Development of Discharge planning Model for Stroke patients at PhoChai Hospital Roi Et Province.

Abstract

     This study aimed to develop a discharge planning and continuous care model for stroke patients in the inpatient nursing department of Pho Chai Hospital, Roi Et Province. This research and development of a discharge planning and continuous care model for stroke patients, using the DMETHOD discharge planning concept from the Nursing Division, Ministry of Public Health, and the continuous care concept by Orraphan Tosingh as a conceptual framework. The sample group consisted of 33 stroke patient caregivers. The research was conducted between February 2026 and April 2026. The research was divided into four phases. A satisfaction questionnaire, feasibility assessment, and quality of life assessment were used to evaluate the results. Descriptive statistics were used, including frequency distribution, percentage, mean, and standard deviation.

     Research Results: From focus group discussions with caregivers and staff providing care to stroke patients at Pho Chai Hospital, six key issues concerning stroke patient care were identified. These issues were then used to improve discharge planning and continuous care for stroke patients. The findings were then applied to patients and evaluated. The feasibility of the discharge planning and continuous care model was assessed as high overall (=4.50, SD=0.031). The satisfaction of professional nurses with the discharge planning and continuous care model was high overall (=4.11, 5D=0.113). The quality of life outcomes for stroke patients after receiving discharge planning and continuous care showed a moderate quality of life score in 53.33% and a good quality of life score in 46.67%. Patient/caregiver satisfaction with the discharge planning and continuous care services for stroke patients was also assessed. Overall, the results were at a high level (=4.32, SD=0.220)