The Effect Of Information Technology-Based Discharge Planning On Readiness To Go Home In Congestive Heart Failure

Abstract

Congestive Heart Failure (CHF) is a disorder of the cardiovascular system characterized by the decreased ability of the heart to pump blood to meet the body’s oxygen needs, with clinical signs including fluid overload and poor tissue perfusion. The high rate of readmission or rehospitalization occurs due to a lack of self-care and non-compliance with medical treatment, mhich affects the quality of life. The provision of IDEAL discharge planning from the moment the patient is admitted to the hospital until the patient is ready to go home is very important to provide education in order to enhace the patient’s readiness to go home. This study aims to determine the effect of providing discharge plenning based on information technology media on the readiness of CHF patients for discharge. The research design is a quasy experimental post-test only non-equivalent control group. In this research design, the measurement of discharge readiness is conducted only after the discharge planning is provided. The sample size in this study was 54 respondents divides inti two groups using purposive sampling technique. The instrument used was the Radiness for Discharge Scale (RHDS) questionnaire. The result of this study were determined based on the Independent t-test and obtained a p-value <0.05 (0.0001), meaning that discharge planning significantly affects the readiness for discharge in CHF patients at RSUD dr. Loekmono Hadi Kudus. The recommendation from this study is that healthcare professionals should utilize information technology as one way to provide discharge planning to improve the discharge readiness of CHF patients. For future research, the implementation of IDEAL discharge planning can be used as a reference, and it is advisable to expand the scope of variables studied that may influence the discharge readiness of CHF patients.