Discharge Planning Model for Preterm Infants with Birth Weight Less Than 1,500 Grams Development in a Hospital in Pathum Thani Province
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Abstract
Background: Developing a discharge planning model for preterm infants is crucial for multidisciplinary teams and families, as it helps reduce hospital readmission rates, medical costs, and the length of hospital stay.
Objective: To analyze problems, develop a discharge planning model, and evaluate the outcomes of the model for preterm infants weighing less than 1,500 grams.
Methods: The study was conducted in three phases: 1) drafting the discharge planning model through problem analysis, team collaboration, and literature review; 2) pilot testing the model with 17 nurses and 60 mothers of preterm infants using manuals, knowledge and skill assessment tools; and 3) evaluating the outcomes using descriptive statistics and Independent t-test for quantitative analysis, and content analysis for qualitative data.
Results: The discharge planning model comprised a manual, nursing practice guidelines, and outcome recording forms. Mothers in the experimental group demonstrated significantly higher knowledge and caregiving skills compared to the control group (p<0.001) and reported high levels of satisfaction. After implementing the model, readmission rates decreased by 20%, average treatment costs were reduced by 171,529.60 THB per case, and average hospital stays decreased by 21.5 days per case.
Conclusions: The discharge planning model for preterm infants weighing less than 1,500 grams is an effective tool for ensuring continuity of care through collaborative communication between multidisciplinary teams and families, thereby enhancing mothers' capabilities to care for their infants at home.
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บทความที่ได้รับการตีพิมพ์เป็นลิขสิทธิ์ของวิทยาลัยพยาบาลบรมราชชนนี จังหวัดนนทบุรี
ข้อความที่ปรากฏในบทความแต่ละเรื่องในวารสารวิชาการเล่มนี้เป็นความคิดเห็นส่วนตัวของผู้เขียนแต่ละท่านไม่เกี่ยวข้องกับวิทยาลัยพยาบาลบรมราชชนนี จังหวัดนนทบุรี และคณาจารย์ท่านอื่น ในวิทยาลัยฯ แต่อย่างใด ความรับผิดชอบองค์ประกอบทั้งหมดของบทความแต่ละเรื่องเป็นของผู้เขียนแต่ละท่าน หากมีความผิดพลาดใด ๆ ผู้เขียนแต่ละท่านจะรับผิดชอบบทความของตนเองแต่ผู้เดียว
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