探讨腹股沟疝患者接受经腹腹膜前修补术（TAPP）后出院准备度的影响因素。

本研究采用回顾性横断面调查方法。收集2024年6月至2025年6月在如皋市人民医院行TAPP的110例腹股沟疝患者的临床资料。收集患者的一般资料、疾病与手术特征及术后恢复情况，采用中文版出院准备度量表（RHDS）评估其出院准备度。比较不同特征患者的RHDS评分差异，分析其独立影响因素。

110例患者RHDS总分为（89.23±20.28）分。单因素分析显示，年龄>70岁、农村居住地、未婚状态、自费医疗、主要照顾者为非家人或无人、独居、采用开放手术、疝类型为直疝或复合疝、合并慢性疾病、术后发生局部水肿或尿潴留、术后疼痛视觉模拟评分≥4分及感知自理能力下降的患者，其RHDS评分均较低（P<0.05）。年龄>70岁（β=－18.502，95% CI －24.425~－12.613）、农村居住地（β=－6.054，95% CI －10.534~－1.642）、未婚状态（β=－12.106，95% CI －18.449~－5.821）及术后中重度疼痛（β=－15.204，95% CI －23.815~－6.601）是TAPP患者术后出院准备度不足的独立危险因素。

腹股沟疝患者TAPP术后出院准备度受多种因素影响，其中高龄、农村户籍、未婚及术后中重度疼痛是主要独立危险因素。临床应针对以上高风险人群，重点加强围手术期疼痛管理与个体化出院指导。

To investigate the factors associated with readiness for hospital discharge among patients undergoing transabdominal preperitoneal (TAPP) inguinal hernia repair.

A retrospective cross-sectional study was conducted involving 110 patients who underwent TAPP inguinal hernia repair at Rugao People's Hospital between June 2024 and June 2025. Data on patient demographics, disease- and surgery-related characteristics, and postoperative recovery were collected. Readiness for hospital discharge was assessed using the Chinese version of the Readiness for Hospital Discharge Scale (RHDS). RHDS scores were compared among patients with different clinical and demographic characteristics, and independent factors associated with discharge readiness were identified.

The mean RHDS score among the 110 patients was (89.23±20.28). Univariate analysis showed that patients aged >70 years, those residing in rural areas, unmarried patients, self-paying patients, those whose primary caregivers were non-family members or who had no primary caregiver, those living alone, those who underwent open surgery, those with direct or combined inguinal hernias, those with chronic comorbidities, those experiencing postoperative local edema or urinary retention, those with a postoperative visual analog scale (VAS) pain score ≥4, and those reporting a perceived decline in self-care ability had significantly lower RHDS scores (all P<0.05). Multivariable analysis identified age >70 years (β=−18.502, 95% CI −24.425 to −12.613), rural residence (β=−6.054, 95% CI −10.534 to −1.642), unmarried status (β=−12.106, 95% CI −18.449 to −5.821), and moderate-to-severe postoperative pain (β=−15.204, 95% CI −23.815 to −6.601) as independent factors associated with lower RHDS scores.

Readiness for hospital discharge after TAPP inguinal hernia repair is associated with multiple factors, particularly advanced age, rural residence, unmarried status, and moderate-to-severe postoperative pain. Greater attention should be given to patients with these characteristics, with an emphasis on optimizing perioperative pain management and providing individualized discharge education to improve discharge readiness.