THE EFFECTS OF DISCHARGE PLANNING ON SELF-CARE ABILITY IN PATIENTS UNDERGOING PERCUTANEOUS TRANSLUMINAL CORONARY ANGIOPLASTY IN SEYYEDOLSHOHADA (AS) HOSPITAL, URMIA, 2014-5

Coronary arteries angioplasty is one of the most common methods for treatment of coronary artery diseases.On the other hand, one of the major issues in promoting quality of care is patient participation in treatment and self-care. This study aimed to determine the effect of implementation discharge planning on self-care ability patients undergoing percutaneous transluminal coronary angioplasty, Urmia, Iran, 2015.
This study was an interventional clinical trial. 80 patients were selected who met inclusion criteria, and they were randomly divided into two group of experimental (40) and control group (40). The data were gathered by a demographic questionnaire information, and Kearney & Fleischer self-care ability questionnaire. In experimental group, the patients learned necessary measures for their self-care. One month after discharge, the demographic information questionnaire and the self-care ability questionnaire were completed by two groups of patients. Data analysis was done by using SPSS software version 22, and using descriptive and inferential statistics.
The study revealed that there was no significant difference between control and intervention groups (p=0.181). Comparing the averages of the self-care ability before and after the intervention in two groups showed statistically significant differences (p=0.0001). As a result, the paired t-test showed that there is statistically significant differences in the control group (P=0.001) and the intervention group (P=0.0001) during one month after discharge. However, the difference between the means of the scores obtained at the time of admission and one month after discharge is much greater in the intervention group than the control group.
Performance discharge planning had a positive impact on self-care ability for patient's coronary angioplasty. Therefore, it is recommended for health care providers and nurses to strengthen the patients self-care on discharge planning, and to improve their ability of self-care to reduce the complications in coronary angioplasty.