| Summary: | 碩士 === 義守大學 === 醫務管理學系碩士班 === 99 === Psychiatric acute inpatients are usually hospitalized longer than other patients. A comprehensive discharge planning can help the patients schedule their discharge placements, cure track, improve the patients’ quality of life and adaptation to their daily life, and reduce re-hospitalization. The purpose of this study is to develop an acute discharge planning for psychiatric inpatient and explore the effect of the revised plan to prepare acute psychiatric inpatients back to psychiatric outpatient.
This study had two phases. In the first phase we used the Instrumental activities of daily living, Medication Adherence Rating Scale, Family Adaptation Partnership growth affection and resolve, Scale for suicide Intent and Violent Attack Risk to design the new discharge planning. In the second phase we collected data of patients from original discharge planning and compared with data from revised discharge planning service. Evaluation of the relationship of the five scales was performed. Knowledge and the patient’s follow-up rate and attitude of nursing staff were also explored.
Results of this study showed that the scores of five assessment scales and follow-up rate were statistically significant correlated in family functioning and violence risk. The discharge planning is important for the psychiatric inpatient. Therefore, a more suitable discharge plan is imperative for hospital preparedness aiming to improve prognosis for patients and family’s understanding of the patients’ situation.
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