International Journal of Clinical Research

Objective To explore the impact of discharge plan on the readiness of patients with chronic heart failure to discharge. Methods 56 patients with chronic heart failure admitted to our hospital between January 2022 and June 2023 were selected and randomly divided into an unplanned group and a planned support group, with 28 cases in each group, using a random number classification method. The unplanned group received routine care, while the planned support group applied discharge plan interventions on the basis of the unplanned group. The preparation and prognosis of discharge were compared between the two groups. Results Discharge readiness assessment: The planned support group had significantly higher personal status (29.26 ± 5.93 points), adaptability (48.63 ± 7.02 points), expected support score (41.68 ± 4.92 points), and total score (119.52 ± 11.43 points) than the non planned group (18.63 ± 4.76 points, 35.78 ± 5.19 points, 34.02 ± 5.76 points, 89.01 ± 12.02 points) one day before discharge (P<0.05). The quality of life score of the planned support group at discharge (86.15 ± 10.03 points) and 3 months after discharge (90.23 ± 9.86 points) was significantly higher than that of the non planned group (74.26 ± 9.03 points, 80.11 ± 12.03 points) (P<0.05). Conclusion Establishing a discharge plan based on the individual nursing needs of patients after discharge can effectively enhance their readiness for discharge, improve their quality of life, reduce the risk of poor prognosis, and achieve reliable application results.

Discharge plan; Chronic heart failure; Preparedness for discharge; Quality of life; Home care