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:: Volume 19, Issue 2 (Spring 2017, 19 (2). 253-504 2017) ::
koomesh 2017, 19(2): 448-457 Back to browse issues page
Effect of training and post discharge follow-up on self- care behavior of patients with ischemic heart disease
Housein Esmaeilpour , Shohreh Kolagari * , Khadijeh Yazdi , Hamid Reza Azimi , Ali Akbar Mir Ahmadi
Abstract:   (1674 Views)

Introduction: Lack of adequate information related to disease and self- care after discharge leads to poor self-care, readmissions and low quality of life for patients. This study aimed to investigate the effect of training and post discharge follow-up on self- care behavior of patients with ischemic heart disease.

Materials and Methods: In this single blind randomized clinical control trial study (2015), 90 patients with ischemic heart disease hospitalized at Cardiac Care Units and were divided in 1 control group and 2 intervention groups by Block random allocation method. Control group received only usual training for discharge. One intervention group received usual post discharge training and call follow- up for 1 month. Another intervention group received complete training package and comprehensive follow-up for 1 month. Valid and reliable Miller self-care behavior tool for patients with cardiovascular diseases were used for data collection. They were completed at discharge day, 15 and 30 days after discharge for each patient.

Results: In complete training package group with comprehensive follow-up, means of self-care score were 60.2 ± 13.6, 87.6± 6.5 and 86.9± 8.9 at discharge day, 15 and 30 day, respectively. Means of self-care score in usual post discharge training and call follow up were 64.7 ± 19, 82.9± 8.6 and 80.9± 9.5 at discharge day, 15 and 30 days, respectively. In control group, means of score were 69.6 ± 10.7, 82.6±6.2 and 78± 10.8 at discharge day, 15 and 30 days, respectively.

Conclusion:  Results showed that self-care score was increased following 15 days and was decreased after 30 days. This reduction was subtle in the group receiving comprehensive training package with follow-up and reflects the impact of this program on the continuation of self-care.

Keywords: Myocardial Ischemia, Patient Discharge, Continuity of Patient Care, Self Care
Full-Text [PDF 681 kb]   (368 Downloads)    
Type of Study: Research | Subject: General
Received: 2016/09/17 | Accepted: 2016/12/6 | Published: 2017/03/15
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Esmaeilpour H, Kolagari S, Yazdi K, Azimi H R, Mir Ahmadi A A. Effect of training and post discharge follow-up on self- care behavior of patients with ischemic heart disease. koomesh. 2017; 19 (2) :448-457
URL: http://koomeshjournal.semums.ac.ir/article-1-3580-en.html


Volume 19, Issue 2 (Spring 2017, 19 (2). 253-504 2017) Back to browse issues page
کومش Koomesh
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