To investigate the influencing factors of readiness for hospital discharge in breast cancer patients undergoing their first daycare chemotherapy and its correlation with medical coping modes.

A cross-sectional survey was conducted among 252 breast cancer patients receiving their first daycare chemotherapy in the Department of Breast and Thyroid Surgery, the First Affiliated Hospital of Army Medical University, from June to September 2024, according to inclusion and exclusion criteria. Patients completed a general information questionnaire, the discharge readiness scale, and the medical coping modes questionnaire. Pearson correlation analysis was used to examine the correlation between discharge readiness and medical coping modes. Multiple linear stepwise regression analysis was employed to identify influencing factors of discharge readiness and establish a regression equation.

The total score for discharge readiness in breast cancer patients receiving their first daycare chemotherapy was 78.55±6.14. The scores for facing, avoidance and yielding in medical coping modes were 19.13±3.44, 19.96±3.46 and 13.81±2.62, respectively. Univariate analysis showed that age, occupation status, place of residence, payment method, education level, and household monthly income per capita were associated with patients' discharge readiness (all P<0.05) . The total score for discharge readiness was positively correlated with facing (r=0.922, P<0.05) , and negatively correlated with yielding and avoidance (r=-0.915, -0.952, both P<0.05) . Avoidance, yielding, facing, household monthly income per capita, age, education level, and occupation status were significant influencing factors for discharge readiness (all P<0.05) . The established regression equation was as follow: Discharge Readiness=96.87-0.86×Avoidance-0.520×Yielding+0.310×Facing+0.714×Monthly Household Income per Capita -0.937×Age+0.267×Education Level -0.511×Employment Status. This regression equation is statistically significant (F=68.48, P<0.001).

The readiness for hospital discharge in breast cancer patients undergoing their first daycare chemotherapy is primarily influenced by medical coping modes and some sociodemographic factors. Healthcare professionals should identify risk factors and focus on guiding patients to adopt active coping strategies, such as providing psychological intervention and individualized health guidance, to reduce avoidance and yielding behaviors.