Effect of transitional health management program on readiness for discharge among acute coronary syndrome patients with post percutaneous coronary intervention

Authors

  • Utthawit Jansiri Student of Master’s degree of Nursing Science in Adult and Gerontological Nursing, Faculty of Nursing, Burapha University https://orcid.org/0009-0003-9021-8838
  • Panicha Ponpinij Faculty of Nursing, Burapha University
  • Chutima Chantamit-O-Pas Faculty of Nursing, Burapha University

Keywords:

Transitional health management program, Acute coronary syndrome, Readiness for discharge

Abstract

     This quasi-experimental two-group posttest design aimed to examine the effect of transitional health management program on readiness for discharge among acute coronary syndrome patients undergoing percutaneous coronary intervention. Sixty-eight patients who met inclusion criteria were recruited and randomly assigned into an experimental group (n=34) and control group (n=34). Those in an experimental group received a transitional health management program developed based on transition theory and related literature, while a group received usual care. The research instruments were used to collect the data including the personal data, the health status and the readiness for discharge questionnaire. The data was analyzed using descriptive statistics, Chi-square test and Independence t-test.

          The result revealed that after experiment, the experimental group had statistically significant higher mean score of readiness for discharge at 4 hours before being hospital discharged in comparison with the control group (t = 7.914, p<.001). The results suggested that the transitional health management program could be useful to promote readiness for discharge, develop confidence and coping in transitional care among acute coronary syndrome patients.

References

Ahmadi, Z., Abolhassani, S., Hasheminia, A., & Kheiri, S. (2022). The effects of a multimedia education on self-efficacy and self-esteem among patients with acute coronary syndrome: A clinical randomized trial. Iranian Journal of Nursing and Midwifery Research, 27(3), 181–187. doi.org/10.4103/ijnmr.IJNMR_92_20

Ambrosetti, M., Abreu, A., Corra, U., & Zwisler, A. O. (2020). Secondary prevention through comprehensive cardiovascular rehabilitation: From knowledge to implementation. 2020 update. A position paper from the secondary prevention and rehabilitation section of the European Association of Preventive Cardiology. Eurpean Journal of Preventive Cardiology, 28(5), 460-495. doi.org/10.1177/2047487320913379

Ansari, M. R., Lakhani, R., & Patil, Y. (2021). A cross-sectional study to assess the patient's confidence regarding secondary lifestyle modification and knowledge of heart attack symptoms following percutaneous revascularization in selected hospitals of Navi Mumbai, India. Journal of Pharmaceutical Research International, 33(64B) 13-23. doi.org/10.9734/jpri/2021/v33i64B35324

Chacko, L., Howard, J., Rajkumar, C., Nowbar, A. N., Kane, C., Mahdi, D., Foley, M., Shun-Shin, M., Cole, G., Sen, S., Al-Lamee, R., Francis, D. P., & Ahmad, Y. (2020). Effects of percutaneous coronary intervention on death and myocardial infarction stratified by stable and unstable coronary artery disease: A meta-analysis of randomized controlled trials. Circulation Cardiovascular Quality and Outcomes, 13(2), 1-15. doi.org/10.1161/CIRCOUTCOMES.119.006363

Hydzik, P., Kolarczyk, E., Kustrzycki, W., Kubielas, G., Kaluzna-Oleksy, M., Szczepanowski, R., & Uchmanowicz, B. (2021). Readiness for discharge from hospital after myocardial infarction: A cross-sectional study. International Journal of Environmental Research and Public Health, 18(13). doi.org/10.3390/ijerph18136937

Jitapunkul, S,. Bunnag, S., & Ebrahim, S. (1996). Health problems of Thai elderly. Bangkok: Holistic Publishing Company Limited. [in Thai]

Khadse, N., Wankhade, A., & Gaiki, A. (2020). Myocardial infraction: Etiology, risk factors, pathophysiology, diagnosis and management. American Journal of PharmTech Research, 10. doi.org/10.46624/ajptr.2020.v10.i1.014

Khoiriyati, A., Kusnanto, K., Kurniawati, N. D., & Afik, A. A. (2021). Patient’s transition experiences from hospital to home after an acute cardiac event. Open Access Macedonian Journal of Medical Sciences, 9(4), 27-34. doi.org/10.3889/oamjms.2021.5755

Meleis, A.I. (2010) Transitions theory middle-range and situation-specific theories in nursing research and practice. Springer Publishing Company, New York.

