Effect of hospital discharge plan for children with type 1 diabetes on discharge readiness,discharge education quality,and blood glucose control

BACKGROUND Type 1 diabetes is one of the most common chronic diseases in childhood.The number of type 1 diabetes patients in China still ranks fourth in the world.Therefore,children with type 1 diabetes in China are a group that needs attention.The management of type 1 diabetes mellitus(T1DM)involves many aspects of daily life.It is extremely challenging for children and their families.T1DM children have complex medical care needs.Despite the continuous development of therapeutic medicine and treatment technologies,blood glucose control in children with T1DM is still not ideal.They and their parents need to acquire more knowledge and skills before being discharged.AIM To explore the influence of hospital discharge plan based on parental care needs of children with T1DM on discharge readiness,quality of discharge education and blood glucose control level.METHODS In total,102 parents of children with type 1 diabetes were divided into control group and intervention group according to admission time.Fifty cases from February to June 2019 were selected as the control group,and 52 cases from July to October 2019 were selected as the intervention group to implement the discharge plan.The Readiness for Hospital Discharge Scale,Hospital Discharged Education Quality Scale and children's blood glucose metabolism indicators were used to compare the differences in discharge preparation,discharge education quality and blood glucose control between the two groups of children and their parents.RESULTS On the day of discharge,the two groups of children had the following scores of readiness for discharge:The intervention group score was 225.34±32.47,and the control group score was 208.68±29.31.The P value was 0.007,and the difference was statistically significant.The discharge education quality scores were as follows:The intervention group score was 135.11±19.86,the control group score was 124.13±15.56,the P value was 0.002 and the difference was statistically significant.Three months after discharge,the blood glucose metabolism indicator showed that the glycosylated hemoglobin value of the two groups was(7.45%±1.04%),and that of the control group was(8.04%±1.27%),P=0.012.Therefore,the improvement of parents'readiness for discharge,quality of discharge education and blood glucose metabolism indicators(glycosylated hemoglobin,fasting blood glucose and postprandial blood glucose)in the intervention group were better than those in the control group(P<0.05),and the difference was statistically significant.CONCLUSION The discharge plan for children with T1DM can help the children and their families realize the transition from hospital care to home self-management and improve the parents'readiness for discharge,thereby improving children’s blood glucose control levels.

From Planning to Execution:Delving into the Crucial Role and Challenges of HEPPUs in Hospital Emergency Management

In 2018,the Emergency,Disasters and Ambulatory Transportation General Department at the Ministry of Health in Saudi Arabia established hospital emergency planning and preparation units(HEPPUs)to improve hospitals’ability to respond to disasters.This study aimed to gain an in-depth understanding of the functioning of HEPPUs within hospitals in the western region of Saudi Arabia.Qualitative research methodology and semistructured interviews with emergency managers were employed.Four key themes emerged from the data:establishment and evolution,roles and responsibilities,communication and coordination,and challenges and limitations.The findings emphasize the importance of interdisciplinary collaboration,effective communication,and responses to challenges in enhancing healthcare resilience and disaster management.This study contributes insights and offers practical recommendations for improving the preparedness and performance of HEPPUs within Saudi Arabian hospitals.

Hospital Discharge Plan in Family Caregivers of Children with Coronary Artery Aneurysm in Kawasaki Disease: A Review

Objective:The study reviews status,main time nodes and hospital discharge services for family caregivers of children with Kawasaki disease complicated by coronary artery aneurysm to provide references for the development of hospital discharge preparation services for medical personnel and patients.Background:CAL of Kawasaki disease is the main cause of acquired heart disease in children,but there is not enough research on the readiness for hospital discharge.Design:Systematic review of observational and interventional studies.

A review of computerized hospital layout modelling techniques and their ethical implications

Purpose:This paper reviews an area of interdisciplinary collaboration in the design of healthcare facilities that attempts to optimize hospital space-planning using automated statistical techniques from the discipline of Operations Research(OR).This review articulates Facility Layout Problems(FLPs)as a general class of OR problems.Furthermore,the review highlights limitations of these techniques,which necessitate an ethical and participatory engagement with computerized processes of healthcare architecture.Design/methodology/approach:An in-depth critical review was carried out,which revealed a number of common themes,collectively theorized as metamodeling processes,or models of models,through which various FLP modelling techniques can be challenged and debated in terms of their architectural viability,and ethical ramifications.Findinss:This review provides a methodological basis for the further evaluation of computational models.It was found that most of the reviewed studies are functionally focused on flow efficiency and,in general,do not consider broader contextual,relational,social,or salutogenic design values.Orisinality/value:This review is the first on the subject written from an architectural perspective.It can be used by a broad range of readers as its critical review of past and present hospital layout modelling techniques discusses their capabilities and limitations.As such,it also enables them to consider ethical values while critiquing the epistemology of computational processes hidden beneath algorithmic outputs.