Development of a Discharge Planning Model for Pregnant Women with Preterm Labor Phayakkhaphumphisai Hospital, Mahasarakham Province

Abstract

This action research The objective is to develop a discharge planning model for pregnant women with preterm labor Phayakkhaphumphisai hospital.  Develop the model together with the nursing team and related multidisciplinary teams. Using the concept of distribution planning D-M-E-T-H-O-D Research period: 1 October 2021 - 30 September 2022. Evaluate the development of a discharge planning model from the self-care behavior of pregnant women. and results of care from readmission of pregnant women with preterm labor and birth. Quantitative data were analyzed using descriptive statistics such as numbers and percentages. Qualitative data used content analysis.

The results of the study found that the model for planning the discharge of pregnant women with premature labor pains consists of 1 component: 1: Organizing the service system to be ready and supporting discharge planning for pregnant women with premature labor pains. Component 2: Guidelines for planning the discharge of pregnant women with premature labor, consisting of 4 steps: 1) assessment step, 2) nursing care step in the delivery room, 3) discharge planning step using D-M-E-T-H-O-D, 4) continuous monitoring step at home. This is considered to be an appropriate form of caring for women. Pregnant women with labor pains receive appropriate care. Able to continue the pregnancy After using the model to evaluate results, it was found that As a result, pregnant women had premature birth from 44.19 to 22.22 percent. The use of birth control pills decreased from 29.07 to 13.33, which is in a decreasing trend. The readmission rate decreased from 53.48 to 24.44.

A model for discharge planning for pregnant women with preterm labor has been developed. From participation and bringing ideas Distribution planning D-M-E-T-H-O-D Become a guideline for operations to enable pregnant women to take better care of themselves. Helps reduce premature birth Reduce repeat admissions for treatment As a result, mothers and babies are safe.