Effect of a Transitional Care Program for Patients with Acute Coronary Syndrome Post Discharge by Telehealth Follow-up on Self–care Agency and Rehospitalization*
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Abstract
This experimental study aimed to examine the effects of the Transitional Care Program on self-care agency and rehospitalization after hospital discharge among patients with acute coronary syndrome who were admitted to King Chulalongkorn Memorial Hospital. The sample was assigned to the experimental group (38 participants) and the control group (38 participants) using a simple random sampling technique without replacement. The experimental group received the Transitional Care Program post discharge using video animation to deliver health information and telehealth follow-up post discharge that was developed from Naylor’s conceptual framework on transitional care. Data were collected using the following three questionnaires: the Demographic Questionnaire,the Self-Care Agency Questionnaire, and the Rehospitalization Questionnaire conducted by telephone follow-ups at 14 and 28 days after hospital discharge. Data were analyzed using the independent t-test and Fisher's exact test to compare differences in mean difference scores of self-care agencies and rehospitalization rates. The results showed that self-care agency in the experimental group significantly increased more than the control group on Day 14 and Day 28. In addition, the experimental group's rehospitalization was significantly lower than the control group with statistical significance.The findings showed that the program in this study increased the self-care agency and reduced rehospitalization. Therefore, nurses can apply this program for patients with acute coronary syndrome to improve self-care agency in controlling acute coronary syndrome exacerbation and reduce rehospitalization. However, there should be long-term follow-up on the program’s results, such as six months or one year after discharge from the hospital.
Keywords: Acute coronary syndrome, Rehospitalization, Self–care agency, Telehealth follow-up,Transitional Care Program
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บทความ ข้อมูล เนื้อหา รูปภาพ ฯลฯ ที่ได้รับการตีพิมพ์ในรามาธิบดีพยาบาลสาร ถือเป็นลิขสิทธิ์ของวารสาร หากบุคคลหรือหน่วยงานใดต้องการนำทั้งหมดหรือส่วนหนึ่งส่วนใดไปเผยแพร่หรือเพื่อกระทำการใด ใด จะต้องได้รับอนุญาตเป็นลายลักษณ์อักษรจากรามาธิบดีพยาบาลสารก่อนเท่านั้น
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