IMPLEMENTASI DISCHARGE PLANNING OLEH PERAWAT PELAKSANA DI RUANG CVBC RUMAH SAKITDR R.D KANDOU MANADO

Authors

  • Vergeina Mastur Program Studi Profesi Ners, Fakultas Keperawatan, Universitas Pembangunan Indonesia Manado
  • Esther Lontoh Program Studi Profesi Ners, Fakultas Keperawatan, Universitas Pembangunan Indonesia Manado
  • Frida Mendur Program Studi Profesi Ners, Fakultas Keperawatan, Universitas Pembangunan Indonesia Manado
  • Stevanie.C.C. Lasut Program Studi Profesi Ners, Fakultas Keperawatan, Universitas Pembangunan Indonesia Manado

DOI:

https://doi.org/10.31004/jkt.v6i4.52103

Keywords:

Discharge Planning, Leaflet Edukasi, Congestive Heart Failure, Perawatan di Rumah

Abstract

Discharge Planning merupakan salah satu komponen penting dalam praktik keperawatan yang bertujuan memastikan pasien dan keluarga siap melanjutkan perawatan di rumah setelah keluar dari rumah sakit. Pada pasien dengan Congestive Heart Failure (CHF), perencanaan pulang yang kurang optimal dapat meningkatkan risiko kekambuhan, komplikasi, hingga rehospitalisasi .Studi ini menggunakan pendekatan deskriptif dengan pelaksanaan Discharge Planning di ruang CVBCRumah Sakit Dr R.D Kandou Manado.Hasil penelitian menunjukkan perawat memiliki pemahaman yang lebih baik terkait alur discharge planning. Tersedianya media edukasi berupa leaflet mempermudah pasien dan keluarga dalam memahami langkah perawatan CHF di rumah, seperti manajemen obat, pola makan, aktivitas, dan pemantauan gejala.Kesimpulan Discharge Planning yang disertai dengan media leaflet memberikan kontribusi positif terhadap peningkatan kualitas edukasi pada pasien CHF.

References

Abidin, M. Z., Kadar, K., & Erika, D. (2022). Effectiveness of nurse-led Discharge Planning to reduce 30-day readmission in patients with Congestive Heart Failure. Jurnal Keperawatan Klinis dan Komunitas, 6(2), 123–132. https://doi.org/10.33369/jkkk.v6i2.2022

Arofiati, F. (2025). The effect of Discharge Planning videos and booklets on quality of life of heart failure patients. Cardio JMIR.

Arofiati, F. (2025). Edukasi menggunakan media booklet terhadap kualitas hidup pasien dengan gagal jantung kongestif. Jurnal Keperawatan Indonesia, 28(1), 45–55. https://doi.org/10.7454/jki.v28i1.1456

Arofiati, F., Lestari, W., & Setiawan, A. (2025). The effectiveness of Discharge Planning with booklet and video on quality of life among heart failure patients. Belitung Nursing Journal, 11(1), 15–24. https://doi.org/10.33546/bnj.2025

BMC Nursing. (2025). Effect of Discharge Planning on readiness for hospital discharge in elderly patients with chronic heart failure: A randomized controlled trial. BMC Nursing, 24(15), 1–10. https://doi.org/10.1186/s12912-025-01015-x

Fismaleni, M. (2025). The effectiveness of implementing Discharge Planning on improving family knowledge in caring for patients with coronary heart disease. Jurnal Keperawatan Poltekkes Jakarta.

Fismaleni. (2025). Hambatan implementasi Discharge Planning oleh perawat di rumah sakit rujukan nasional. Indonesian Nursing Journal of Education and Clinic, 10(2), 112–120. https://doi.org/10.5400/injec.v10i2.2201

Fitri, A., Lestari, W., & Setiawan, A. (2025). Discharge Planning with educational media to improve patient outcomes in chronic diseases: A quasi-experimental study. Journal of Nursing Education and Practice, 15(2), 55–63. https://doi.org/10.5430/jnep.v15n2p55

Fraser, M. (2024). Nursing care of the patient hospitalized with heart failure. Heart & Lung. https://doi.org/10.1016/j.hrtlng.2024.02.003

Imhof, L. (2025). Hospital Discharge Planning in cardiac care. Journal of Cardiovascular Nursing, 40(2), 101–109.

