A Study Of Discharge Planning Mode To Self-care Of Stroke Patients

ObjectivesDischarge planning mode is an extension of the hospital care after patients aredischarged from the hospital. To improve patients’self-care ability, stroke patientswere continuity taken care by the discharge planning mode. To evaluate applicationeffect of discharge planning mode in patients for self-care ability. Whether theintervention effect of discharge planning mode is superior to the existing conventionaldischarge health guidance.MethodsIn this study,50clients were selected from each department of neurology of ahospital in Changchun city. They were randomly set in the intervention group and thecontrol group. There were5cases that had lost during the study. Finally the total95tocomplete the task, in which the intervention group consists of48, the control groupconsists of47. Patients in the intervention group and the control group were bothaccepted health education. Intervention group provided health education handbookand discharge planning for3months. Control group only provided health educationhandbook. The discharge planning included two stages. One intervention site is incommunication room or ward in hospital4times for20~30minutes. The other one isin family or rehabilitation department post-discharge. The control group receivedtelephone follow-up once for5~10minutes and family follow-up twice for40~60during the period. Measuring tool included general information questionnaire, strokeknowledge questionnaire, ESCA and BI index. A database was established byEpiData3.02software and the data was analyzed using SPSS17.0software.Socio-demographical characteristics were described by descriptive analysis. Stroke knowledge questionnaire and ESCA were described by t test. BI index wasdetermined by repetitive analysis of variance.Results1. The value for Cronbach’s α of the internal consistency for stroke knowledgequestionnaire is0.917and corresponding content validity is good. S-CVI is86.7%,S-CVI/Ave is97.73%. The rang of I-CVI is0.83.2. After the intervention, two groups had great significance(P＜0.05) on the totalscore of stroke knowledge．Before and after the intervention, the intervention grouphad great significance(P＜0.05) on the total score of stroke knowledge. Before andafter the intervention, the control group had significance(P＜0.05) on the total scoreof stroke knowledge, compared with each latitude score of stroke knowledge. After theintervention,There is a significant difference on diet, life-style, rehabilitation, pathemabetween two groups. There is a significant difference on each latitude in the controlgroup before and after the intervention(P＜0.05). There is a significant difference ondiet, life-style, pharmacy, pathema in the control group before and after theintervention(P＜0.05).3. After the intervention, two groups had great significance(P＜0.05) on the totalscore of ESCA．Before and after the intervention, the intervention group had greatsignificance(P＜0.05) on the total score of ESCA. Before and after the intervention,the control group had great significance(P＜0.05) on the total score of ESCA,compared with each latitude score of ESCA.After the intervention, there is asignificant difference on self-concept, self-care skills, self-responsibility between twogroups. There is a significant difference on each latitude in the intervention groupbefore and after the intervention(P＜0.05). There is a significant difference onself-concept, self-care skills in the control group before and after the intervention(P＜0.05).4. Before the intervention, the total score of BI is no significant differencebetween two groups (P＞0.05). The result of control groups suggested that BI scoresincrease along with the extension of time, the difference of BI index reached significant at each time point besides the difference between6weeks and3monthsafter being discharged. There is a significant difference between post-discharge and6th week in the control group(P＜0.05). There is no significant difference between6weeks and3months in the control group(P＞0.05).Conclusions1. The discharge planning have a positive effect on the knowledge of stroke.2. The discharge planning can improve the self-care ability of stroke patients.3.The discharge planning can improve ability of daily life of stroke patients.