The effects of a structured intervention program at discharge for cardiovascular patients - A three-year follow up of quality-of-life effects

2.50
Hdl Handle:
http://hdl.handle.net/10755/151284
Type:
Presentation
Title:
The effects of a structured intervention program at discharge for cardiovascular patients - A three-year follow up of quality-of-life effects
Abstract:
The effects of a structured intervention program at discharge for cardiovascular patients - A three-year follow up of quality-of-life effects
Conference Sponsor:Sigma Theta Tau International
Conference Year:2007
Author:Kerzman, Hana, RN, PhD
P.I. Institution Name:The Chaim Sheba Medical Center
Title:Research Unit, Nursing Division
Co-Authors:Orly Toren, RN, PhD; Tammy Yerushalmi-Lavi, BA and Orna Baron Epel, PhD, MPH
[Research Presentation] Discharge planning is regarded as an essential component in quality of care due to changes in the health care system. These changes include shortening of hospital stay and transfer of treatments from hospital to the community. Purpose: To examine the sustainability of the effectiveness of a discharge program regarding cardiovascular patients' quality of life (QOL). Methodology: A week, month and three-year follow-up of a prospective intervention study conducted with cardiovascular patients discharged from internal medicine wards. Patients were randomly assigned into two groups: Control (standard counseling) and Intervention (individual counseling with a structured program focusing on self-care, delivered by specially trained nurses). Data were collected via telephone interviews regarding quality of life (SF-36). Findings: Among the 202 patients, who participated in the original study (a week and month after discharge), 143 patients (71 control, 72 intervention) were interviewed three years after discharge. The average age was 70 +/- 11.5 in the control and 71 +/- 11.6 in the intervention group. About 62% of the sample were men. Patients who had received individual counseling reported higher quality of life in the short and long term when compared to the control group áregarding the following components: General health (p=0.1), Bodily pain (p=0.06), Role limitations due to physical health problems (p=0.1) and Social functioning (p=0.02). Both groups demonstrated improvement in Role limitations due to physical health problems áand decline in Role limitations due to emotional problems over time. Participants in the intervention group demonstrated better Physical Component Summary than did the control group one week after discharge (p=0.03) as well as at each successive time internal (p<0.0001)Conclusion: Structured discharge plans can help patients to better understand their medical condition and to learn ways of self-care. They thereby provide patients with the confidence to cope with disease and thus affect their short and long-term quality of life.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleThe effects of a structured intervention program at discharge for cardiovascular patients - A three-year follow up of quality-of-life effectsen_GB
dc.identifier.urihttp://hdl.handle.net/10755/151284-
dc.description.abstract<table><tr><td colspan="2" class="item-title">The effects of a structured intervention program at discharge for cardiovascular patients - A three-year follow up of quality-of-life effects</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2007</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Kerzman, Hana, RN, PhD</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">The Chaim Sheba Medical Center</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Research Unit, Nursing Division</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">hanakert@sheba.health.gov.il</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Orly Toren, RN, PhD; Tammy Yerushalmi-Lavi, BA and Orna Baron Epel, PhD, MPH</td></tr><tr><td colspan="2" class="item-abstract">[Research Presentation] Discharge planning is regarded as an essential component in quality of care due to changes in the health care system. These changes include shortening of hospital stay and transfer of treatments from hospital to the community. Purpose: To examine the sustainability of the effectiveness of a discharge program regarding cardiovascular patients' quality of life (QOL). Methodology: A week, month and three-year follow-up of a prospective intervention study conducted with cardiovascular patients discharged from internal medicine wards. Patients were randomly assigned into two groups: Control (standard counseling) and Intervention (individual counseling with a structured program focusing on self-care, delivered by specially trained nurses). Data were collected via telephone interviews regarding quality of life (SF-36). Findings: Among the 202 patients, who participated in the original study (a week and month after discharge), 143 patients (71 control, 72 intervention) were interviewed three years after discharge. The average age was 70 +/- 11.5 in the control and 71 +/- 11.6 in the intervention group. About 62% of the sample were men. Patients who had received individual counseling reported higher quality of life in the short and long term when compared to the control group &aacute;regarding the following components: General health (p=0.1), Bodily pain (p=0.06), Role limitations due to physical health problems (p=0.1) and Social functioning (p=0.02). Both groups demonstrated improvement in Role limitations due to physical health problems &aacute;and decline in Role limitations due to emotional problems over time. Participants in the intervention group demonstrated better Physical Component Summary than did the control group one week after discharge (p=0.03) as well as at each successive time internal (p&lt;0.0001)Conclusion: Structured discharge plans can help patients to better understand their medical condition and to learn ways of self-care. They thereby provide patients with the confidence to cope with disease and thus affect their short and long-term quality of life.</td></tr></table>en_GB
dc.date.available2011-10-26T10:57:30Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T10:57:30Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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