Differences in the Concerns Before the Discharge of Stroke Patients Between Homecare Patients and Facility Residents

Minotani, Shinko

Thursday, July 14, 2011

Shinko Minotani, PhD¹
Miki Shibasaki, MA²
Shizuka Harada, MA³
Yuki Arai, MA¹
(1)School of Nursing Faculty of Medicine, Toho University, Tokyo, Japan
(2)Graduate School of Allied Health Sciences Home Care Nursing, Tokyo Medical and Dental University, Tokyo, Japan
(3)School of Health Care and Nursing, Juntendo University, Urayasu-si, Japan

Learning Objective 1: The learner will be able to know the annoyance of patients before discharge.

Learning Objective 2: The learner will be able to support the discharge instruction for the stroke patients.

Differences in the concerns before the discharge of stroke patients between homecare patients and facility residents

Shinko Minotani; PhD PHN RN, Associate Professor, School of Nursing Faculty of Medicine, Toho University

Purpose

The aim of this study was to clarify the differences in the placement after discharge and the concerns prior to the discharge of stroke patients in order to determine the ideal method for effective discharge support.

Methods

The subjects consisted of homecare patients and facility residents that had experienced a stroke. This investigation period was from December 2005 to June 2007. The study was an interview survey conducted with an original multiple-choice questionnaire. The survey was conducted in a privacy-protected setting, and participation was voluntary. All names of individuals and facilities were encoded and blinded.

Results

There were 52 homecare patients and 52 facility residents.

Cerebral infarction occurred in about 70% of both populations. Thirty-two of the homecare patients were concerned prior to discharge, as were 25 of the facility residents. Nineteen of the homecare patients and 11 of the facility residents had an opportunity for consultation. The concerns of the patients in both groups included the prospect of medical treatment and their physical function, and the homecare patients were concerned about their caretakers and care, home living environment, while the facility residents were concerned about their facility, their destination after the discharge, and dissatisfaction about the discharge.

Conclusion

There are many concerns associated with discharge of homecare patients following a stroke, and most of these are directly associated with their life after the discharge. However, the facility residents had fewer opportunities for consultation, and worried about their quality of life following discharge.

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