Effects of the discharge planning program for patients with heart failure on self-care behavior and hospital readmissions
Article Sidebar
Main Article Content
Abstract
Background: Heart failure is a significant health issue that requires continuous care. Discharge planning plays a crucial role in helping patients maintain proper self-care and reducing hospital readmissions.
Objective: To examine the effect of the discharge planning program for patients with heart failure on self-care behaviors and hospital readmissions.
Methods: This quasi-experimental research was conducted using a one-group pretest-posttest design. The sample consisted of 31 participants who were diagnosed with heart failure by physicians and admitted to the hospital between December 2023 and March 2024. Participants were selected using purposive sampling. The intervention instrument was a discharge planning program for patients with heart failure. Data collection tools included a self-care behavior questionnaire and a hospital readmission record form. The data were analyzed using descriptive statistics and paired t-tests.
Results: The results showed that the mean score of self-care behaviors was significantly higher after the intervention than before the intervention (p<.001), and no patient was readmitted within 28 days.
Conclusions: Nurses and healthcare professionals can apply this program to discharge planning to enhance the quality of care for patients with heart failure, ensuring continuous care between community hospitals and primary care units.
Downloads
Article Details
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
บทความที่ได้รับการตีพิมพ์เป็นลิขสิทธิ์ของวิทยาลัยพยาบาลบรมราชชนนี จังหวัดนนทบุรี
ข้อความที่ปรากฏในบทความแต่ละเรื่องในวารสารวิชาการเล่มนี้เป็นความคิดเห็นส่วนตัวของผู้เขียนแต่ละท่านไม่เกี่ยวข้องกับวิทยาลัยพยาบาลบรมราชชนนี จังหวัดนนทบุรี และคณาจารย์ท่านอื่น ในวิทยาลัยฯ แต่อย่างใด ความรับผิดชอบองค์ประกอบทั้งหมดของบทความแต่ละเรื่องเป็นของผู้เขียนแต่ละท่าน หากมีความผิดพลาดใด ๆ ผู้เขียนแต่ละท่านจะรับผิดชอบบทความของตนเองแต่ผู้เดียว
References
Health Data Center, Ministry of Public Health. ICD 10 TM CODE I20-I25. [Internet]. 2024 [cited 2024 Dec 3]; Available from: https:// hdcservice.moph.go.th/hdc/reports/report.phpsource=envocc/format5.php&cat_id=f16421e617aed29602f9f09d951cce68&id=0d40cc093245578ef3ddd91c775c0046. (in Thai).
Weerapakorn N, Wiroonhatum K, Wattanapaiboon K, Puyfay B. The association of multidisciplinary heart failure clinic with heart failure hospitalization in Vachiraphuket hospital. Region 11 Medical Journal. 2021;36(1):115-26. doi: 10.14456/reg11med.2022.10. (in Thai).
Suthiwartnarueput P. Holistic care providing of chronic heart failure patients by establishing the heart failure clinic in standard (s)-level Banpong hospital. Region 4-5 Medical Journal. 2022;41(1):645-56. (in Thai).
Pimtara P, Rongmuang D. Transitional care for patients with congestive heart failure to reduce readmission rates. Journal of Health Science Research. 2020;14(1):128-38. (in Thai).
Srichun A. Medical records analysis documents for specific groups of patients with heart failure 2019-2023 Wangthong hospital, Phitsanulok province; 2023. (in Thai).
The Heart Association of Thailand. Heart Failure Council of Thailand (HFCT) 2022 heart failure guideline. Samutprakan: Nextstep Design; 2022. (in Thai).
Pinichpan G. Predicting factors of self-care in patients with heart failure in central region, Thailand [Thesis]. Bangkok: Chulalongkorn University; 2020. (in Thai).
Chottuntiphaisan N. Effectiveness of promoting self-care ability program on self-care behavior, function, and readmission in patients with heart failure [Thesis]. Pathum Thani: Rangsit University; 2024. (in Thai).
Janz NK, Becker MH. The health belief model: a decade later. Health Educ Q. 1984;11(1): 1-47. doi: 10.1177/109019818401100101.
Poncharoen P, Samartkit N, Keeratiyutawong P. Factors related to discharge readiness in patients with congestive heart failure. Nursing Journal of the Ministry of Public Health. 2015;25(2):130-43. (in Thai).
Chaipadung N, Sriprasong S, Saneha C, Dumavibhat C. Predicting factors of readiness for hospital discharge in patients with heart failure. Nursing Science Journal of Thailand. 2023;14(1):73-86. (in Thai).
Intamoon P, Jansiri U, Jaijoi K. Effects of a self-management program via application on self-management behaviors and activities of daily living among patients with congestive heart failure. Journal of Nursing and Public Health Research. 2024;4(3):e268265. (in Thai).
Charlson ME, Carrozzinob D, Guidib J, Patierno C. Charlson comorbidity index: a critical review of clinometric properties. Psychother Psychosom. 2022;91(1):8-35. doi: 10.1159/000521288.
Aree-Ue S, Youngcharoen P. The 6 item cognitive function test- Thai version: psychometric property testing. Ramathibodi Nursing Journal. 2020;26(2):188-202. (in Thai).
Cui X, Zhou X, Ma L, Sun T, Bishop L, Gardiner FW, et al. A nurse-led structured education program improves self-management skills and reduces hospital readmissions in patients with chronic heart failure: a randomized and controlled trial in China. Rural Remote Health. 2019;19(2):5270. doi: 10.22605/RRH5270.
Hertzog MA. Considerations in determining sample size for pilot studies. Res Nurs Health. 2008;31(2):180-91. doi: 10.1002/nur.20247.
Shorey S, Lopez V. Self-efficacy in a nursing context. In: Haugan G, Eriksson M, editors. Health promotion in health care–vital theories and research. Cham; Springer; 2021.
Kedchai W. The effectiveness of self-care behavior promotion programs on the “Rug Jai Khun” mobile application for patients with congestive heart failure. Journal of Nursing and Therapeutic Care. 2023;41(3):e265107. (in Thai).
Phungthong P, Mecharean S, Kumdum J, Kaewthongma C. Effects of self care program in congestive heart failure patients in Uttaradit hospital. Health Science Clinical Research. 2020;37(2):59-66. (in Thai).
Bandura A. Self-efficacy: the exercise of control. New York: W. H. Freeman; 1997.
Mulsrisuk S, Yotha J, Chirakorn A, Jaiborisuttigul N, Thammakul C, Ruangpiyasakul P. Effects of a self-efficacy enhancement program on heart failure care behaviors and revisit rates in patients with heart failure. Journal of Thailand Nursing and Midwifery Council. 2024;39(3):439-54. (in Thai).
