ORIGINAL RESEARCH article
Front. Public Health
Sec. Public Health Education and Promotion
This article is part of the Research TopicThe Intersection of Psychology, Healthy Behaviors, and its OutcomesView all 132 articles
Association between adaptive capacity and readiness for hospital discharge among patients with acute myocardial infarction: a cross-sectional study
Provisionally accepted
- 1Renji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China
- 2School of Nursing, Shanghai Jiao Tong University, Shanghai, China, Shanghai, China
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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. Material 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 questionaires 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. Conclusions: 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.
Keywords: Myocardial Infarction, Patient Discharge, adaptation, Capacity, Association
Received: 23 Sep 2025; Accepted: 27 Nov 2025.
Copyright: © 2025 Mu, Xu, Song, Xi and Wang. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence:
Huiqin Xi
Xiyi Wang
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