Effects of a Discharge Planning Program on Knowledge, Self-Care Behavior, and Hospital Readmission Rate after Discharge of the Patients with Stroke
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Abstract
This quasi-experimental research aimed to examine the effects of the IDEAL model discharge planning program for stroke patients by comparing knowledge, self-care behavior, hospital readmission rates after discharge, and satisfaction with the program to those of conventional discharge planning. The sample consisted of two groups: (1) 60 ischemic stroke patients admitted to the hospital, divided into an experimental group who received the IDEAL model discharge planning program (30 patients), and a control group who received conventional discharge planning (30 patients); and (2) 15 professional nurses. The research instruments included the IDEAL model discharge planning program for stroke patients, a teaching plan and stroke knowledge manual, a form for recording personal data and evaluating patients’ self-care behavior, a stroke knowledge assessment form, and a satisfaction assessment form for both patients and nurses. All research instruments were validated for content accuracy by three experts. Data were analyzed using descriptive statistics and independent sample t-tests. The research findings indicated that:
1. Ischemic stroke patients who received the IDEAL model program had higher knowledge and self-care behaviors than those who received conventional discharge planning, with statistical significance at the .05 level.
2. Ischemic stroke patients who received the IDEAL model program had a lower hospital readmission rate after discharge than patients who received conventional discharge planning.
3. Ischemic stroke patients and professional nurses were more satisfied with the IDEAL model program than with conventional discharge planning.
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