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Effect of discharge plan on patients readiness to discharge after allogeneic stem cells transplantation

Shaimaa Raafat Ali, Khairia Abo Bakr Elsawi, Hanaa Youssry Hashem & Gamal Eldin Mohammed Fathy

The aim of the study is to evaluate the effect of discharge plan on patients’ readiness to discharge after allogeneic stem cells transplantation. To fulfill the aim of the present study one group pre-post-test quasi-experimental design was utilized. A purposive sample of 30 patients after allogeneic hematopoietic stem cells transplantation (AHSCT) was selected over a period of 3 months. Four tools were selected to evaluate patients’ readiness to discharge post (AHSCT). (I) structured interview questionnaire (which developed by the researcher), (II) Tool Adapted Piper Fatigue Scale (PFS), (III) adapted Hospital Anxiety and Depression Scale (HADS), and (IV) pre-post patients’ knowledge assessment test (which developed by the researcher). More than seventy percent of patients had unaccepted level of fatigue (moderate fatigue level), more than seventy five of patients had no anxiety and more than sixty of them had no depression, and total number of patients had accepted level of knowledge after conducting discharge plan. Based on the results of the current study it could be concluded that; combination of informational structures with different types of exercises as (range of motion & pursed lips breathing exercises) can improve psychological status (decrease level of anxiety and depression) and raise awareness about home care after hospital discharge for patients post (AHSCT). Performing of (ROM &pursed lips breathing) exercises for short time cannot improve fatigue level for these patients.