Volume 26, Issue 4 (1-2021)
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Najafi F, Pishkar Mofrad Z, Ayubi E, Hosseini R. The effect of self-management based discharge planning on treatment adherence in patients with heart failure. Journal of Hayat 2021; 26 (4) :455-468
URL: http://hayat.tums.ac.ir/article-1-3552-en.html
URL: http://hayat.tums.ac.ir/article-1-3552-en.html
1- Dept. of Community Health Nursing, School of Nursing and Midwifery, Zahedan University of Medical Sciences, Zahedan, Iran; Community Nursing Research Center, Zahedan University of Medical Sciences, Zahedan, Iran
2- Dept. of Medical Surgical Nursing, School of Nursing and Midwifery, Zahedan University of Medical Sciences, Zahedan, Iran; Community Nursing Research Center, Zahedan University of Medical Sciences, Zahedan, Iran
3- Dept. of Community Medicine, School of Medical Sciences, Zahedan University of Medical Sciences, Zahedan, Iran
4- Dept. of Medical Surgical Nursing, School of Nursing and Midwifery, Zahedan University of Medical Sciences, Zahedan, Iran ,rhoseini0098@gmail.com
2- Dept. of Medical Surgical Nursing, School of Nursing and Midwifery, Zahedan University of Medical Sciences, Zahedan, Iran; Community Nursing Research Center, Zahedan University of Medical Sciences, Zahedan, Iran
3- Dept. of Community Medicine, School of Medical Sciences, Zahedan University of Medical Sciences, Zahedan, Iran
4- Dept. of Medical Surgical Nursing, School of Nursing and Midwifery, Zahedan University of Medical Sciences, Zahedan, Iran ,
Abstract: (2999 Views)
Background & Aim: Patients with heart failure experience some outcomes such as poor self-management, poor adherence to treatment and low quality of life. The aim of the current study was to evaluate the effect of self-management based discharge planning on treatment adherence in patients with heart failure.
Methods & Materials: In this quasi-experimental research, 80 patients with heart failure hospitalized in teaching hospitals in Zahedan in 2019-2020, were selected by convenience sampling and were randomly allocated into either intervention or control groups. The self-management-based discharge plan consisted of four educational sessions in hospital for the intervention group. In order to follow up, the first call was made 2-3 days after discharge. Then, the patients or their family caregivers were contacted weekly in the first month and twice a month in the second and third month. Data were collected by the treatment adherence questionnaire and were analyzed using independent sample t-test, Fisher exact test, Chi-square and repeated measures ANOVA by the SPSS software version 16.
Results: The two-way repeated measures analysis of variance showed a significant difference in the mean scores of treatment adherence over time (P<0.001) and in the intervention and control groups (P<0.001).
Conclusion: According to the findings, it is recommended that self-management-based discharge plan be employed in an integrated manner for patients with heart failure in medical wards.
Methods & Materials: In this quasi-experimental research, 80 patients with heart failure hospitalized in teaching hospitals in Zahedan in 2019-2020, were selected by convenience sampling and were randomly allocated into either intervention or control groups. The self-management-based discharge plan consisted of four educational sessions in hospital for the intervention group. In order to follow up, the first call was made 2-3 days after discharge. Then, the patients or their family caregivers were contacted weekly in the first month and twice a month in the second and third month. Data were collected by the treatment adherence questionnaire and were analyzed using independent sample t-test, Fisher exact test, Chi-square and repeated measures ANOVA by the SPSS software version 16.
Results: The two-way repeated measures analysis of variance showed a significant difference in the mean scores of treatment adherence over time (P<0.001) and in the intervention and control groups (P<0.001).
Conclusion: According to the findings, it is recommended that self-management-based discharge plan be employed in an integrated manner for patients with heart failure in medical wards.
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