ANALISIS HUBUNGAN KEPATUHAN DOKUMENTASI DISCHARGE PLANNING DENGAN LAMA RAWAT INAP DAN READMISI PADA PASIEN STROKE DAN CEDERA KEPALA DI RUMAH SAKIT AWAL BROS PEKANBARU
DOI:
https://doi.org/10.54973/jham.v7i1.936Kata Kunci:
discharge planning, LOS, readmission, stroke, head injuryAbstrak
Stroke dan cedera kepala merupakan kondisi neurologis yang sering menyebabkan lama rawat inap memanjang dan readmisi. Discharge planning berperan penting dalam menjamin continuity of care, namun kepatuhan dokumentasinya masih belum optimal. Penelitian ini bertujuan menganalisis hubungan kepatuhan dokumentasi discharge planning berdasarkan model METHOD dan IDEAL dengan lama rawat inap serta readmisi 30 hari pada pasien stroke dan cedera kepala. Penelitian ini dilakukan secara kuantitatif observasional analitik dengan desain retrospektif cross-sectional menggunakan data rekam medis 111 pasien stroke dan cedera kepala yang dirawat di RS Awal Bros Pekanbaru periode Oktober–Desember 2025. Analisis dilakukan menggunakan uji Spearman, Mann–Whitney, Kruskal–Wallis, regresi linier, dan regresi logistik. Triangulasi sumber melalui wawancara konfirmatorik dengan tenaga kesehatan dilakukan untuk memvalidasi implementasi discharge planning. Dokumentasi discharge planning berdasarkan model METHOD dan IDEAL sebagian besar berada pada kategori rendah, masing-masing sebesar 51,4% dan 44,1%. Model IDEAL menunjukkan hubungan positif lemah dengan lama rawat inap (r=0,194; p=0,042), sedangkan model METHOD tidak menunjukkan hubungan yang bermakna. Kedua model tidak berhubungan signifikan dengan readmisi 30 hari (p>0,05). Komorbiditas dan ketergantungan penuh merupakan faktor yang berhubungan signifikan dengan lama rawat inap. Triangulasi mengonfirmasi bahwa discharge planning telah dilaksanakan secara rutin, namun dokumentasinya belum optimal, terutama pada aspek edukasi, manajemen obat, dan diet. Kepatuhan dokumentasi discharge planning berhubungan lemah dengan lama rawat inap, tetapi tidak dengan readmisi 30 hari. Penguatan kualitas dokumentasi dan koordinasi multidisiplin diperlukan untuk meningkatkan kesinambungan pelayanan.
Unduhan
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