Effectiveness of an Instructional Program on Patients' Readiness for Hospital Discharge after Coronary Artery Disease

Instructional program for hospital discharge after CAD

Patient education as topic Hospital to home transition Coronary artery disease

Authors

  • Haider Jassim Hamid
    haider.j@uobagdad.edu.iq
    University of Baghdad, University Health Center, Baghdad, Iraq, Iraq
  • Serwan Jafer Bakey Department of Adult Nursing, College of Nursing, University of Baghdad, Baghdad, Iraq, Iran, Islamic Republic of
Vol 11, No 5 (2024)
Quantitative Study(ies)
July 3, 2024
July 10, 2024

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Background: Coronary artery disease (CAD) is the greatest cause of death worldwide; education before hospital discharge about this disease and risk factor management is an essential strategy for improving patients getting ready for hospital discharge and plays an important role in both prevention and treatment and reduces the risk of mortality. This study aims to determine the effectiveness of instruction program on patients' readiness for hospital discharge (RHD) score.

Methods: A quasi-experimental study [nonequivalent control group (CG) post-test only] carried out on 80 patients with CAD seeking medical care at Iraqi Center for Heart Diseases in Baghdad, Iraq, was conducted from 1th June to 5th July, 2023. Study utilized a non-probability sampling (purposive sampling). All participants were randomly assigned to the intervention group (IG) (n = 40) and CG (n = 40). The following instruments were used to collect data: demographic, clinical data, and the Readiness for Hospital Discharge after Myocardial Infarction Scale (RHD‐MIS). SPSS software was used; descriptive statistics and analysis of covariance (ANCOVA) test were used to compare the means between two related groups.

Results: After the planned discharge education, RHD score was significantly increased in IG compared with the CG (F = 81.215, P < 0.01).

Conclusion: The instruction program is effectively beneficial in preparing the patients to discharge from hospital. Researchers recommended that this interventional program should be implemented as curriculum uses in cardiac ward.