Efektifitas Discharge Planning Pasien Stroke Terhadap Readmisi dan Lama Rawat

Anna Jumatul Laely

Abstract


Pendahuluan: Stroke masih merupakan penyakit yang berdampak terhadap beban biaya kesehatan tertinggi di Indonesi. Readmisi dan Lama rawat pasien di rumah sakit merupakan 2 faktor yang sangat mempengaruhi peningkatan biaya kesehatan tersebut. Discharge planning sebagai pendekatan dalam perawatan yang berkelanjutan dianggap sebagai cara utama untuk membantu pasien dan keluarga dalam pencegahan readmisi dan menurunkan lama rawat pasien stroke. Oleh karenanya studi ini dilaksankan dengan maksud untuk mengetahui bagiamana pengaruh dari discharge planning dalam menurunkan angka treadmisi dan lama rawat pasien stroke . Metode: Studi ini merupakan studi literature review yang menganalisis 10 artikel yang sesuai dengan topic, artikel ditelusuri melalui academic data based proquest, ebsco, science direct dan pubmed. Kriteria inklusi dalam pencarian artikel adalah full text, original research, bahasa Indonesia atau bahasa Inggris, dan 5 tahun terakhir. Sedangkan kata kunci yang digunakan dalam pencarian artikel adalah discharge planning, instrumen, faktor risiko, readmisi, dan pasien stroke. Hasil: Berdasarkan kelayakan diperoleh 10 artikel yang kemudian di riview. Empat artikel berbentuk quasy eksperimen, 1 artikel RCT, 4 artikel cohort study dan 1 artikel survey. Perencanaan pemulangan yang komprehensif membantu mengurangi angka readmisi pasien stroke (7 artikel), mengurangi lama rawat inap (4 artikel), dan kepuasan keluarga dalam merawat pasien di rumah (2 artikel). Simpulan: Perencanaan pemulangan yang komprehensif dan terintegrasi akan membantu mengurangi angka readmisi, lama rawat inap pasien, dan mempersiapkan keluarga untuk perawatan pasien di rumah. Kegiatan utama discharge planning adalah pemberian pendidikan dan pelatihan kesehatan kepada keluarga untuk membantu mereka mempersiapkan diri merawat pasien

Keywords


Discharge Planning, Lama Rawat, Readmisi, Stroke

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References


Abreu, P., Magalhães, R., Baptista, D., Azevedo, E., Silva, M. C., & Correia, M. (2020). Readmissions and Mortality During the First Year After Stroke—Data From a Population-Based Incidence Study. Frontiers in Neurology, 11(July), 1–11. https://doi.org/10.3389/fneur.2020.00636

Ang, S. H., Hwong, W. Y., Bots, M. L., Sivasampu, S., Aziz, A. F. A., Hoo, F. K., & Vaartjes, I. (2021). Risk of 28-day readmissions among stroke patients in Malaysia (2008–2015): Trends, causes and its associated factors. In PLoS ONE (Vol. 16, Issue 1 January). Public Library of Science. https://doi.org/10.1371/journal.pone.0245448

Bjerkreim, A. T., Khanevski, A. N., Glad, S. B., Thomassen, L., Naess, H., & Logallo, N. (2018). Thirty-day readmission after spontaneous intracerebral hemorrhage. Brain and Behavior, 8(3). https://doi.org/10.1002/brb3.935

Bjerkreim, A. T., Khanevski, A. N., Selvik, H. A., Waje-Andreassen, U., Thomassen, L., Naess, H., & Logallo, N. (2018). The Impact of Ischaemic Stroke Subtype on 30-day Hospital Readmissions. Stroke Research and Treatment, 2018. https://doi.org/10.1155/2018/7195369

Cho, J., Place, K., Salstrand, R., Rahmat, M., Mansouri, M., Fell, N., & Sartipi, M. (2021). Developing a Predictive Tool for Hospital Discharge Disposition of Patients Poststroke with 30-Day Readmission Validation. In Stroke Research and Treatment (Vol. 2021). Hindawi Limited. https://doi.org/10.1155/2021/5546766

Coombes, J. A., Rowett, D., Whitty, J. A., & Cottrell, W. N. (2018). Use of a patient-centred educational exchange (PCEE) to improve patient’s self-management of medicines after a stroke: A randomised controlled trial study protocol. BMJ Open, 8(8), 1–10. https://doi.org/10.1136/bmjopen-2018-022225

Khanevski, A. N., Bjerkreim, A. T., Novotny, V., Næss, H., Thomassen, L., Logallo, N., & Kvistad, C. E. (2018). Thirty-day recurrence after ischemic stroke or TIA. Brain and Behavior, 8(10). https://doi.org/10.1002/brb3.1108

Kitzman, P., Hudson, K., Sylvia, V., Feltner, F., & Lovins, J. (2017). Care Coordination for Community Transitions for Individuals Post-stroke Returning to Low-Resource Rural Communities. Journal of Community Health, 42(3), 565–572. https://doi.org/10.1007/s10900-016-0289-0

Kurniya, D., Elasari, Y., & Noor Anisa, F. (2020). Faktor-Faktor yang Mempengaruhi Terjadinya Readmissionpada Pasien Stroke di Rumah Sakit: Literature Review. Proceeding of Sari Mulia University Nursing National Seminars, 69–79.

