The Effect Of Discharge Planning Combines Audiovisual With The Family Centered Nursing Preparedness Caring For Acute Post Stroke Patients

Abstract

Background: The low level of family readiness in caring patients at home was caused by limited implementation of discharge planning (DP) when entered the hospital (EH) or before leaved the hospital (LH), This intervention has an impact on improving nursing services. 
 Methods: This study was mixed method study, the first stage used qualitative research with exploratory descriptive approach to 5 participants at RSI Sakinah. The population was families of post ASP at Sakinah Hospital were divided into the intervention group (33) and control (33) patient, using consecutive sampling sample selection by specifying subjects who meet the research criteria are included in the study for a certain period of time, so that the number of respondents can be met. The independent variable was CADP. The dependent variable was FR to care post ASP. Data were collected using a modified FR questionnaire and analysed using Kolmogorov Smirnov, Wilcoxon sign rank, Mann Whitney.
 Results: The first phase of the study produced a CADP module for families of stroke patients, the second phase based on the Wilcoxon sign rank test showed that there was an effect after the intervention and Mann Whitney test showed the difference significant mean between intervention and control during EH (0.000; 0.000), during treatment (0.000;0.000), before LH (0.000;0.000).
 Conclusion: The CADP module and intervention increased FR to care ASP patients during EH, treatment and LH so they can be used as guides and media in providing DP education in hospitals for patients' families.

Development of Discharge Planning for Stroke Patients

“…This was achieved by providing additional training and educational programs that were interactive and organized, utilizing media such as booklets, textbooks, or PowerPoint presentations. On the other hand, the studies by Kurniati et al (2022) and Vloothuis et al (2019) utilized information technology in developing discharge planning. The incorporation of information technology in the discharge planning process involved the use of audiovisual learning programs, a combination of PowerPoint presentations and educational videos, and e-health applications such as caregiver-mediated exercises with e-health support for early supported discharge after stroke (CARE4STROKE).…”

“…There were two studies by Vloothuis et al (2019) and Kurniati et al (2022) that supported the utilization of technology, and both articles presented evidence regarding the benefits of the intervention. The incorporation of technology in the development of discharge planning demonstrated the potential to reduce anxiety and depression in stroke patients' families.…”

The Importance of Discharge Planning in Stroke Patients: Literature Review

“…Giving discharge planning has a positive impact on how patients and families rated their level of self-confidence after discharge from the hospital. So that by providing discharge planning education consistently with material that is gradual and continuous it has an impact on patient and family acceptance and understanding responses to be easier (Kurniati et al, 2022).…”

“…Research result The Effect Of Discharge Planning Combines Audiovisual With The Family Centered Nursing Preparedness Caring For Acute Post Stroke Patients Writer : (Kurniati et al, 2022) The first phase of the study produced a CADP module for families of stroke patients, the second phase based on the Wilcoxon sign rank test showed that there was an effect after the intervention and the Mann Whitney test showed a significant difference in mean between intervention and control during EH (0.000; 0.000), during treatment (0.000;0.000), before LH (0.000;0.000)…”

“…After that the stroke patient will perform outpatient treatment. The condition of patients who are medically allowed to go home has improved but in fulfilling needs and nursing is still very limited (Kurniati et al, 2022), Improving the quality of life is the main goal expected in the care of post-hospitalized stroke patients. Efforts to improve a good quality of life after a stroke are very dependent on the quality of management and care so that the participation of health workers in the stroke team is needed, in this case the health workers are also involved and the family has an understanding of the disease process, knows how to handle it and the continuity of care in the rehabilitation phase and adaptation arranged in a discharge planning.…”