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:: Volume 27, Issue 6 (1-2020) ::
Journal of Ilam University of Medical Sciences 2020, 27(6): 54-64 Back to browse issues page
Effectiveness of a Proposed Discharge Plan on Self-Efficacy among Patients Underwent Cardiac Valve Replacement
Shahram Etemadi far * 1
1- Dept of Medical Surgical, Faculty of Nursing and Mideifery, Shahrekord University of Medical Sciences, Shahrekord, Iran , zahrahadian126@gmail.com
Abstract:   (2597 Views)
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
Keywords: Discharge plan, Heart replacement, Self-efficacy
Full-Text [PDF 1017 kb]   (826 Downloads)    
Type of Study: Research | Subject: nursing
Received: 2019/06/1 | Accepted: 2019/11/2 | Published: 2020/06/8
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Etemadi far S. Effectiveness of a Proposed Discharge Plan on Self-Efficacy among Patients Underwent Cardiac Valve Replacement. J. Ilam Uni. Med. Sci. 2020; 27 (6) :54-64
URL: http://sjimu.medilam.ac.ir/article-1-5736-en.html


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Volume 27, Issue 6 (1-2020) Back to browse issues page
مجله دانشگاه علوم پزشکی ایلام Journal of Ilam University of Medical Sciences
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