Effectiveness of Discharge Planning Program for Patients with Chronic Obstructive Pulmonary Disease at Mae Taeng Hospital, Chiang Mai Province
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Abstract
This quasi-experimental two-group pretest–posttest aimed to evaluate the effectiveness of a discharge planning program for patients with chronic obstructive pulmonary disease (COPD) at Mae Taeng Hospital, Chiang Mai Province. The study aimed to compare readmission rates, length of stay, patient satisfaction, and adherence to care plans between intervention and control groups. The sample consisted of 120 COPD patients admitted to Mae Taeng Hospital, selected through purposive sampling based on predefined eligibility criteria and divided into intervention group (60 patients) and control group (60 patients). Research instruments included general information forms, discharge planning program, satisfaction, adherence assessment forms, and clinical outcome records. The instruments demonstrated content validity, with the satisfaction questionnaire yielding an IOC of .86 and the care plan adherence assessment yielding an IOC of .84, and reliability (Cronbach's alpha = .92). Statistical analyses included descriptive statistics, Chi-square test, and Independent t-test.
The results showed that the intervention group had a significantly lower 30-day readmission rate (8.33%) compared to the control group (26.67%), with statistical significance at the .05 level (χ² = 7.48, p = .006). The intervention group also had a shorter length of hospital stay, with a mean of 4.8 ± 1.9 days compared to 5.7 ± 2.3 days in the control group, which was statistically significant at the .05 level (t = 2.15, p = .034), with a mean difference of 0.9 days. Patient and family satisfaction was at a good level (4.1 ± 0.5), and adherence to care plans was good (83.3%).
The study recommends implementing this program as a standard practice for COPD patient care at Mae Taeng Hospital and expanding it to other community hospitals in Thailand, with long-term follow-up studies and economic evaluation to assess cost-effectiveness
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