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:: Volume 8, Issue 1 (6-2019) ::
Journal of Clinical Nursing and Midwifery 2019, __VOLUME_4_(_3_ISSUE__): 286-299 Back to browse issues page
Effects of a Designed Discharge Plan on Anxiety and Length of Hospital Stay in Patients Undergoing Heart Valve Replacement
Shahram Etemadifar * , Esmail Shafiei, Reza Masoudi, Amir Mir Mohammad Sadeghi, Ali Ahmadi, Zahra Hadian Jazi
. Assistant Professor, Medical-Surgical Department, School of Nursing and Midwifery, Shahrekord University of Medical Sciences, Shahrekord, Iran , sh.etemadifar@yahoo.com
Abstract:   (976 Views)

Background & Objective: Anxiety is the most common issue in the candidates of surgical heart valve replacement. The length of hospital stay in these patients is economically and organizationally important as a predictor of their recovery from acute physical conditions. The present study aimed to assess the effects of a designed discharge plan on anxiety and length of hospital stay in patients undergoing heart valve replacement.
Materials and Methods: This clinical trial was conducted on 65 candidates of heart valve replacement in Chamran Hospital in Isfahan, Iran, who were randomly divided into the intervention and control groups. In the intervention group, the designed discharge plan was implemented and continued one month after discharge via phone follow-up. Length of hospital stay and anxiety were analyzed before the intervention and one and three months after discharge in both groups in SPSS.

Results: ANOVA indicated that the mean anxiety in the study groups was significantly different at different times (P<0.001), while three months after discharge, mean anxiety was significantly lower in the intervention group compared to the control group. Independent t-test showed no significant difference in the mean hospital stay between the groups (P>0.05).

Conclusion: The designed discharge plan reduced anxiety in the patients, while its effect on the length of hospital stay requires further investigation. Therefore, it is recommended that the discharge program be used as an effective approach to maintaining care in patients undergoing heart valve replacement.

Keywords: Discharge Plan, Anxiety, Hospitalization, Heart Valve Replacement
Full-Text [PDF 474 kb]   (265 Downloads)    
Type of Study: Orginal Article | Subject: Special
Received: 2019/04/9 | Accepted: 2019/06/8 | Published: 2019/10/22
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Etemadifar S, Shafiei E, Masoudi R, Mir Mohammad Sadeghi A, Ahmadi A, Hadian Jazi Z. Effects of a Designed Discharge Plan on Anxiety and Length of Hospital Stay in Patients Undergoing Heart Valve Replacement . Journal of Clinical Nursing and Midwifery. 2019; 8 (1) :286-299
URL: http://jcnm.skums.ac.ir/article-1-1140-en.html


Volume 8, Issue 1 (6-2019) Back to browse issues page
مجله بالینی پرستاری و مامایی Journal of Clinical Nursing and Midwifery
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