Windy Mei Windy Mei Reza

HUBUNGAN PELAKSANAAN DISCHARGE PLANNING DENGAN BARTHEL INDEX PASIEN DI RUANG RAWAT INAP RSUD JENDERAL AHMAD YANI METRO

Introduction

Hubungan pelaksanaan discharge planning dengan barthel index pasien di ruang rawat inap rsud jenderal ahmad yani metro. Penelitian ini mengkaji hubungan discharge planning dengan Barthel Index pasien lansia di RSUD Jenderal Ahmad Yani Metro. Hasil menunjukkan hubungan signifikan (p=0,000) untuk kemandirian pasca-rawat inap.

Abstract

Pada tahun 2022 di Kota Metro terdapat 31,8% lansia yang tidak mandiri dalam beraktivitas sehari-hari. Ketergantungan ini dapat berdampak pada kesehatan fisik, mental, serta menurunkan kepercayaan diri lansia. Salah satu alat ukur yang digunakan dalam menilai kemandirian lansia adalah Barthel Index, yang mengukur tingkat ketergantungan pasien dalam berbagai aktivitas sehari-hari. Selain itu, peran Discharge Planning menjadi penting dalam membantu lansia mempertahankan atau meningkatkan kemandiriannya setelah perawatan di rumah sakit. Tujuan penelitian ini adalah untuk Mengetahui hubungan pelaksanaan Discharge planning dengan barthel index pasien di ruang rawat inap RSUD Jenderal Ahmad Yani Metro.Jenis penelitian yang digunakan adalah kuantitatif dengan pendekatan cross sectional. Objek penelitiannya adalah Discharge Planning dan Barthel index Subyek penelitiannya adalah Lansia di ruang rawat inap . Penelitian ini dilakukan di ruang rawat inap RSUD Jenderal Ahmad Yani Metro pada tanggal 25 Oktober - 25 November 2024. Jumlah sampel penelitian ini berjumlah 109 responden. Metode yang digunakan untuk pengambilan sampel dengan menggunakan metode accidental sampling. Penelitian ini menggunakan uji statistik gammaHasil penelitian menunjukkan bahwa 48 responden (44,0%) menerima Discharge Planning dalam kategori cukup, sementara 53 responden (48,6%) memiliki tingkat ketergantungan sedang berdasarkan Barthel Index. Analisis statistik menunjukkan nilai p-value = 0,000 (<0,05), yang berarti terdapat hubungan signifikan antara Discharge Planning dengan tingkat kemandirian lansia. Diharapkan Pihak Rumah Sakit dengan melibatkan perawat bekerja sama dengan dokter dan tenaga kesehatan lainnya memberikan edukasi kepada keluarga agar pasien mendapatkan pengobatan dan bantuan untuk perawatan di rumah.

Review

This study investigates the crucial link between the implementation of discharge planning and the Barthel Index scores among elderly patients in the inpatient ward of RSUD Jenderal Ahmad Yani Metro. The research addresses a pertinent public health concern, as evidenced by the significant percentage of elderly individuals in Metro City experiencing dependency in daily activities, which can profoundly impact their physical, mental well-being, and self-confidence. By focusing on how structured discharge planning might influence a patient's level of independence, the study aims to highlight an intervention critical for maintaining or improving functional abilities post-hospitalization. The objective is clearly stated: to ascertain the relationship between discharge planning execution and the Barthel Index scores of these patients. Employing a quantitative, cross-sectional design, the researchers collected data from 109 elderly respondents in the designated hospital ward between October and November 2024, utilizing accidental sampling. The Barthel Index served as the primary measure for patient independence, while aspects of discharge planning were also assessed. Descriptive findings indicated that 44.0% of respondents received discharge planning categorized as sufficient, and nearly half (48.6%) exhibited moderate dependency according to the Barthel Index. A key finding, determined through Gamma statistical testing, was a highly significant relationship (p-value = 0.000) between the implementation of discharge planning and the Barthel Index, strongly suggesting that effective discharge planning positively correlates with improved independence levels. The significant finding that discharge planning is related to the Barthel Index underscores its vital role in promoting elderly patient independence upon discharge. This has important implications for hospital management and clinical practice, suggesting that robust discharge planning can mitigate post-hospitalization dependency. While the cross-sectional design limits causal inference, the strong correlation provides a compelling argument for prioritizing and enhancing discharge planning initiatives. The study appropriately recommends that hospital authorities, in collaboration with a multidisciplinary team including nurses, doctors, and other health professionals, provide comprehensive education to families to support patients' continued treatment and care at home, thereby reinforcing the benefits observed in functional independence.

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