Discharge Planning Pada Rehospitalisasi Pasien Congestive Heart Failure (CHF)

Penulis

  • Nurul Hidayah Departemen Keperawatan Gawat Darurat dan Keperawatan Kritis, Program Studi Profesi Ners, Fakultas Ilmu Kesehatan, Universitas Muhammadiyah Magelang, Magelang, Indonesia
  • Dian Aulia Kurniawati Departemen Keperawatan, Program Studi Profesi Ners, Fakultas Ilmu Kesehatan, Universitas Muhammadiyah Magelang, Magelang, Indonesia
  • Dewi Siti Nurkhasanah Umaryani Departemen Keperawatan, Program Studi Profesi Ners, Fakultas Ilmu Kesehatan, Universitas Muhammadiyah Magelang, Magelang, Indonesia
  • Novi Ariyani Departemen Keperawatan, Program Studi Profesi Ners, Fakultas Ilmu Kesehatan, Universitas Muhammadiyah Magelang, Magelang, Indonesia

DOI:

https://doi.org/10.30651/jkm.v5i2.5999

Kata Kunci:

Congestive Heart Failure, Discharge Planning, Readmission, Hospitalization

Abstrak

Objective:  to analyze a correlation of Congestive Heart Failure (CHF) discharge planning and readmission after hospitalization.

Methods: The  study  was  conducted  at  ICCU  Tidar  Magelang  hospital  with  27 Congestive Heart Failure (CHF)  patients  who  had  readmission after hospitalization. The sampling technique was done by consecutive sampling technique. Data analysis in this study using Chi square.  

Results:  The results of the statistical test (Chi Square) show that 1 cell (25,0%) with an expected value <5 means that the cell (box) with the expected value is below 5 is 25,0%. The minimum expected value is 2,96 meaning that there is no expected value <1. Continuity correction with p value = 0,002. The p-value of Fisher's Exact Test = 0,001. The results of the Symmetric Measures table (correlation test) obtained the value of the Contingency Coefficient (r) = 0,561 with a value of p = 0,000.

Conclusion:  The  conclusion  of  this  statistical  test  is  that  there  is   a correlation of Congestive Heart Failure (CHF) discharge planning and readmission after hospitalization.

Keywords:  Congestive Heart Failure, Discharge Planning, Readmission, Hospitalization

Biografi Penulis

Nurul Hidayah, Departemen Keperawatan Gawat Darurat dan Keperawatan Kritis, Program Studi Profesi Ners, Fakultas Ilmu Kesehatan, Universitas Muhammadiyah Magelang, Magelang, Indonesia

Departemen Keperawatan Gawat Darurat dan Keperawatan Kritis, Program Studi Profesi Ners, Fakultas Ilmu Kesehatan, Universitas Muhammadiyah Magelang, Magelang, Indonesia

Dian Aulia Kurniawati, Departemen Keperawatan, Program Studi Profesi Ners, Fakultas Ilmu Kesehatan, Universitas Muhammadiyah Magelang, Magelang, Indonesia

Departemen Keperawatan, Program Studi Profesi Ners, Fakultas Ilmu Kesehatan, Universitas Muhammadiyah Magelang, Magelang, Indonesia

Dewi Siti Nurkhasanah Umaryani, Departemen Keperawatan, Program Studi Profesi Ners, Fakultas Ilmu Kesehatan, Universitas Muhammadiyah Magelang, Magelang, Indonesia

Departemen Keperawatan, Program Studi Profesi Ners, Fakultas Ilmu Kesehatan, Universitas Muhammadiyah Magelang, Magelang, Indonesia

Novi Ariyani, Departemen Keperawatan, Program Studi Profesi Ners, Fakultas Ilmu Kesehatan, Universitas Muhammadiyah Magelang, Magelang, Indonesia

Departemen Keperawatan, Program Studi Profesi Ners, Fakultas Ilmu Kesehatan, Universitas Muhammadiyah Magelang, Magelang, Indonesia

Referensi

Andrianto. (2008). Nesiritide Intravena Suatu Peptida Natriuretik untuk Terapi Gagal Jantung Akut. Unair. Surabaya. Diakses pada 9 September 2020. Retrieved from: http://arekkardiounair.blogspot.com/2008_08_22_archive.html.

Ardiansyah. (2012). Keperawatan Medikal Bedah. Yogyakarta: DIVA Press.

