Effect of LIMA Discharge Planning Model on Discharge Readiness Among Patients with Diabetes Mellitus

摘要

One of the health care services for hospitalized patients is discharge planning. The main goal is maintaining continuity of advanced care at home after the patient discharge. As the chronic illness, patients with diabetes mellitus desperately need discharge planning. Effective discharge planning can ensure the patients and families take palliative care and realistic care follow-up after discharge. LIMA discharge planning model is a discharge planning development model that is prepared based on scientific studies and literature reviews that can effectively be nurses in planning the return of hospitalized patients. The aim of this study was to determine the effect of LIMA discharge planning model on the discharge readiness among patients with diabetes mellitus. The correlation study with a quasi-experimental approach was conducted in two adult wards at Hospital X Palembang between August and September 2019. Using RHDS as the discharge readiness tools, 31 diabetes mellitus patients was assessed before and after the intervention of LIMA discharge planning mode. The sample included 31 diabetes mellitus patients (51,6% older age; 58,1% male; 22,6% 3 days LOS). The pretest score from all discharge readiness factors on RHDS had lower than postest score. After the intervention of LIMA discharge planning model, discharge readiness score increased by 141.42 (95% CI, SD 17.534, SE 3.149). The paired t-test analysis showed that there was a difference mean score of discharge readiness before and after intervention of LIMA discharge planning model (-76,323, SD 21,154, 95% CI), a sig (2 tailed) value of 0,000 was smaller than alpha (0.05). So it can be concluded that there were significant difference in the mean pretest and posttest scores of discharge readiness, which means that there was an effect of the LIMA discharge planning model on the discharge readiness among patients with diabetes mellitus.