Effect of discharge plan on self-care ability and quality of life of patients with chronic heart failure

Abstract

Objective To explore the effect of discharge plan on the self-care ability and quality of life of patients with chronic heart failure. Methods Sixty-eight patients with chronic heart failure undergoing routine nursing from January, 2015 to June, 2016 at our hospital were selected as a control group. And 68 patients with chronic heart failure treated at our hospital from July, 2016 to December, 2017 were selected as an observation group; hospital discharge plans were made, and the patients were intervened according to the plan for 6 months, one month as a cycle. The self-care ability, quality of life, and readmission rate were compared between the two groups before and after the nursing care. Results After 6 months’ nursing care, the scores of self-care ability, self-care responsibility, self-concept, and knowledge level of the observation group were (31.56±5.62), (20.75±2.37), (25.33±2.42), and (51.65±6.53), which were higher than those of the control group, with statistical differences (all P<0.05); the scores of physiology, physiological function, emotional function, vitality, physical pain, general health, mental health, and social function of the observation group were (79.49±3.19), (73.01±3.47), (83.79±4.15), (81.48±5.22), (84.36±4.34), (81.84±3.65), (84.22±3.19), and (87.84±3.42), which were higher than those of the control group, with statistical differences (all P<0.05). The readmission rate was 30.88% and the LVEF was (57.84±4.27)% in the observation group, which were better than those in the control group, with statistical differences (both P<0.05). Conclusions Hospital discharge plans for patients with chronic heart failure can effectively improve their self-care ability and quality of life and reduce the readmission rate, so it is worth being clinically generalized. Key words: Discharge plans; Chronic heart failure; Self-care ability; Quality of life; Readmission