Application of Discharge Planning Model in Respiratory Department_West China Medical Journal

Authors：

 FENGMei , ZHANGTing-ting , XIELi ,  ZHUJing

Department of Respiratory and Critical Care Medicine, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding author：

ZHUJing, Email: zhu-jing2008@163.com

Keywords：

Discharge planning model; Constant care; Patients' satisfaction

DOI：

10.7507/1002-0179.20150661

Video：

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Objective To explore the application of discharge planning model in Respiratory Department. Method We 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. Results After implementation of discharge planning model, all observed indicators were significantly better in the observation group (P<0.05). Conclusions Implementation 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.

Citation： FENGMei, ZHANGTing-ting, XIELi, ZHUJing. Application of Discharge Planning Model in Respiratory Department. West China Medical Journal, 2015, 30(12): 2311-2314. doi: 10.7507/1002-0179.20150661 Copy

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2. 于浩, 姜小鹰, 邱小雪, 等. 护士对出院计划模式的认知[J]. 中华护理教育, 2010, 7(6):243-245.
3. 唐丽, 李建军, 高峰, 等. 出院计划的国际实施进展及认识[J]. 中国康复理论与实践, 2015, 21(6):634-641.
4. 黄天雯, 张小燕, 成守珍, 等. 试论适合城市社区发展的老年慢性疾病患者出院后照护模式的构建[J]. 中国实用护理杂志, 2009, 25(10):51-53.
5. Mcmartin K. Discharge planning in chronic conditions:an evidence-based analysis[J]. Ont Health Technol Assess Ser, 2013, 13(4):1-72.
6. 陈琴, 姜小鹰, 钟清玲, 等. 慢性阻塞性肺疾病患者应用出院计划服务的效果评价[J]. 中华护理杂志, 2012, 47(9):790-794.
7. 卢珏, 薛小玲, 赵雪萍, 等. 出院计划在脑卒中患者照顾者中的应用[J]. 中华现代护理杂志, 2012, 18(30):3610-3612.
8. 马晓衡, 李燕. 发展中的社区卫生服务现状分析探究[J]. 中国医药导报, 2013, 10(27):151-153.
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10. 李建军, 唐丽, 高峰, 等. 我国出院计划的现状及思考[J]. 中国康复理论与实践, 2015, 21(6):628-633.
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12. 汤维娟. 上海市癌症病人连续性照护模式的构建[D]. 上海:第二军医大学, 2011.
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14. 陈琴, 姜小鹰, 钟清玲, 等. 出院计划模式对慢性阻塞性肺疾病患者自我效能的影响[J]. 护士进修杂志, 2012, 27(12):1126-1129.
15. 陈茜, 钟文逸, 郭菊红. 老年患者反复住院治疗且择同一病房原因调查[J]. 华西医学, 2010, 25(10):1918.

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Application of Discharge Planning Model in Respiratory Department

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