TY - JOUR AU - บุญมาธรรม, จินตหรา AU - โตรักษา, สมชาติ PY - 2018/12/24 Y2 - 2024/03/29 TI - A Development of Discharge Planning in Congestive Heart Failure Patients at Vibhavadi Hospital JF - Journal of Phrapokklao Nursing College, Chanthaburi JA - JPNC VL - 29 IS - 2 SE - Research Report (รายงานการวิจัย) DO - UR - https://he01.tci-thaijo.org/index.php/pnc/article/view/162144 SP - 123 - 135 AB - <p>This experimental development research aimed to develop a new working model of discharge planning in congestive heart failure patients in coronary care unit (CCU) at Vibhavadi Hospital using the existing resources. The samples consisted of 2 groups; one group was the discharge planning activities in an experimental area (17 times) and a control area (13 times), another group was person regarding discharge planning in congestive heart failure patients included administrators, service providers, and clients. The research instruments included a new working model of discharge planning in congestive heart failure patients, four recording forms, one check-list form, and three questionnaires. The implementation and data collection were conducted from 1st June to 31th October, 2014. Content analysis, Mann-Whitney U test, and Wilcoxon signed-rank test were used for data analysis.</p><p>The research results revealed that 1) the new working model of discharge planning in congestive heart failure patients has been developed by applying relevant academic concepts and principles; and 2) after model implementation, an experimental area had statistically significant better working results than before model implementation:- the average working quantity increased (<em>p</em> &lt; .01), the accuracy of working performance increased (<em>p</em> &lt; .001), the average service time decreased (<em>p</em> &lt; .001), the average workforce consumed decreased (<em>p</em> &lt; .01), the service providers’ satisfaction increased (<em>p</em> &lt; .01), and unit cost decreased (<em>p</em> &lt; .001).</p><p>This research suggests that the health care providers in the coronary care unit should implement this model in congestive heart failure patients in order to ensure that appropriate post-discharges are in place in an effective manner. Furthermore, the nurse administrators should encourage this discharge planning as a guideline to effective hospital discharge in other chronic illness patients.</p> ER -