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首页> 外文期刊>European journal of cardiovascular nursing: journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology >The impact of discharge plan upon readmission, satisfaction with nursing care and the ability to self-care for coronary artery bypass graft surgery patients
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The impact of discharge plan upon readmission, satisfaction with nursing care and the ability to self-care for coronary artery bypass graft surgery patients

机译：出院计划对冠状动脉搭桥手术患者的再入院率，护理满意度和自我护理能力的影响

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Background and aim: Grafting coronary arteries and post operative recovery has many challenges, which can be ameliorated through continues care and an appropriate discharge plan. Therefore, the current study was undertaken aiming to evaluate the impact of discharge plan on satisfaction with nursing care, ability to self-care, and incidence of re-admission.Method: This is a quasi experimental study involving patients who were due to undergo coronary artery bypass graft in Chamran Hospital in 2010. In the intervention group, the discharge plan was initiated at the time of admission and continued for 2 weeks after discharge by home visit and telephone follow ups. Satisfaction with nursing care was assessed 2 days after discharge, whilst patients' ability for self-care was measured 6 weeks and 3 months post discharge and the incidence of re-admission was determined at the 3 months point.Findings: Satisfaction levels with nursing care and the ability to take self-care were higher in intervention group comparing with control group (p < 0.001). There was a significant difference for self-care ability between pre test and post test in both groups but the improvement was more pronounced for the intervention group (p = 0.04). There was no significant difference between the two groups in terms of re-admission incidence after 3 months (p = 0.15). Discussion and conclusion: The results indicate that the discharge plan, as a method of continual care plan, can lead to higher satisfaction levels and enhanced self-care abilities of patients. Such discharge plan can therefore be utilised as an effective method of continuous care forpatients who are going to undergo coronary artery bypass graft.
机译：背景和目的：移植冠状动脉和术后恢复有许多挑战，可以通过继续护理和制定适当的出院计划来缓解。因此，本研究旨在评估出院计划对护理满意度，自我护理能力和再入院率的影响。方法：这是一项涉及准冠心病患者的准实验研究。 Chamran医院于2010年进行了动脉搭桥术。在干预组中，出院计划是在入院时开始制定的，并在出院后持续进行2周的家访和电话随访。出院后2天评估对护理的满意度，而出院后6周和3个月测量患者的自我护理能力，并在3个月时确定再次入院的发生率。干预组的自理能力高于对照组（p <0.001）。两组之间的自我护理能力在测试前和测试后之间存在显着差异，但干预组的改善更为明显（p = 0.04）。两组在3个月后的再次入院率方面无显着差异（p = 0.15）。讨论与结论：结果表明，出院计划作为一种持续护理计划的方法，可以提高患者的满意度，并提高患者的自我护理能力。因此，这样的出院计划可以用作要进行冠状动脉搭桥术的患者连续护理的有效方法。

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