharge education provided by nurses and its related factors. Further research should include other factors including patient's access to information, the background of knowledge, work experience in the social or healthcare field, depression, and anxiety which were not included in this study.

Keywords: surgical patient, hospital discharge, adult education, perspective.

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