Effects of a Discharge Planning with Mobile Health-based Continuity of Care Program on Self-care Behaviors, and Rehospitalization in Patients with Heart Failure
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Abstract
Objective: To examine the effects of discharge planning with a mobile health-based continuity of care program (DP-MHCOCP) on self-care behaviors and rehospitalization in heart failure (HF) patients. Methods: A quasi-experimental design was employed. The 103 HF patients were randomly assigned to either the control group (52 participants) or the experimental group (51 participants). The control group received routine discharge advice regarding self-care and had their health information forwarded to home visit services. The experimental group received the DP-MHCOCP for 12 weeks, which consisted of discharge planning during hospitalization and weekly self-monitoring of health status at home, with the data submitted to the nurse. The nurse communicated with the HF patients when their health risks arose to provide proper symptom management through the mobile app. and telephone calls. The content validity index of the DP-MHCOCP was .98. Data were collected using (1) the Thai version of the self-care behavior questionnaire for HF patients (with a reliability of .80) and (2) a hospital readmission record form (with a content validity index of 1). The data were analyzed using independent t-tests and chi-square analyses with a significance level of .05 to examine differences between groups. Results: The mean self-care behavior score in the DP-MHCOCP group was significantly higher than that of the control group (t = -22.197, p < .01). Furthermore, the DP-MHCOCP group exhibited significantly lower hospital readmission rates at both 28 days (x2 = 6.918, p < .01) and 12 weeks (x2 = 9.215, p < .01) than the control group. Conclusion: The DP-MHCOCP could help enhance self-care behavior and reduce the number of rehospitalizations in patients with heart failure.
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