Impact of Team STEPPS-based linkage intervention for discharge readiness in elderly patients with ischemic stroke
Objective To explore the effect of Team STEPPS-based linkage intervention on discharge readiness of elderly ischemic stroke patients.Methods A total of 106 elderly patients of ischemic stroke who were hospitalized in the department of neurology,Chaohu hospital of Anhui medical university from October 2022 to September 2023 were selected for the study.According to the admission time,51 patients admitted to the hospital from October 2022 to March 2023 were treated as the control group,and were given routine discharge care and follow-up;55 patients from April 2023 to Septem-ber 2023 were the intervention group,and the Team STEPPS-based linkage intervention was implemented.The two groups were compared in terms of readiness at discharge,readiness of the primary caregiver for the transition,and the patients'ability to perform activities of daily living and adverse events and unplanned readmission at 90 days after discharge.Re-sults The total score of the discharge readiness assessment scale and the scores of 4 dimensions,the total score of the transition readiness assessment scale of primary caregivers and the scores of 8 dimensions in the intervention group were higher than those in the control group(all P＜0.01).The score of activities of daily living of patients at 90 days after dis-charge in the intervention group were 55(40,65),higher than 40(20,55)in the control group(P＜0.01).There were 2 cases of falling/falling out of bed,3 cases of pressure injury and 4 cases of unplanned extubation in the intervention group at 90 days after discharge,which were lower than 8 cases,10 cases and 11 cases in the control group(all P＜0.05).There were 2 cases of unplanned readmission at 90 days after discharge in the intervention group,which was less than 8 cases in the control group(P=0.046).Conclusions Team STEPPS-based linkage intervention can enhance the discharge readi-ness of elderly patients with ischemic stroke,improve the readiness of primary caregivers for the transition period,improve the patients' ability of daily living at 90 days after discharge,reduce the occurrence of adverse events and unplanned read-mission,which can provide a certain clinical basis for the discharge readiness of elderly patients with ischemic stroke.
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