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Indian Journal of Public Health Research & Development
Year : 2019, Volume : 10, Issue : 1
First page : ( 288) Last page : ( 292)
Print ISSN : 0976-0245. Online ISSN : 0976-5506.
Article DOI : 10.5958/0976-5506.2019.00057.3

Discharge Planning Model with Approach of Method in Improving Patients’ Readiness for Discharge in Hospitals

Jannah Nurul1, Sukartini Tintin1, Hidayat Abdul Aziz Alimul2,*

1Airlangga University, 60113, Indonesia

2University of Muhammadiyah Surabaya, 60113, Indonesia

*Corresponding Author: Abdul Aziz Alimul Hidayat Ns., M. Kes., Dr University of Muhammadiyah Jl. Sutorejo No. 59 Surabaya, 60113 Indonesia. Phone: +62 31 3811966; Mobile: +62 81 331340187, Email: azizhidayat@um-surabaya.ac.id

Online published on 21 February, 2019.

Abstract

Background

Discharge planning is one form of nursing service that is still a problem in Indonesia. That is because its implementation has not shown the patients’ readiness when returning from a hospital. One solution is to develop a discharge planning approach to Medication, Environment, Treatment, Health teaching, Outpatient referral, Diet (METHOD).

Aim & Objectives

This study aimed to analyze the discharge planning model with the METHOD approach in improving the readiness of patients returning from hospitals in Surabaya, Indonesia.

Method

The study used a quasi-experimental design with 40 patients whom were diagnosed with diabetes mellitus and were selected by purposive sampling. The data was collected with observation and interviews to assess the implementation of discharge planning and patients’ readiness models. There were 18 questions using a Likert scale with answers 1 = strongly disagree, 2 = disagree, 3 = agree, 4 = strongly agree. Moreover, patients’ readiness was measured using 16 questions consisting of questions about readiness for control, treatment, diet, activity and rest.

Results

The Mann-Whitney test results showed p value = 0.000 (p < 0.05). The intervention group that applied the discharge planning model with METHOD approach had a greater influence on the patients’ readiness behavior to go home compared to the control group.

Conclusion

The readiness of patients treated in hospitals in Surabaya, Indonesia before going home can be improved by applying a discharge planning model that used the METHOD approach.

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Keywords

Discharge planning, medication, environment, health, treatment, outpatient referral, diet.

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