title: The effectiveness of discharge planning on the knowledge, clinical symptoms and hospitalisation frequency of persons with schizophrenia: a longitudinal study in two hospitals in Tehran, Iran.
abstract: OBJECTIVE
  To investigate the effectiveness of discharge planning on the knowledge, clinical symptoms and frequency of hospitalisation of persons with schizophrenia.
  
  
  BACKGROUND
  Discharge planning is associated with decreases in the duration of hospitalisation, readmission to hospitals and decreases in medical costs. Yet, there is little known about the effectiveness of discharge planning among persons with schizophrenia in Iran.
  
  
  METHODS
  Longitudinal clinical trial.
  
  
  METHODS
  In this longitudinal clinical trial, 46 persons with schizophrenia admitted to psychiatric hospitals were selected and classified into either intervention or control groups. For the intervention group, the discharge planning was designed using the nursing process model. The intervention was implemented across six sessions in the hospital and six sessions in patient's home (up to three months after discharge). Friedman test, independent t-tests, chi-squared test, Mann-Whitney U-test and Mc-Nemar's test were used to analyse demographic characteristics, knowledge scores, clinical symptoms and the frequency of hospitalisation.
  
  
  RESULTS
  The intervention group demonstrated improved clinical symptoms between the time of discharge and three months after discharge and had higher knowledge levels compared with the control group. In addition, the frequency of patients' hospitalisation preintervention and three months postintervention was statistically significantly lower in the intervention group, while no such differences were found among the control group during this same time period.
  
  
  CONCLUSIONS
  This study suggests that there are a number of advantages to discharge planning including an increase in the knowledge of patients, a decline in clinical symptoms and a reduction in the frequency of admission to hospitals.
  
  
  CONCLUSIONS
  Due to high frequency of relapse, rehospitalisation and high remedial costs of persons with schizophrenia, it is important to consider discharge planning as a therapeutic approach for patients.
authors: Shahid Rajaie Cardiovascular, Medical and Research Center, Iran University of Medical Sciences (IUMS), Tehran, Iran.
authors: Shiva
authors: S
authors: Khaleghparast
authors: Behrooz
authors: B
authors: Ghanbari
authors: Shamsoddin
authors: S
authors: Kahani
authors: Kazem
authors: K
authors: Malakouti
authors: SeyedAhmad
authors: S
authors: SeyedAlinaghi
authors: May
authors: M
authors: Sudhinaraset
mesh_terms: D000328:Adult; D016009:Chi-Square Distribution; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006760:Hospitalization / Q000706:statistics & numerical data; D006786:Hospitals, Urban; D006801:Humans; D007492:Iran; D008137:Longitudinal Studies; D008297:Male; D008875:Middle Aged; D016294:Models, Nursing; D010351:Patient Discharge; D012559:Schizophrenia / Q000451:nursing*; D018709:Statistics, Nonparametric
keywords: clinical symptoms; discharge planning; frequency of hospitalisation; knowledge; schizophrenia