THE POTENTIAL EFFECTS OF AN ADAPTED NURSING DISCHARGE PLAN AMONG PATIENTS WITH HIP FRACTURES IN HOSPITAL MELAKA, MALAYSIA

International Journal on Integration of Knowledge Pub Date : 2023-04-10 DOI:10.31436/ijiok.v1i1.9

N. Kadir, Sasiporn Ounjaichon, A. Aris, Thandar Soe Sumaiyah Jamaludin, M. C. Che Hasan

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Abstract

Background: Patients with hip fractures frequently face the problem of a longer stay in the ward after surgery and being readmitted, falls, and being unable to carry out daily activities after discharge from the hospital. A nursing discharge plan is widely recognised as one of the strategies for addressing these issues. In Malaysia, however, it is unknown for patients with hip fractures. As a result, this study was carried out to investigate the impact of nursing discharge planning on patients with hip fractures in Hospital Melaka, Malaysia. Methods: A total of 58 patients aged 50 years and above in the orthopaedic ward of Hospital Melaka were randomised using sealed envelopes to the intervention group (n = 29) and the control group (n = 29). The intervention group received an adapted nursing discharge plan with health education activities in the form of pamphlets and oral instructions within 24 hours of ward admission until discharge while the control group received routine discharge practices. Demographic data were taken from the study subjects while clinical data and length of stay in the ward were taken from the subjects’ medical records before discharge. After one month discharged, data for ward readmission rate and drop rate were taken from the subject's medical records while data for the subject's daily life activities were obtained through telephone calls using The Barthel Index survey form. Results: The results of the study showed that the intervention group had a shorter ward stay (U = 254.00, p = 0.008) and a higher level of independence than the control group (U = 205.00, p = 0.001). The control group had 100% of subjects who were not able to be independent in daily activities of life compared to 75.9% of the intervention group (p <0.05). Conclusion: A nursing discharge plan including a health education component starting from the patient's admission to the ward until before the discharge should be considered in the nursing practice. It could facilitate better discharge outcomes for patients with hip fractures.

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马来西亚马六甲医院髋部骨折患者适应护理出院计划的潜在影响

背景:髋部骨折患者经常面临术后住院时间较长、再次入院、跌倒、出院后不能进行日常活动等问题。护理出院计划被广泛认为是解决这些问题的策略之一。然而，在马来西亚，髋部骨折患者的情况尚不清楚。因此，本研究旨在探讨护理出院计划对马来西亚马六甲医院髋部骨折患者的影响。方法:将58例50岁及以上的马六甲医院骨科病房患者采用密封信封随机分为干预组(n = 29)和对照组(n = 29)。干预组患者在入院至出院前24小时内接受调整后的护理出院计划，其中包括以小册子和口头指导形式进行健康教育活动;对照组患者接受常规出院操作。人口统计数据来自研究对象，而临床数据和住院时间则来自研究对象出院前的病历。出院1个月后，从受试者的病历中获取再入院率和住院率数据，并通过电话使用the Barthel Index调查表获取受试者的日常生活活动数据。结果:研究结果显示，干预组住院时间较对照组短(U = 254.00, p = 0.008)，独立性水平较对照组高(U = 205.00, p = 0.001)。对照组患者不能独立生活的比例为100%，干预组为75.9% (p <0.05)。结论:在护理实践中应考虑制定出院护理计划，包括从患者入院到出院前的健康教育内容。它可以促进髋部骨折患者更好的出院结果。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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International Journal on Integration of Knowledge

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