The Impact of Discharge Planning on Enhancing Independence in Ischaemic Stroke Patients: A Post-hospitalisation Rehabilitation Approach.
Upik Rahmi, Lisna Anisa Fitriana, Suci Tuty Putri, Septian Andriyani, Farida Murtiani
Abstract
Open AccessBackground: 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.