ผลของการพัฒนาแอปพลิเคชันการวางแผนจำหน่ายผู้ป่วยโรคหลอดเลือดหัวใจ

Supranee  Pholtana; Supattra  Nuchakul; Sathawee  Yaemdonprai; Supattra  Liblub; La-Ongdao  Wannarit

Authors

Supranee Pholtana Royal Thai Navy College of Nursing, Thonburi, Bangkok, 10600, Thailand
Supattra Nuchakul Somdech Pra Pinklao Hospital, Naval Medical Department, Thonburi, Bangkok, 10600, Thailand
Sathawee Yaemdonprai Somdech Pra Pinklao Hospital, Naval Medical Department, Thonburi, Bangkok, 10600, Thailand
Supattra Liblub Somdech Pra Pinklao Hospital, Naval Medical Department, Thonburi, Bangkok, 10600, Thailand
La-Ongdao Wannarit Royal Thai Air Force Nursing College, Directorate of Medical Services, Sai Mai, Bangkok, 10220, Thailand

Keywords:

application, discharge planning, coronary heart disease

Abstract

This research and development aimed to create and assess the effectiveness of a discharge planning application for patients with coronary heart disease. The sample group included 30 patients with coronary heart disease admitted to the Cardiac Intensive Care Unit of Somdech Phra Pinklao Hospital from July to September 2020. The sample was selected based on inclusion criteria. The research consisted of 3 phases: 1) analyzing problems and assessing needs; 2) designing and developing the application following the principles of 3E 2S 1M (edible materials, exercise, emotions, smoking/stimulant cessation, and medication); and 3) testing and evaluating the application's effectiveness. The research instruments included a group discussion recording form, discharge planning application for patients with coronary heart disease, a knowledge assessment, and
a satisfaction assessment form. The instrument's content validity was verified by three experts. The Index of item objective congruence for the knowledge assessment form ranged from .67 to 1.00, and reliability, assessed by Cronbach’s alpha coefficient, was .70. Data were analyzed using mean, standard deviation, and paired t-test.

The research findings revealed that patients with coronary heart disease, after using the discharge planning application, had a statistically significant increase in the average knowledge score based on the principles of 3E 2S 1M, compared to before using the application (M = 18.30,
SD = 1.30, and M = 16.40, SD = 1.67, t = 6.67, p = .000). Overall, patients with coronary heart disease showed a high level of satisfaction with the use of the discharge planning application (M = 4.44, SD = .43).

Therefore, nurses should utilize the discharge planning application to promote knowledge about edible materials, exercise, emotions, smoking/stimulant cessation, and medication, thereby supporting patients with coronary heart disease and enhancing their self-care efficiency.

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