The Development of Discharge Planning Model for End-Stage Cancer Patient

Authors

  • Pensri Rukwong Maharat Nakhon Ratchasima Hospital, Nakhon Ratchasima, Thailand
  • Mujjarin Utsawapat Maharat Nakhon Ratchasima Hospital, Nakhon Ratchasima, Thailand
  • Sunutda Kachainchai Maharat Nakhon Ratchasima Hospital, Nakhon Ratchasima, Thailand
  • Panarut Wisawatapnimit Boromarajonani College of Nursing, Bangkok, Faculty of Nursing, Praboromarajchanok Institute, Thailand

Keywords:

discharge planning, Orem’s self-care theory, palliative care, end-stage cancer patient

Abstract

Introduction: End-stage cancer patients require complex care. Based on the literature review, no studies related to a discharge planning model focusing on capacity development in patients and caregivers’ self-care were found. It is important to promote quality of life in the end-stage of patients. Research Objectives: To develop and examine the effects of using the discharge planning model for end-stage cancer patients on nursing outcomes. Research Methodology: This study was a research and development conducted at Maharat Nakhon Ratchasima Hospital during August 2019 and February 2021. It comprised three phases: 1) studying the situation, 2) developing the discharge planning model for end-stage cancer patients with a multidisciplinary team applying Orem’s self-care theory, and 3) examining the effects of using the developed model on nursing outcomes. The samples were a nine-health care provider multidisciplinary team that developed this model, 25 end-stage cancer patients each for intervention and control groups, and 25 caregivers each for intervention and control groups. Data were collected using the nursing outcomes evaluation form, and observational form. Next, data were analyzed using descriptive statistics, t-test, fisher’s exact test, and content analysis. Results: The discharge planning model comprises specialized nursing competencies, discharge planning guidelines, and nursing supervision. The results of using this model found that the patient’s self-care agency, quality of life, and success in managing symptom disturbances, as well as caregiver’s dependent care agency of intervention groups were statistically significantly higher than control groups at <.001, .002, .011, and <.001, respectively. However, complication and re-admission occurrences between intervention and control groups were not different. Conclusion: This discharge planning model can promote the patient’s self-care agency, symptom disturbance management, and quality of life, as well as the caregiver’s dependent care agency. Implications: Nurses should apply this developed discharge planning model to promote their continuing care and good nursing outcomes.

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Published

2021-04-09

How to Cite

1.
Rukwong เ, Utsawapat ม, Kachainchai ส, Wisawatapnimit พ. The Development of Discharge Planning Model for End-Stage Cancer Patient. JHNR [Internet]. 2021 Apr. 9 [cited 2022 Jun. 26];37(1):266-80. Available from: https://he01.tci-thaijo.org/index.php/bcnbangkok/article/view/249301

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Section

Research articles