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Effectiveness of a Proposed Discharge Plan on
Self-Efficacy among Patients Underwent
Cardiac Valve Replacement
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Shahram Etemadi far *    1 |
| 1- Dept of Medical Surgical, Faculty of Nursing and Mideifery, Shahrekord University of Medical Sciences, Shahrekord, Iran , zahrahadian126@gmail.com |
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Abstract: (2591 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
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| Keywords: Discharge plan, Heart replacement, Self-efficacy |
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Full-Text [PDF 1017 kb]
(824 Downloads)
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Type of Study: Research |
Subject:
nursing
Received: 2019/06/1 | Accepted: 2019/11/2 | Published: 2020/06/8
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