Effect of Self-determination Theory-based Discharge Program on Lifestyle and Readmission of Patients with Heart Failure: A Clinical Trial
<strong>Background:</strong> Lifestyle and behaviors of human beings are major factors in cardiovascular diseases. Therefore, a discharge program based on Self-determination Theory could improve the lifestyle of the patients.<br /> <strong>Aim: </strong>This study aimed...
| Main Authors: | , , |
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| Format: | Article |
| Language: | fas |
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Mashhad University of Medical Sciences
2020-04-01
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| Series: | Journal of Evidence-Based Care |
| Subjects: | |
| Online Access: | http://ebcj.mums.ac.ir/article_15474_8b95daa24335e113c3db5707db6fdf84.pdf |
| Summary: | <strong>Background:</strong> Lifestyle and behaviors of human beings are major factors in cardiovascular diseases. Therefore, a discharge program based on Self-determination Theory could improve the lifestyle of the patients.<br /> <strong>Aim: </strong>This study aimed to determine the effect of this program on the lifestyle and readmission of patients with heart failure.<br /> <strong>Method: </strong>This clinical trial was performed on 60 patients with heart attack in a city in north-east of Iran, during 2018-19. The participants were selected by convenience sampling method and divided randomly into intervention and control groups. Subsequently, the intervention group was subjected to a 12-week SDT-based discharge program. However, the control group received the routine program. The data were collected using a demographic characteristics form, the Health-Promoting Lifestyle Profile II questionnaire, and the readmission questionnaire. Moreover, the data were analyzed in SPSS software (version 20) using the Chi-square, independent t-test, paired t-test, and Wilcoxon.<br /> <strong>Results:</strong> In total, 20.0% and 46.7% of the subjects in the intervention and control groups were re-hospitalized, respectively. The Chi-square showed a significant difference in this regard (P=0.028).The results also showed a significant increase in the lifestyle score of the patients at post-test stage, in the intervention group (164.6±16.9), compared to the control group (119.1±17.2) (P<0.001). Furthermore, the mean score of various lifestyle subscales significantly increased in the intervention group, compared to the control group, three months after discharge (P<0.01).<br /> <strong>Implications for Practice:</strong> The design and implementation of a SDT-based discharge program could be included in the nursing care program as an effective method to create and maintain health-promoting behaviors.<br /> <strong> </strong> |
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| ISSN: | 2008-2487 2008-370X |