Table 10: Results of Discharge Planning Compared with Usual Care.
| Outcome | Result (Intervention Compared With Control) |
|---|---|
| Understanding of diet, medications, exercise, and HRQOL | |
| Diet | Intervention patients had a significantly better understanding of diet at all endpoints 2 days: P = 0.00; 4 weeks: P = 0.00; 12 weeks: P = 0.00 |
| Medications | Intervention patients had a significantly better understanding of medications at all endpoints 2 days: P = 0.00; 4 weeks: P = 0.00; 12 weeks: P = 0.00 |
| Exercise | Intervention patients had a significantly better understanding of exercise at 4 and 12 weeks 2 days: P = 0.06; 4 weeks: P = 0.00; 12 weeks: P = 0.00 |
| Health-related lifestyle | Intervention patients had a significantly better understanding of health-related lifestyle at all endpoints 2 days: P = 0.00; 4 weeks: P = 0.00; 12 weeks: P = 0.00 |
| Adherence to diet, medications, exercise, and health-related lifestyle | |
| Diet | Intervention patients had significantly better adherence to diet at all endpoints 2 days: P = 0.00; 4 weeks: P = 0.00; 12 weeks: P = 0.02 |
| Medications | Intervention patients had significantly better adherence to medications at 4 and 12 weeks 2 days: P = 0.68; 4 weeks: P = 0.01; 12 weeks: P = 0.00 |
| Exercise | Intervention patients had significantly better adherence to exercise at 12 weeks 2 days: P = 0.92; 4 weeks: P = 0.17; 12 weeks: P = 0.00 |
| Health-related lifestyle | Intervention patients had significantly better adherence to health-related lifestyle at all endpoints 2 days: P = 0.03; 4 weeks: P = 0.00; 12 weeks: P = 0.00 |
| Health care utilization | |
| Readmission related to CHD | No significant difference between intervention and control patients at 12 weeks, P = 0.83 |
| Readmission related to other diseases | No significant difference between intervention and control patients at 12 weeks, P = 0.25 |
| Satisfaction with care | |
| Patient satisfaction | 82% of intervention patients considered postdischarge community nursing very helpful 80% of intervention patients expressed high satisfaction with postdischarge community nursing |
Abbreviations: CHD, coronary heart disease; HRQOL, health-related quality of life.
Source: Zhao et al, 2009 (58)