The Effects of a Discharge Planning Program on Nursing Outcomes in Patients with Mandibular Fractures Treated with Mandibular Fixation Surgery
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Abstract
Effective discharge planning leads to improved patient outcomes. This quasi-experimental study aimed to examine the effects of a discharge planning program on nursing outcomes among patients with mandibular fractures undergoing open reduction and internal fixation. The sample comprised 55 patients treated at a tertiary hospital in Northeastern Thailand, selected through consecutive sampling based on predefined inclusion criteria. The control group (n=27) received routine care, while the experimental group (n=28) received the program, which consisted of nutritional education, oral care skill training, jaw exercise practice, and continuous follow-up. Research instruments included a knowledge of self-care questionnaire, a self-care ability scale, an oral care skill assessment form, an Oral Assessment Guide, and a nursing outcomes record form. Data were analyzed using descriptive statistics and inferential statistics, including the chi-square test, independent t-test, Wilcoxon signed-rank test, and Mann–Whitney U test. The results demonstrated that the experimental group had significantly higher knowledge of self-care, self-care ability, oral care skills, and maximal mouth opening compared to the control group. Additionally, the experimental group experienced significantly less weight loss than the control group. Within-group comparisons showed significant improvements in knowledge of self-care, oral care skills, and self-care ability in the experimental group after the intervention. These findings indicate that the discharge planning program effectively enhances nursing outcomes among the patients with mandibular fractures undergoing surgical fixation. Therefore, nurses should integrate such a program into routine care to improve patients’ self-care readiness and promote better recovery outcomes.
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บทความและรายงานวิจัยในวารสารพยาบาลกระทรวงสาธารณสุข เป็นความคิดเห็นของ ผู้เขียน มิใช่ของคณะผู้จัดทำ และมิใช่ความรับผิดชอบของสมาคมศิษย์เก่าพยาบาลกระทรวงสาธารณสุข ซึ่งสามารถนำไปอ้างอิงได้
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