Assessing the effect of implementing training program during discharge from the hospital on anxiety of clients with diabetes mellitus

Diabetes is one of the most common chronic diseases that causes many physical and psychological complications. The most common psychological side effects in patients with diabetes are depression and anxiety. Hospital discharge is one of the most important causes of anxiety in clients. The aim of this study was to investigate the effect of implementing a training program during discharge on the anxiety of clients with diabetes mellitus at the time of discharge.

The clinical trial was conducted on eighty diabetic clients who were to be discharged from the hospital in Ayatollah Hashemi Rafsanjani Hospital in Shirvan in 1398. Clients entered the study using purposeful sampling method and were randomly assigned to the intervention and control using the blocks of four method. To the patients of the intervention group, the designed discharge program was given in the form of a booklet and oral explanations were done face to face and the clientschr(chr('39')39chr('39')) questions were answered by the researcher for half an hour. The control group received only routine ward training. Beck anxiety questionnaire was used to assess clients’ anxiety half an hour after being informed of the discharge order and half an hour after the intervention. The collected data were analyzed by SPSS v.25 software.

There was no significant difference between two groups before the intervention regarding demographic factors. Before the intervention, the mean anxiety score of individuals in the intervention group was 30.75 and in the control group was calculated 33.3 (P = 0.023). After the intervention, the average anxiety score of individuals in the intervention group was 8.82 and in the control group was 32.4, which is statistically significant difference between the two groups (0.001>P).

Implementing training program during discharge from hospital can reduce anxiety during discharge from hospital in clients with diabetes mellitus.