Efektifitas Penerapan Ideal Include Discuss Educate Asses Listen Discharge Planning terhadap Average Length of Stay AvLOS Hospital Costs pada Pasien Congestive Heart Failure

Weny Anggraini Adhisty, Saldy Yusuf, Cahyono Kaelan

Abstract

The aim of the research was to determine the effect of IDEAL Discharge Planning Implementation on Average Length of Stay (AvLOS) and Hospital Cost patients with Congestive Heart Failure (CHF). The research used quasy experiment post test only non equivalent control group design. The sample was 36 respondents consisting of 18 intervention groups and 18 control groups. Data were analyzed using two methods, Mann Withney statistical test for numerical data and Fisher's Exact Test for categorical data.The results showed that there was significant effect of discharge planning implementation on AvLOS and Hospital Cost patients with CHF with p Value < 0.05 where the mean value of AvLOS group of intervention group 4.83 days was much shorter than the mean AvLOS control group extending up to 8.28 days with p 0.015. This also has implications for Hospital Cost where the mean control group is much larger that is Rp. 6,798,659.22 while in the intervention group of Rp. 3,291.54 with significance level p 0.001.

Keywords

Average Length Of Stay (AvLOS); Discharge Planning; Hospital Cost; Congestive Heart Failure

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DAFTAR PUSTAKA

Alves, F. D., Souza, G. C., Brunetto, S., Perry, I. D. S., Biolo, A., & Aleatorizado, E. (2012). Nutritional orientation , knowledge and quality of diet in heart failure ; randomized clinical trial, 27(2), 441–448. https://doi.org/10.3305/nh.2012.27.2.5503

Bowers, J., & Cheyne, H. (2016). Reducing the length of postnatal hospital stay : implications for cost and quality of care. BMC Health Services Research, 1–12. https://doi.org/10.1186/s12913-015-1214-4

Clifford, T. (2014). Length of Stay — Discharge Criteria. Journal of PeriAnesthesia Nursing, 29(2), 159–160. https://doi.org/10.1016/j.jopan.2013.12.005

Dharma, K. (2011). Metodologi Penelitian Keperawatan: Panduan Melaksanakan dan Menerapkan Hasil Penelitian. Jakarta: Trans Infomedia.

Ong, M. K., Romano, P. S., Edgington, S., Aronow, H. U., Auerbach, A. D., Black, J. T., … Fonarow, G. C. (2016). Effectiveness of Remote Patient Monitoring After Discharge of Hospitalized Patients With Heart Failure. JAMA Internal Medicine, 176(3), 310. https://doi.org/10.1001/jamainternmed.2015.7712

Sitorus, R. (2011). Manajemen Keperawatan: Manajemen Keperawatan Di Ruang Rawat Inap. Jakarta: EGC.

Sugiyono. (2013). Metodologi Penelitian Kuantitatif-Kualitatif. Bandung: Alfabeta.

Wang, G., Zhang, Z., Ayala, C., Wall, H. K., & Fang, J. (2010). Costs of heart failure-related hospitalizations in patients aged 18 to 64 years. American Journal of Managed Care, 16(10), 769–776. https://doi.org/12728 [pii]

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