Kementerian Kesehatan RI. (2018). Standar profesi perawat Indonesia. Jakarta: Kemenkes RI.

Koontalay, A., Thanasilp, S., Jitpanya, C., & Deoisres, W. (2024). Nurse-led Discharge Planning program improves transition of care among heart failure patients: A randomized controlled trial. Nursing Open, 11(2), 1571–1581. https://doi.org/10.1002/nop2.2050

Koontalay, A., et al. (2024). Effectiveness of nurse-led heart failure transitional care interventions: A systematic review. World Scientific Evidence-based Practice Journal, 18(3), 221–234.

Koontalay, A., et al. (2024). Transitional care program for patients with heart failure: Impact on continuity of care and quality of life. Journal of Clinical Nursing.

Lambrinou, E., et al. (2025). Effectiveness of heart failure management programmes with nurse-led Discharge Planning in reducing re-admissions: A systematic review. European Journal of Cardiovascular Nursing, 24(1), 55–66.

Liu, S., Li, Y., Xu, X., Xu, M., Zhao, J., Wang, Z., … Xu, G. (2025). Global burden of heart failure from 1990 to 2021: A systematic analysis of the Global Burden of Disease Study. European Heart Journal, 46(3), 512–523. https://doi.org/10.1093/eurheartj/ehaa1125

Mulyani, R., & Sari, D. (2022). Faktor yang memengaruhi implementasi Discharge Planning di rumah sakit. Jurnal Keperawatan Indonesia, 25(3), 211–220.

Naylor, M. D., Brooten, D., Campbell, R., Maislin, G., McCauley, K. M., & Schwartz, J. S. (2017). Transitional care of older adults hospitalized with heart failure: A randomized, controlled trial. Journal of the American Geriatrics Society, 55(12), 1828–1835.

PubMed. (2022). The teach-back method reduces readmission rates in patients with Congestive Heart Failure: A systematic review and meta-analysis. Patient Education and Counseling, 105(7), 1850–1859. https://doi.org/10.1016/j.pec.2022.01.012

Rusmawati, A. (2024). The effectiveness of Discharge Planning implementation on the quality of life of post-opname patients with heart failure at hospital. The Journal of Nursing Practice, 8(2), 134–142.

Shabani, F., et al. (2021). Optimization of heart failure patients discharge plan in hospital: A systematic review. Heart & Lung: The Journal of Acute and Critical Care, 50(6), 857–865. https://doi.org/10.1016/j.hrtlng.2021.07.005

Shabani, M., Najafi Ghezeljeh, T., & Hosseini, F. (2021). Effect of nurse-led Discharge Planning on health outcomes of patients with heart failure: A randomized controlled trial. International Journal of Nursing Practice, 27(5), e12952. https://doi.org/10.1111/ijn.12952

Shabani, M., et al. (2021). Effects of Discharge Planning on medication adherence among heart failure patients. International Journal of Nursing Sciences, 8(2), 145–152.

Tian, C., et al. (2024). Impact of nurse-led education on the prognosis of heart failure: A meta-analysis. BMC Nursing, 23(1), 77. https://doi.org/10.1186/s12912-024-00777-3

Tian, Y., Zhang, H., & Chen, L. (2024). Impact of structured Discharge Planning on readmission rates in patients with chronic heart failure: A meta-analysis. BMC Nursing, 23(1), 68. https://doi.org/10.1186/s12912-024-00768-2

Tian, Y., et al. (2024). Effectiveness of structured Discharge Planning in reducing hospital readmission of heart failure patients: A randomized controlled trial. BMC Nursing, 23(1), 57.

World Health Organization. (2022). Discharge Planning guidelines for hospitals. Geneva: WHO.

World Health Organization. (2023). Cardiovascular diseases (CVDs) fact sheet. Retrieved from https://www.who.int/news-room/fact-sheets/detail/cardiovascular-diseases

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Published

2025-12-31