TY - JOUR T1 - Effectiveness of a Proposed Discharge Plan on Self-Efficacy among Patients Underwent Cardiac Valve Replacement TT - بررسی اثر بخشی برنامه ترخیص طراحی شده بر خودکارآمدی بیماران تعویض دریچه قلب JF - sjimu JO - sjimu VL - 27 IS - 6 UR - http://sjimu.medilam.ac.ir/article-1-5736-en.html Y1 - 2020 SP - 54 EP - 64 KW - Discharge plan KW - Heart replacement KW - Self-efficacy N2 - Introduction: A discharge plan is required to be included in the care plan of patients who underwent cardiac valve replacement surgery. Therefore, this study aimed to determine the efficacy of a proposed discharge plan on the self-efficacy of patients with cardiac valve replacement. Materials & Methods: This clinical trial study included 65 patients who underwent cardiac valve replacement at Shahid Chamran Hospital, Isfahan, Iran. The participants were then randomly assigned to intervention and control groups using a random allocation method. In the intervention group, the proposed discharge plan was implemented at the time of the patients' admission and continued one month after discharge based on a five-stage nursing process. The duration of hospitalization and the level of self-efficacy of patients before the intervention, one month, and three months after discharge in two groups were analyzed in SPSS software (version 22) [Mw1] through the Chi-square test, Mann-Whitney U test, independent t-test, and analysis of variance. Ethics code: IR.Skums.REC.1395.80. Clinical Trial Code: IRCT2016092312452N4 Findings: The mean score of self-efficacy increased significantly over time in the intervention (53.18±4.3) and control groups (32.9±7.4) (P=0.001). However, the intervention group obtained significantly higher self-efficacy scores after one and three months post-discharge, compared to the control group (P=0.001). Furthermore, according to the Least Significant Difference test, the most significant level of effect was after three months post-discharge. Discussion & Conclusions: The discharge plan as a method of providing ongoing care increases the level of self-efficacy of patients. Therefore, it is recommended that the discharge plan be used as an effective way to provide patients who underwent cardiac valve replacement with ongoing care. [Mw1]Please mention the version M3 10.29252/sjimu.27.6.54 ER -