Zafar Iqbal, Mussarat Parveen, Munnaza Parveen, Muhammad Azhar, Yousuf Bhatti, Arif Ali.
Impact of nursing discharge instructions on readmission rate in heart failure patients: a comparative study.
Pak Heart J Jan ;52(2):159-67.
Objective: To assess the impact of nursing discharge instructions on re-admission rate in heart failure patients at tertiary care hospital of Karachi. Methodology: A quasi experimental study was conducted and patients suffering with heart disease admitted in National Institute of Cardiovascular Diseases were selected in the study from 1st January to 31st December 2017. Patients were divided into two groups. In intervention group, discharge instruction and teachin gmaterial was given along with followup through for guidance a suitable interval to reduce the complications.Readmission rate determined at 7th day and 30th day. Whereas for control group,only discharged instructions under existing routine process were given. The datawas analyzed through SPSS version 21. Wilcox on Matched signed Rank test and Mann Whitney U test was used to compare the data whereas demographic data was compared through chi-square test. Results: A total of 80 patients were included in the study, 40 in each group. Interventional and control of the disease assessed at base line, at 7 day and at 30 day was found more in interventional group with less readmission rate as compared to control group (15 i.e. 37.5% in control group and 5 i.e.12.5% in interventional group). Regarding medication and proper management of their illness (self-care), the interventional group has high level of competency regarding their management for their disease and routine life caring (12.5% in control group and 70% in interventional group) and the difference was found statistically significant. Conclusion: Educating the heart failure patients at discharge, 7 day and 30 day post discharge reduce the complication and re admissions in these patients.
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