The Impact of Discharge Planning on Enhancing Independence in Ischaemic Stroke Patients: A Post-hospitalisation Rehabilitation Approach.

IF 1.5 Q4 MEDICINE, RESEARCH & EXPERIMENTAL

Malaysian Journal of Medical Sciences Pub Date : 2025-04-01 Epub Date: 2025-04-30 DOI:10.21315/mjms-01-2025-027

Upik Rahmi, Lisna Anisa Fitriana, Suci Tuty Putri, Septian Andriyani, Farida Murtiani

{"title":"The Impact of Discharge Planning on Enhancing Independence in Ischaemic Stroke Patients: A Post-hospitalisation Rehabilitation Approach.","authors":"Upik Rahmi, Lisna Anisa Fitriana, Suci Tuty Putri, Septian Andriyani, Farida Murtiani","doi":"10.21315/mjms-01-2025-027","DOIUrl":null,"url":null,"abstract":"Background: Ischaemic stroke is a leading cause of physical disability, significantly impacting patients' independence in daily activities. The inability to perform basic activities of daily living poses a major challenge for post-stroke patients, affecting their quality of life. Discharge planning is a crucial approach in stroke rehabilitation aimed at enhancing patient independence after hospitalisation. This study evaluated the impact of structured discharge planning on the independence of ischaemic stroke patients.Methods: A quasi-experimental design was employed, with the intervention group receiving discharge planning and the control group receiving no intervention. Patient independence was assessed by applying the Barthel Index, evaluating their ability to perform daily activities before and after the intervention.Results: The intervention significantly improved the independence levels of the participants in the intervention group, as measured by the Barthel Index, with their mean score increasing from 2.8 to 11.3. In comparison, the control group also showed improvement, with the mean score rising from 5.7 to 10.1.Conclusion: Discharge planning effectively enhances the independence of patients with ischaemic stroke. Implementing this programme in hospitals is expected to reduce patient dependency and improve the quality of life.","PeriodicalId":47388,"journal":{"name":"Malaysian Journal of Medical Sciences","volume":"32 2","pages":"99-107"},"PeriodicalIF":1.5000,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12513534/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Malaysian Journal of Medical Sciences","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.21315/mjms-01-2025-027","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/4/30 0:00:00","PubModel":"Epub","JCR":"Q4","JCRName":"MEDICINE, RESEARCH & EXPERIMENTAL","Score":null,"Total":0}

引用次数: 0

Abstract

Background: Ischaemic stroke is a leading cause of physical disability, significantly impacting patients' independence in daily activities. The inability to perform basic activities of daily living poses a major challenge for post-stroke patients, affecting their quality of life. Discharge planning is a crucial approach in stroke rehabilitation aimed at enhancing patient independence after hospitalisation. This study evaluated the impact of structured discharge planning on the independence of ischaemic stroke patients.

Methods: A quasi-experimental design was employed, with the intervention group receiving discharge planning and the control group receiving no intervention. Patient independence was assessed by applying the Barthel Index, evaluating their ability to perform daily activities before and after the intervention.

Results: The intervention significantly improved the independence levels of the participants in the intervention group, as measured by the Barthel Index, with their mean score increasing from 2.8 to 11.3. In comparison, the control group also showed improvement, with the mean score rising from 5.7 to 10.1.

Conclusion: Discharge planning effectively enhances the independence of patients with ischaemic stroke. Implementing this programme in hospitals is expected to reduce patient dependency and improve the quality of life.

查看原文本刊更多论文

出院计划对提高缺血性脑卒中患者独立性的影响：一种住院后康复方法。

背景：缺血性脑卒中是导致身体残疾的主要原因，严重影响患者日常活动的独立性。无法进行基本的日常生活活动是中风后患者面临的主要挑战，影响了他们的生活质量。出院计划是脑卒中康复的关键方法，旨在提高患者住院后的独立性。本研究评估结构化出院计划对缺血性脑卒中患者独立性的影响。方法：采用准实验设计，干预组进行出院计划，对照组不进行干预。采用Barthel指数评估患者的独立性，评估他们在干预前后进行日常活动的能力。结果：干预显著提高了干预组参与者的独立性水平，以Barthel指数衡量，其平均得分从2.8提高到11.3。相比之下，对照组也有所改善，平均得分从5.7上升到10.1。结论：出院计划能有效提高缺血性脑卒中患者的独立性。在医院实施这一方案预计将减少病人的依赖性，提高生活质量。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Malaysian Journal of Medical Sciences MEDICINE, RESEARCH & EXPERIMENTAL-

CiteScore

2.70

自引率

0.00%

发文量

审稿时长

9 weeks

期刊介绍： The Malaysian Journal of Medical Sciences (MJMS) is a peer-reviewed, open-access, fully online journal that is published at least six times a year. The journal’s scope encompasses all aspects of medical sciences including biomedical, allied health, clinical and social sciences. We accept high quality papers from basic to translational research especially from low & middle income countries, as classified by the United Nations & World Bank (https://datahelpdesk.worldbank.org/knowledgebase/ articles/906519), with the aim that published research will benefit back the bottom billion population from these countries. Manuscripts submitted from developed or high income countries to MJMS must contain data and information that will benefit the socio-health and bio-medical sciences of these low and middle income countries. The MJMS editorial board consists of internationally regarded clinicians and scientists from low and middle income countries.