Li, C. Y., Karmarkar, A., Lin, Y. L., Kuo, Y. F., & Ottenbacher, K. J. (2020). Hospital Readmissions Reduction Program and Post-Acute Care: Implications for Service Delivery and 30-Day Hospital Readmission. Journal of the American Medical Directors Association, 21(10), 1504-1508.e1. https://doi.org/10.1016/j.jamda.2020.05.018

Lin, S., Wang, C., Wang, Q., Xie, S., Tu, Q., Zhang, H., Peng, M., Zhou, J., & Redfern, J. (2022). The experience of stroke survivors and caregivers during hospital-to-home transitional care: A qualitative longitudinal study. International Journal of Nursing Studies, 130. https://doi.org/10.1016/j.ijnurstu.2022.104213

Mboi, N., Syailendrawati, R., Ostroff, S. M., Elyazar, I. R., Glenn, S. D., Rachmawati, T., Nugraheni, W. P., Ali, P. B., Trisnantoro, L., Adnani, Q. E. S., Agustiya, R. I., Laksono, A. D., Aji, B., Amalia, L., Ansariadi, A., Antriyandarti, E., Ardani, I., Ariningrum, R., Aryastami, N. K., … Mokdad, A. H. (2022). The state of health in Indonesia’s provinces, 1990–2019: a systematic analysis for the Global Burden of Disease Study 2019. The Lancet Global Health, 10(11), e1632–e1645. https://doi.org/10.1016/S2214-109X(22)00371-0

Muhsinin, S. Z., Huriah, T., & Firmawati, E. (2019). Health education video project dalam proses discharge planning meningkatkan kesiapan keluarga merawat pasien stroke. JHeS (Journal of Health Studies), 3(1), 80–87. https://doi.org/10.31101/jhes.492

Novera, M., Restipa, L., Arianti, D., Keperawatan STIKes Alifah Padang Jl Khatib Sulaiman No, I., & Padang, B. (2019). PENGARUH DISCHARGE PLANNING DENGAN PENDEKATAN FAMILY CENTERED NURSING TERHADAP KUALITAS HIDUP PASIEN STROKE. In Jurnal Keperawatan Abdurrab (Vol. 2, Issue 2).

Swanson, J. O., & Moger, T. A. (2019). Comparisons of readmissions and mortality based on post-discharge ambulatory follow-up services received by stroke patients discharged home: A register-based study 11 Medical and Health Sciences 1117 Public Health and Health Services. BMC Health Services Research, 19(1). https://doi.org/10.1186/s12913-018-3809-z

Tseng, J. H., Lin, H. S., Chen, S. M., & Chen, C. H. (2017). A comparison study between two discharge planning tools. Applied Nursing Research, 32(2016), 52–60. https://doi.org/10.1016/j.apnr.2016.04.007

Visvanathan, V. (2019). Early supported discharge services for people with acute stroke: A Cochrane review summary. International Journal of Nursing Studies, 94, 186–187. https://doi.org/10.1016/j.ijnurstu.2018.07.007

Wen, T., Liu, B., Wan, X., Zhang, X., Zhang, J., Zhou, X., Lau, A. Y. L., & Zhang, Y. (2018). Risk factors associated with 31-day unplanned readmission in 50,912 discharged patients after stroke in China. BMC Neurology, 18(1). https://doi.org/10.1186/s12883-018-1209-y

Wulandari, D. F., Sri Hariyati, R. T., & Kuntarti, K. (2021). Henderson’s approach in nursing discharge planning to improve patient satisfaction. Enfermeria Clinica, 31, S170–S174. https://doi.org/10.1016/j.enfcli.2020.12.016

Yam, C. H. K., Wong, E. L. Y., Cheung, A. W. L., Chan, F. W. K., Wong, F. Y. Y., & Yeoh, E. K. (2017). Framework and components for effective discharge planning system: A delphi methodology. BMC Health Services Research, 12(1). https://doi.org/10.1186/1472-6963-12-396

Zhang, J., Zhu, P., Liu, B., Yao, Q., Yan, K., Zheng, Q., Li, Y., Zhang, L., Li, M., Wang, J., Zhu, C., & Zhou, M. (2019). Time to recurrence after first-ever ischaemic stroke within 3 years and its risk factors in Chinese population: A prospective cohort study. BMJ Open, 9(12). https://doi.org/10.1136/bmjopen-2019-032087




DOI: http://dx.doi.org/10.30659/nurscope.9.1.25-34

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