Development of a Discharge Planning With Empowerment Enhancement Model for Elderly Patients with Pneumonia, Thung Khao Luang Hospital

Abstract

Purposes : To study problem conditions, develop models, and evaluate discharge planning with empowerment enhancement model for elderly patients with pneumonia.

Study design : Research and development design

Materials and Methods : A total of 70 subjects were caregivers of elderly patients with pneumonia and professional nurses divided into 2 groups: pre-experimental and postexperimental groups. We were conducted between April and September 2023, the operation was divided into 3 phases: problem study phase, development phase, and trial phase. Data were collected using questionnaires and focus group guidelines and analyzed the data using frequency, percentage, mean, standard deviation and percentage difference.

Main findings : Problems were found in both structural aspects, process side and results. The discharge planning model consists of steps (1) assessing patient and caregiver problems, (2) determining diagnosis, (3) planning discharge, (4) implementing the plan, and (5) evaluating discharge planning results. And after development it was found that Caregivers of elderly patients with pneumonia had a 56.73% increase in overall self-efficacy and satisfaction with  discharge planning model. Overall at a high level (Mean=4.17, SD= 0.39).

Conclusion and recommendations : The results of this research result in increased competency for caregivers of elderly patients. Therefore, relevant agencies should use it to develop their work.