Michalski, P., Kasprzak, M., Siedlaczek, M., & Kubica, A. (2020). The impact of knowledge and effectiveness of educational intervention on readiness for hospital discharge and adherence to therapeutic recommendations in patients with acute coronary syndrome. Medical Research Journal, 5(2), 72-78.

Monfared, A., Dehghan Nayeri, N., Javadi-Pashaki, N., & Jafaraghaee, F. (2022). Readiness for discharge from hospital: A concept analysis. Qualitative Research Journal, 22(3), 415-432. doi.org/10.1108/QRJ-02-2022-0022

Nurhayati, N., Songwathana, P., & Vachprasit, R. (2019). Surgical patients' experiences of readiness for hospital discharge and perceived quality of discharge teaching in acute care hospitals. Journal of Clinical Nursing, 28(9-10), 1728–1736. doi.org/10.1111/jocn.14764

Polit, D. F., & Beck, C. T. (2012). Nursing Research: Generating and Assessing Evidence for Nursing Practice (9th, Ed.). Lippincott, Williams & Wilkins, Philadelphia.

Pooun, S., Wattanakitkrileart, D., Poungkaew, A., & Dumavibhat, C. (2022). Influencing factors of readiness for hospital discharge among patients with acute coronary syndrome in super-tertiary hospitals. Thai Journal of Cardio-Thoracic Nursing, 32(2), 44–58. [in Thai]

Potjamanpong P, Kritpracha C, Chinnawong T. (2015). Effects of self-efficacy integration with family support program on behaviors to prevent heart attack recurrence in patients with acute myocardial infarction after revascularization. Songklanagarind Jounal of Nursing, 35(1), 49-65. [in Thai].

Simtarach, S., Panuthai, S., & Suwankruhasn, N. (2023). The effect of a discharge teaching program on readiness for hospital discharge among older patients with acute myocardial infarction. Nursing journal CMU, 50(1), 230-245.

Sykes, R., Mohamed, M. O., Kwok, C. S., Mamas, M. A., & Berry, C. (2021). Percutaneous coronary intervention and 30-day unplanned readmission with chest pain in the United States. Clinical Cardiology, 44(3), 291-306. doi.org/10.1002/clc.23543

Thomson, P., Angus, N. J., Andreis, F., Rushworth, G. F., Mohan, A. R., Chung, M. L., & Leslie, S. J. (2020). Longitudinal evaluation of the effects of illness perceptions and beliefs about cardiac rehabilitation on quality of life of patients with coronary artery disease and their caregivers. Health and quality of life outcomes, 18(1), 158. doi.org/10.1186/s12955-020-01405-0

Weiss, M. E., Piacentine, L. B., Lokken, L., Ancona, J., Archer, J., Gresser, S., Holmes, S. B., Toman, S., Toy, A., & Vega-Stromberg, T. (2007). Perceived readiness for hospital discharge in adult medical-surgical patients. Clinical Nurse Specialists, 21(1), 31-42. doi.org/10.1097/00002800-200701000-00008

World Health Organization. Cardiovascular diseases (CVDs) 2021 [Available from: https://www.who.int/news-room/fact-sheets/detail/cardiovascular-diseases-(cvds).

Zhou, T., Zhou, C. C, Tang, B., Wang, H. J., Wang, L. Y. & Zhang, X. (2019). Investigation and study on the self-management level of patients with acute myocardial infarction after percutaneous coronary intervention. J Bengbu Med Col, 41(1), 126–129. doi.10.13898/j.cnki.issn.1000-2200.2016.01.04

Downloads

Published

2023-12-30

How to Cite

Jansiri, U., Ponpinij, P., & Chantamit-O-Pas, C. (2023). Effect of transitional health management program on readiness for discharge among acute coronary syndrome patients with post percutaneous coronary intervention. The Journal of Faculty of Nursing Burapha University, 31(4), 24–34. retrieved from https://he02.tci-thaijo.org/index.php/Nubuu/article/view/266183