Titis Kurniawan
Faculty of Nursing, Universitas Padjadjaran

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Quality of Discharge Education: Chronic Diseases Patients’ Perspectives Syifa Eka Rahmawati; Titis Kurniawan; Eka Afrima Sari; Mira Trisyani; Tuti Pahria
Indonesian Journal of Global Health Research Vol 6 No 5 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6i5.3257

Abstract

Readmission is a condition where a patient needs to be re-hospitalized shortly after their initial discharge. One crucial component in preventing readmission is the quality of discharge education. Objective: This study aims to describe the quality of discharge education among patients with chronic diseases Method : A quantitative descriptive study design was used. A total of 121 in patients with chronic disease from a regional general hospital in West Java were selected through consecutive sampling. Demographic and characteristic questionnaires and the Quality of Discharge Teaching Scale (QDTS) were used as instruments. It consisting of 6 paired questions with a validity value 0.98 and reliability 0.92. Descriptive statistics were applied for data analysis. Results: Chronic patients' score of content needed and content received were high (46.7 ± 11.9). This means that patients have high information needs and the information they received from nurses answer their needs. However, there are some points where it is considered that the needed information has not been fulfilled by the information received. Conclusions: Even though the quality of the provided discharge education is high, the improvement particularly in terms of information related to who and when should be contacted and information about emotion are needed.
Readiness for Hospital Discharge among Family Caregivers of Patients with Chronic Diseases Salwa Ghaida Fauzia; Titis Kurniawan; Sri Hartati Pratiwi; Mira Trisyani; Tuti Pahria
Indonesian Journal of Global Health Research Vol 6 No 4 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6i4.3306

Abstract

Families often act as informal caregivers for family members who suffer from chronic diseases. Intensive family involvement improved patients’ adherence in performing post-discharge treatment program, hospital readmission, clinical outcomes, and quality of life. To effectively help the patients managing their diseases, the family caregivers required not only understand but also must be ready for helping patients manage their conditions. This study aims to identify the readiness for hospital discharge among family caregivers of patients with chronic diseases. Data were collected from 121 family caregivers recruited consecutively from adult inpatients wards using the respondents’ characteristics questionnaire and Readiness for Hospital Discharge Scale for Family with Adult Patients (RHDS Fam) questionnaire (inter-item correlation = 0.90, and Cronbach alpha 0.89). Descriptive analysis was applied. The results showed that most of family were female (77.7%%), unemployed (69.4%), graduated from senior high school (57.9%), and had no chronic diseases (86.8%). Generally, family caregivers reported high readiness for hospital discharge (7.75 Out of 10). While the coping abilities identified as the readiness domain with highest average score (9.07±1.15), the personal domain identified as the lowest domain (7.07 ±0.68). Higher readiness was showed in the age group of 20-40 years, female, graduated from senior high school, employed, and are the siblings of the patients. It can be concluded that the family caregivers of chronic disease patients are ready to return home and help patients continue their post-discharge treatment program. However, interventions are needed to improve their readiness related to patient’s personal status, particularly those who are male, lower educational background, unemployed, has a relationship as parents of the patients, and has a chronic illness.