Effects of Discharge Planning program on Knowledge and Activities of Daily Living of Stroke Patients in Stroke Unit Udonthani Hospital

Abstract

This quasi-experimental research aimed to compare knowledge and activities of daily living of stroke patients before and after receiving the discharge planning program, and between the experimental group (receiving the discharge planning program) and control group normal routine care no discharge planning. The samples were stroke patients who had admitted in the stroke unit, Udonthani Hospital from 1stJune to 31st July 2016. Sixty patient selected by purposive sampling devided to 2 groups, 30 patients per group. The tools consisted of personal information, discharge planning program, functional assessment by Barthel Index and assess patient’s/caregiver’s knowledge of stroke. Questionnaires had verifed by the experts with Cronbach’s alpha reliability was 0.86. Paired samples t-test and independent t-test had purposed to analysis and compare the ability to do activities and knowledge between groups.

Results showed that before receiving the discharge planning program both control and experimental groups don’t be difference of knowledge and activities of daily living (P-value = 0.72, 0.56). After the use of the discharge planning program, the experimental group had more knowledge activities of daily than the control group signifcantly (p-value = 0.001, 0.001). In the experimental group, it was found that, after receiving the program, knowledge and activities of daily living was higher than before the experiment (p-value = 0.00,0.00). Recommendations stroke patients should be cared in a stroke unit by specialist. With standard clinical practice guidelines. Multidisciplinary team should have discharge planning too It will be able to early rehabilitation , reduce complications reduce lent of stay and costs, improve quality of life Health team staff should be health promotion for knowledge of risk factors and stroke symptoms for general public. For prevent stroke.