The Effect of Self-management-based Discharge Planning on Anxiety, Depression, and Re-admission in Patients with Chronic Heart Failure
محل انتشار: مجله مراقبت مبتنی بر شواهد، دوره: 13، شماره: 2
سال انتشار: 1402
نوع سند: مقاله ژورنالی
زبان: انگلیسی
مشاهده: 83
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شناسه ملی سند علمی:
JR_EBCJ-13-2_006
تاریخ نمایه سازی: 19 تیر 1402
چکیده مقاله:
Background: Heart failure (HF) is a chronic progressive syndrome. Patients with heart failure often experience poor self-management, anxiety, depression, poor quality of life, and frequent readmission. Aim: The present study was performed with aim to explore the effect of self-management-based discharge planning on anxiety, depression, and readmission in patients with heart failure. Method: This quasi-experimental study was performed on ۸۰ patients with heart failure admitted to two teaching hospitals of Zahedan in ۲۰۱۹-۲۰۲۰. The participants were randomly assigned to two intervention and control groups. The self-management-based discharge planning was performed for the intervention group. The intervention group was followed-up by calling ۲-۳ days after discharge and then every week in the first month and every two weeks in the second and third months. Data were collected using the Hospital Anxiety and Depression Scale (HADS) and a readmission frequency and duration form. Data were analyzed using SPSS software (version ۱۶). P<۰.۰۵ was considered statistically significant. Results: The results showed a significant differences in the mean score of anxiety and depression over time (p<۰.۰۰۱) and in the intervention and control groups (p<۰.۰۰۱). There was no significant difference between the two groups in the readmission duration (p=۰.۰۵۲) and readmission frequency (p=۰.۸۰۱). Implications for Practice: Self-management-based discharge planning reduces depression and anxiety of patients with heart failure. Given the ease of clinical implementation of self-management-based discharge planning, its low costs, and availability for clinical staff, it can be considered an effective method to reduce depression and anxiety in these patients.
کلیدواژه ها:
نویسندگان
Rahimeh Hosseini
Instructor, Department of Nursing, School of Nursing and Midwifery, Bam University of Medical Sciences, Bam, Iran
Zahra Pishkar Mofrad
Instructor, Community Nursing Research Center, Zahedan University of Medical Sciences, Zahedan, Iran
Erfan Ayubi
Assistant Professor, Social Determinants of Health Research Center, Health Sciences & Technology Research Institute, Hamadan University of Medical Sciences, Hamadan, Iran
Fereshteh Najafi
Assistant Professor, Community Nursing Research Center, Zahedan University of Medical Sciences, Zahedan, Iran
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