Abstract
Introduction: Activities of daily living (ADL) refer to the ability to perform the essential self-care activities that are necessary to have a life without dependency. Development of chronic diseases such as heart disease, as age progresses, can affect ADL. Facilitating the return of patients to the ADL and determining the level of care is one of the responsibilities of nurses. Therefore, using Barthel and Katz indexes, this study aimed to assess ADL dependency after discharge from cardiac care unit (CCU). Methods: In this descriptive cross-sectional study, 180 patients were selected by the available sampling method. Data were analyzed before and after admission to the CCU using SPSS software version 13. Results: The mean score of the Barthel and Katz indexes, before admission to the CCU, was 92.96 and 5.37, respectively, which changed to 82.85 and 4.57 post-cardiac care unit (P-CCU). Accordingly, ADL dependency increased after discharge from CCU. Conclusion: After discharge from the CCU (in P-CCU), patients do not return to the same level of activities before hospitalization, and the functional status and ability of patients to perform daily activities decrease.
Highlights
Activities of daily living (ADL) refer to the ability to perform the essential selfcare activities that are necessary to have a life without dependency
About 50% of patients admitted to P-cardiac care unit (CCU) were in the age range of 60-80 years
The results of non-parametric Wilcoxon test indicated that the highest degree of dependency was less than 55, which ranged from 5.6% to 13.3%, and 7.6% of all patients had increased dependence after admission to CCU
Summary
Activities of daily living (ADL) refer to the ability to perform the essential selfcare activities that are necessary to have a life without dependency. Using Barthel and Katz indexes, this study aimed to assess ADL dependency after discharge from cardiac care unit (CCU). Conclusion: After discharge from the CCU (in P-CCU), patients do not return to the same level of activities before hospitalization, and the functional status and ability of patients to perform daily activities decrease. According to the European Union report in 2014, the dependence on assistance in doing activities of daily living (ADL) would range from 30% to 100% in 2050; attention to physical activity plays an important role in clinical outcomes and affects the QOL of the elderly individuals.[6]. Facilitating the return of patients to maximum capacity in mobility and performing ADL in a way that would increase the QOL of patients and to determine the level of care of patients according to functional status, are among nursing measures.[7]
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