ObjectiveTo explore the application of discharge planning model in Respiratory Department. MethodWe developed discharge planning model in the Respiratory Department and performed standardized management on inpatients by assessing, planning, implementing and following up the whole process. A total of 716 discharged patients before the implementation of the planning model (January to March 2014) were designated as the control group, and 739 discharged patients after the model implementation (April to June 2014) were regarded as the observation group. Then, we compared such indexes as the rate of discharge planning, average length of hospital stay, retention rate of discharged patients, the number of new hospital admissions and medical orders during the time of weak nurse strength, and inpatient satisfaction before and after the model implementation. ResultsAfter implementation of discharge planning model, all observed indicators were significantly better in the observation group (P<0.05). ConclusionsImplementation of discharge planning model can effectively promote physician-nurse cooperation, plan health guidance for discharged patients, make them be ready to return to society and family, improve patients' satisfaction, and achieve the aim of patient-oriented high quality care. Meanwhile, it also can shorten the average length of hospital stay, reduce orders during the time of weak strength. It can not only ensure the ward medical indexes, but is helpful to manage nursing schedule.
Due to the high incidence rate, high mortality rate, high disability rate, high recurrence rate and many complications of stroke, patients are easily re-admitted after discharge, which seriously affects their quality of life. A scientific and standardized discharge plan can ensure continuous medical care for stroke patients, reduce readmission rates, and improve patient outcomes, which is of great significance for reducing the burden of stroke. This paper reviewes the development and connotation, the nursing model and the implementation status of the discharge planning among stroke patients at home and abroad, and makes recommendations on the opportunities and challenges of implementing the stroke discharge plan, in order to provide a reference for scientific and standardized stroke disease management.
Patients with stroke are often in the early stage of recovery at the time of discharge, with many experiencing functional or cognitive impairments. Additionally, patients and their caregivers generally lack the knowledge and skills for disease management, leading to recurrent episodes and a high risk of readmission. This severely impacts patients' quality of life and increases the burden on families and society. A scientific and standardized discharge plan is crucial for ensuring continuity of care and improving the prognosis. Therefore, this guideline was developed by a multidisciplinary team, initiated by the Evidence-based Nursing Center with support from the Neurosurgery Branch of the Chinese Medical Association and West China Hospital, Sichuan University. Clinical questions were formulated through systematic reviews and stakeholder interviews, and key issues were identified through expert consultations. Evidence summaries and evidence quality grading were conducted based on domestic and international evidence. Finally, 21 recommendations were formed through expert consensus, covering the entire process of discharge planning for stroke patients, including assessment, preparation, implementation, and follow-up. This guideline aims to provide scientific, standardized, and actionable guidance for clinical practice, promote the standardized implementation of discharge planning, enhance continuity of care, reduce readmission rates, and improve patient prognosis and quality of life.