The Development of Discharge planning Model for patient with stoke

Abstract

The purpose of the action research were to develop the discharge planning model for patients with stroke at Nakhon Phanom hospital and to investigate the effect of the discharge planning development on activity of daily living of the patients, caregiver’s knowledge, satisfaction of patients and caregivers,  The development process consisted of 4 steps 1) situation analysis to identify problem 2) Developed the discharge planning model 3) Implementation 4) Evaluation.  The subjects included of 30 patients and 30 caregivers and eight persons of multidisciplinary were included.

The results revealed that the discharge planning model for patients with stroke comprised of 3 strategic 1) care map for patients with stroke by multidisciplinary 2) education model for patients and caregiver 3) referring for continuity care after the discharge planning was implemented, the results of this study showed that mean scores of patient’s activity of daily living after discharge for 30 days were statistically higher than scores before discharge (t = 5.308, p<0.01).  The mean scores of caregiver’s knowledge after discharge for 30 days were statistically higher than scores before discharge (t = 20.27, p < 0.01).  The satisfaction levels of patients and caregivers were highest level (98.52%).

The result of this study indicated the discharge planning model development by multidisciplinary teams throughout the process of participatory action research is one of the effective discharges planning strategy.