THE DEVELOPMENT OF DISCHARGE PLANNING MODEL FOR SEVERE HEAD INJURY PATIENTS

Abstract

The research and development study aimed to develop and investigate the effect of the discharge planning model for severe head injury patients. This study was conducted during April 2017 to September 2018. The subject composed of 30 severe head injury patients, 30 caregivers and 10 personnel from multidisciplinary team. The development process consisted of 4 phases; 1) situation analysis of discharge planning in severe head injury patients; 2) development of discharge planning model for severe head injury patients; 3) Implementation and 4) Evaluation. The results of this study showed the discharge planning model for severe head injury patients composed of 6 components: 1) Participation of multidisciplinary teams by defining the team structure, and roles, 2) 5 steps discharge planning: (i) Problems and needs assessments; (ii) Problem diagnosis; (iii) Identifying discharge plan using METHOD system; (iv) Implementation and (v) Evaluation, 3) Family participation, 4) Education and skill developing program for caregivers, 5) Support equipment needed to be used at home and 6) information delivery for continuing care. After implemented the discharge planning model for severe head injury none of the patients was readmitted within 28 day, for caregivers, the mean scores of knowledge after attending education program was significantly higher than the score before attending education program (p <0.01). In addition, the mean scores of capabilities for caring patient after 30 days discharge were at a high level ( =1.75, SD=0.30). Both patients and caregivers as well as multidisciplinary team have the highest level of satisfaction score (=4.88, SD=0.24; xˉ =4.77, SD=0.49) respectively.