Two Methods of Discharge Care Program Follow-up on Drug Treatment Adherence of Patients with Heart Failure.

Background: Heart failure is a potentially life-threatening condition that disrupts the normal flow of blood throughout the body. Patients with heart failure lack sufficient knowledge regarding drug treatment adherence. An effective discharge plan and its continuity can improve treatment adherence....

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Publicado en:Journal of Evidence-based Care Vol. 14; no. 1; pp. 7 - 16
Autores principales: Isazadeh, Seyedeh Fateme, Khabazkhoob, Mehdi, Monjazebi, Fatemeh, Borhani, Fariba
Formato: research tables/charts randomized controlled trial Journal Article
Publicado: Mashhad University of Medical Science Apr2024
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Apr2024
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      pub: Mashhad University of Medical Science
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        177405033
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        10.22038/EBCJ.2023.72674.2878
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        atl: Two Methods of Discharge Care Program Follow-up on Drug Treatment Adherence of Patients with Heart Failure.
      aug:
        au:
          Isazadeh, Seyedeh Fateme
          Khabazkhoob, Mehdi
          Monjazebi, Fatemeh
          Borhani, Fariba
        affil: MSc in Medical Surgical Nursing, School of Nursing & Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
      sug:
        subj:
          Heart Failure Drug Therapy
          Discharge Planning Methods
          Medication Compliance
          After Care
          Human
          Male
          Female
          Adolescence
          Middle Age
          Aged
          Randomized Controlled Trials
          Random Assignment
          Comparative Studies
          Quasi-Experimental Studies
          Scales
          Questionnaires
          Videoconferencing
          Telenursing
          Health Care Delivery
          Quality of Life
          Adult
          Adolescent: 13-18 years
          Middle Aged: 45-64 years
          Aged: 65+ years
          Adult: 19-44 years
          Male
          Female
      ab: Background: Heart failure is a potentially life-threatening condition that disrupts the normal flow of blood throughout the body. Patients with heart failure lack sufficient knowledge regarding drug treatment adherence. An effective discharge plan and its continuity can improve treatment adherence. Aim: This study was performed with aim to compare two methods of discharge care program followup on drug treatment adherence of patients with heart failure. Method: This quasi-experimental was conducted in 2022-2023 on 126 patients with heart failure in Iran. Participants were divided into the two intervention groups via telephone call (group A), and via video message (group B) and a control group (group C). The required data were collected through Morisky Medication Adherence Scale (MMAS-8) before and 12 weeks after the start of the intervention. In the intervention groups, the care plan was presented to the patients every two weeks. Results: The mean drug treatment adherence scores increased to 2.47±1.68 in group A, 1.51±2.11 in group B, and 0.83±1.60 in group C, which was significantly different in each group and among the three groups (p<0.001). The Mean changes in the patient’s drug treatment adherence in group A were statistically significant only compared to group C (p<0.001). After adjusting confounding variables (age, gender and cause of heart failure), there was a significant difference among the three groups in the patient’s drug treatment adherence and quality of life (p=0.002). Implications for Practice: According to the obtained results, the nurses are recommended to continue the care program after discharge and use technologies to improve treatment adherence.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        randomized controlled trial
        Journal Article
      ougenre: Article
    language: English
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