Effectiveness of a Proposed Discharge Plan on Self-Efficacy among Patients Underwent Cardiac Valve Replacement

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ETEMADIFAR S.; SHAFIEI E.; MASOUDI R.; MIRMOHAMMADSADEGHI A.; AHMADI A.; HADIANJAZI Z.

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Journal: Journal of Ilam University of Medical Sciences Year:2020 | Volume:27 | Issue:6 Page(s): 54-64

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Title

Effectiveness of a Proposed Discharge Plan on Self-Efficacy among Patients Underwent Cardiac Valve Replacement

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Keywords

Discharge planQ1

Heart replacementQ1

Self-efficacyQ1

Abstract

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) 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 postdischarge. 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.

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APA: Copy

ETEMADIFAR, S., SHAFIEI, E., MASOUDI, R., MIRMOHAMMADSADEGHI, A., AHMADI, A., & HADIANJAZI, Z.. (2020). Effectiveness of a Proposed Discharge Plan on Self-Efficacy among Patients Underwent Cardiac Valve Replacement. JOURNAL OF ILAM UNIVERSITY OF MEDICAL SCIENCES, 27(6 ), 54-64. SID. https://sid.ir/paper/374246/en

Vancouver: Copy

ETEMADIFAR S., SHAFIEI E., MASOUDI R., MIRMOHAMMADSADEGHI A., AHMADI A., HADIANJAZI Z.. Effectiveness of a Proposed Discharge Plan on Self-Efficacy among Patients Underwent Cardiac Valve Replacement. JOURNAL OF ILAM UNIVERSITY OF MEDICAL SCIENCES[Internet]. 2020;27(6 ):54-64. Available from: https://sid.ir/paper/374246/en

IEEE: Copy

S. ETEMADIFAR, E. SHAFIEI, R. MASOUDI, A. MIRMOHAMMADSADEGHI, A. AHMADI, and Z. HADIANJAZI, “Effectiveness of a Proposed Discharge Plan on Self-Efficacy among Patients Underwent Cardiac Valve Replacement,” JOURNAL OF ILAM UNIVERSITY OF MEDICAL SCIENCES, vol. 27, no. 6 , pp. 54–64, 2020, [Online]. Available: https://sid.ir/paper/374246/en

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