ArticleJournal of clinical nursing2026
The Relationship Between Quality of Discharge Teaching and Oral Nutritional Supplementation Adherence in Postoperative Patients With Gastric Cancer: A Chain Mediated Role of Readiness for Hospital Discharge and Medication Beliefs.
Article in Journal of clinical nursing, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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Who cites it
2 citing papers in PubMed.
- Article
- Social Support and Hospital Discharge Readiness in CHD Patients: Mediating Roles of Self-Efficacy and Adherence.Patient preference and adherence · 2026Article
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimWe aimed to elucidate the underlying mechanisms influencing Oral nutritional supplementation (ONS) adherence in postoperative patients with gastric cancer (GC) by developing a structural equation model.
backgroundONS represents a cost-effective nutritional intervention for postoperative patients with GC, with its efficacy largely dependent on sustained patient adherence over time. However, the interrelationships among the quality of discharge teaching (QDT), readiness for hospital discharge (RHD), medication beliefs and adherence to ONS remain inadequately understood.
methodsA convenience sample of 505 postoperative patients with GC was recruited from January 1, 2023, to December 1, 2024, for a cross-sectional survey conducted at a tertiary-grade A specialised oncology hospital. The data of this study were subjected to descriptive analysis, Harman's one-way analysis of variance, Pearson correlation analysis and mediation effect analysis. REPORTING
methodThe STROBE checklist was employed for reporting in the study.
resultsPearson correlation analyses revealed that all four variables were significantly interrelated. Structural equation modelling showed that medication beliefs had the strongest correlation with ONS adherence (β = 0.589), followed by readiness for hospital discharge (RHD) (β = 0.557) and quality of discharge teaching (QDT) (β = 0.523). The structural equation model demonstrated a robust overall fit.
conclusionThere was a significant chain mediation effect through RHD and medication beliefs. For the development of targeted intervention strategies to improve ONS adherence, future research should prioritise enhancing QDT, optimising RHD and strengthening patients' medication beliefs. RELEVANCE TO CLINICAL PRACTICE: To help nurses and nursing managers formulate intervention measures to improve QDT, RHD, medication beliefs and ONS adherence in postoperative patients with GC.
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