EXECUTION PROCESS OF THE DISCHARGE PLAN IN PATIENTS HOSPITALIZED IN THE SURGERY AREA OF THE TEOFILO DAVILA HOSPITAL

Abstract

Introduction: The nursing discharge plan is a fundamental tool for the continuity of care at home, it consists of a series of recommendations that are made known orally and in writing to the patient, in such a way that they are understandable. Objective: To evaluate the execution of the nursing discharge plan in patients in the Surgery area of ​​an Ecuadorian hospital. Methods: An observational, descriptive, cross-sectional study was carried out with a universe of 1,650 patients with post-surgical discharge from the hospital. The sample was calculated with a finite formula, resulting in a sample of 128 patients, in the period May-August 2023. patients who had been discharged from the surgery area and whose therapeutic conduct did not involve a surgical intervention or who did not agree to be part of the research. A questionnaire was developed with the variables of sociodemographic characteristics and discharge plan, with the dimensions: food, drugs, care, follow-up. Results: 100% of the patients received the discharge plan upon leaving the hospital, guidance on the type of diet is considered important for the adequate referral of postoperative patients and was only provided to 37.5% of the patients. It was found that 30.5% of the patients surveyed did not receive an adequate discharge plan due to a lack of assertive communication with them. Conclusions: The nursing professionals gave all patients the discharge plans, but did not fully provide adequate information. Furthermore, in most cases, points such as diet and physical activity that allow patients to accelerate the process of surgical remission and prevent infections were omitted.