Effect of a Preparation Plan for Hospital Discharge in Patients with Diabetes Mellitus

Abstract

Objective: to assess the effect of the preparation plan for hospital discharge on the self-care agency capacity and adherence to treatment in the patients with Diabetes Mellitus treated in the Erasmo Meoz University Hospital (Hospital Universitario Erasmo Meoz, HUEM) during 2019. Materials and methods: a quasi-experimental study, with pre-/post-test assessment in the study group, guided by Dorothea Orem’s theory, with a non-probabilistic sampling of 88 individuals, by convenience. It was conducted by implementing the following instruments: therapeutic conduct, disease or lesion, and scale to assess the self-care agency capacity (ASA); data analysis was performed in Microsoft Excel 2016 and SPSS, version 22.0. Parametric (Student’s t-test for paired samples) and non-parametric (Wilcoxon) statistical tests were also used, considering p-values < 0.05 as statistically significant. Results: the initial self-care agency capacity was 61.48 (low) and the final was 80.43 (fair); therapeutic adherence compliance in the initial assessment was occasionally shown (2.82) and frequently shown at the end (4.38), with both variables showing a statistically significant difference with p-values < 0.05. Conclusions: it was determined that the intervention performed had a positive effect on therapeutic adherence and the self-care agency capacity of the diabetic patients subjected to the intervention.

Evaluasi Pelaksanaan Discharge Planning pada Pasien Diabetes Melitus

“…Salah satu upaya dilakukan untuk mencegah komplikasi pada DM dengan pelaksanaan discharge planning yang diberikan saat pasien pertama masuk rumah sakit sampai rencana pemulangan untuk mempersiapkan individu dan keluarga dalam melakukan perawatan diri secara mandiri saat keluar dari rumah sakit (Hayajneh et al, 2020). Pada kenyataannya terjadinya komplikasi dan readmisi serta kematian pasien DM setelah rawat inap, menunjukkan bukti tidak optimalnya implementasi discharge planning pada pasien DM (Mukherjee et al, 2020;Ochoa et al, 2021)) Implementasi discharge planning menunjukan bahwa sebagian besar perawat dalam melakukan discharge planning hanya melakukan pada tahapan saat pasien akan pulang saja (Darnanik & Melaniani, 2018).…”