Azimatunnisa’. (2011). Hubungan Discharge Planning dengan Tingkat Kesiapan Klien dalam menghadapi Pemulangan di RS PKU Muhammadiyah Yogyakarta. Yogyakarta: STIKes ‘Aisyiyah Yogyakarta.

Azizah, A., Widayati, D., & Rachmania, D. (2017). Discharge Planning mempengaruhi Kualitas Pelayanan Keperawatan. Journals of Ners Community. 8 (1), 31-39.

Blauer, C., Frei, I., Schnepp, W., & Spirig, R. (2015). Implementation of a Nurse-Led Education Proramme for Chronic Heart Failure Patients during Hospitalization, and Strategies Supporting Their Self Management at Home: A Practice Development Project in The Context of The Swiss Health Care System. International Practice Development Journal. (1) 115.

Bradke, P. (2009). Transisi Depan Program mengurangi Readmissions untuk Pasien Gagal Jantung. Diakses pada 9 September 2020. Retrieved from: http://www.inovations.ahrq.gov/content.as px%3Fid%3D2206.

Dedhia, P., Kravet, S., Bulger, J., Hinson, T., Sridharan, A., Kolodner, K., dan Howell, E. (2009). A Quality Improvement Intervention to Facilitate The Transition of Older Adults from Three Hospitals Back to Their Homes. Journal of the American Geriatrics Society, 57(9), 1540-1546. doi: 10.1111/j.1532-5415.2009.02430.x.

Graham, J., Gallagher, R., & Bothe, J. (2013). Nurses' Discharge Planning and Risk Assessment: Behaviours, Understanding, and Barriers. Journal of Clinical Nursing. (22), 15-16.

Hidayah, N. & Amin, M. K. (2017). PKU bagi Emergency Rescue Team (ERT) untuk mengatasi Kondisi Gawat Darurat melalui Basic Life Support (BLS). The 6th University Research Colloquium, 1-6.

Hidayah, N. & Wahyuningtyas, E.S. (2018). Hubungan Kepatuhan Penggunaan Obat dengan Rehospitalisasi Pasien Congestive Heart Failure (CHF) di ICCU RSUD Tidar Kota Magelang. Jurnal Ilmiah Keperawatan (Scientific Journal of Nursing), 4(1), 1-6.

Hidayah, N., Wahyuningtyas, E.S., & Shalahuddin, I. (2018). Congestive Heart Failure Self-Management Education and Readmission after Hospitalization. Malahayati International Journal of Nursing and Health Science, 1(4), 59-62.

Iskandar, R. (2016). Gambaran Pelaksanaan Discharge Planning Pada Pasien Diabetes Mellitus Di Ruang Bougenville Dan Gardenia RSUD Wates Yogyakarta. Retrieved from: http://repository.unjaya.ac.id/2872/.

Mazimba, S. E. (2011). Impact of Congestive Heart Failure Discharge Planning on Congestive Heart Failure Readmission Rates. Wright State University, Dayton, Ohio.

Ong, M. K., Romano, P. S., Edgington, S., Aronow, H. U., Auerbach, A. D., Black, J. T., … Fonarow, G. C. (2016). Effectiveness of Remote Patient Monitoring after Discharge of Hospitalized Patients with Heart Failure. JAMA Internal Medicine, 176(3), 310. https://doi.org/10.1001/jamainter nmed.2015.7712.

Ouslander, J. et al. (2010). Potentially Avoidable Hospitalizations of Nursing Home Residents: Frequency, Causes, and Costs. Journal of the American Geriatrics Society 58 (4), 627–35.

Padila. (2012). Buku Ajar Keperawatan Medikal Bedah. Yogyakarta: Nu Med.

Smeltzer, S. & Bare, G. (2013). Keperawatan Medikal Bedah Brunner dan Suddarth. Edisi 8 volume 2. Jakarta: EGC.

Thomas. (2018). Reducing Congestive Heart Failure Hospital Readmissions through Discharge Planning. Retrieved from: https://scholarworks.waldenu.edu/dissertations/5138/.

Unduhan

Diterbitkan

2020-12-01

Terbitan

Vol 5 No 2 (2020): JURNAL KEPERAWATAN MUHAMMADIYAH

Bagian

Full Artikel

Lisensi

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