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The Effect of Discharge Planning on Adherence to Treatment in Patients with Ischemic Heart Disease

محل انتشار: مجله مراقبت مبتنی بر شواهد، دوره: 13، شماره: 2
سال انتشار: 1402
نوع سند: مقاله ژورنالی
زبان: انگلیسی
مشاهده: 91

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https://civilica.com/doc/1692146

شناسه ملی سند علمی:

JR_EBCJ-13-2_007

تاریخ نمایه سازی: 19 تیر 1402

چکیده مقاله:

Background: Ischemic heart disease (IHD) is a common cardiovascular disease. One of the main concerns of health system staff is the non-compliance of these patients in adherence to treatment after discharge from the hospital. Designing and implementing a program to follow up patients after discharge can positively affect their rehabilitation and treatment adherence.Aim: This study was performed with aim to investigate the effect of discharge planning on adherence to treatment in patients with ischemic heart disease.Method: This quasi-experimental study was performed with the participation of ۷۰ ischemic heart disease patients hospitalized in Hamadan Cardiovascular Hospital in ۲۰۱۸. Participants were selected by simple random sampling and divided into experimental (n = ۳۵) and control (n = ۳۵) groups using permutation blocks. In the first ۲۴ hours of admission, a researcher-made questionnaire of adherence to treatment was completed by all participants to assess the educational needs. The discharge planning consisted of two stages: before discharge and after discharge from the hospital with telephone follow-up for ۲ months. Then adherence to treatment was re-assessed after discharge. Data was analyzed using SPSS software (version ۲۲) by chi-square, Fisher's exact test, independent t-test and paired t-test. P<۰.۰۵ was considered statistically significant.Results: Before the intervention, there was no statistically significant difference between the control and experimental groups in adherence to treatment (p> ۰.۰۵); however, after the discharge planning, adherence to treatment significantly increased in all areas in the experimental group (P <۰.۰۰۱).Implications for Practice: Implementation of discharge planning improves and promotes adherence to treatment in IHD patients.

کلیدواژه ها:

Adherence ، Discharge planning ، Ischemic Heart Disease ، Treatment

نویسندگان

shirin ranjbar

Research Center for Nursing and Midwifery Care, Noncommunicable Diseases Research Institute, Shahid Sadoughi University of Medical Sciences,Yazd, Iran

Masoud Khodaveisi

Professor of Nursing, Department of Comunity Health Nursing, Chronic Diseases (Home Care) Research Center, Hamadan University of Medical Sciences, Hamadan, Iran

Roya Amini

Chronic Diseases (Home Care) Research Center, Department of Community Health Nursing, Faculty of Nursing and Midwifery, Hamadan University of Medical Sciences, Hamadan, Iran

Leili Tapak

Department of Biostatistic, Faculty of Public Health, Hamadan University of Medical Sciences, Hamadan, Iran

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