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Effect of training and post discharge follow-up on self- care behavior of patients with ischemic heart disease
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Housein Esmaeilpour   , Shohreh Kolagari , Khadijeh Yazdi , Hamid Reza Azimi , Ali Akbar Mir Ahmadi |
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Abstract: (6449 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. |
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| Keywords: Myocardial Ischemia, Patient Discharge, Continuity of Patient Care, Self Care |
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Full-Text [PDF 681 kb]
(1583 Downloads)
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Type of Study: Research |
Subject:
General
Received: 2016/09/17 | Accepted: 2016/12/6 | Published: 2017/03/15
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