Effects of interventions on the readiness for hospital discharge in elderly patients with chronic heart failure: A Randomized Controlled Trial
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Background This study aimed to evaluate the effects of the interventions on the readiness for hospital discharge in elderly patients with chronic heart failure.The primary outcome was the readiness for hospital discharge.The secondary outcomes were the quality of discharge teaching,and the rates of unplanned readmissions and the quality of living.The clinical outcome includes the 6-minute walk test. Design: A randomized controlled trial was conducted. Methods A total of 92 participants admitted for heart failure were recruited from the cardiology departments of a public hospital in Qingdao.They were randomly allocated to the control group and the intervention group.All participants received the usual care. Participants in the intervention group received the discharge preparation interventions. Data were collected at baseline,1 month, 3 months from baseline. Results Compared to the control group, participants in the intervention group had significantly higher levels of discharge preparation( P <0.05) and the quality of discharge teaching at 1-month,3-month follow-ups( P <0.05).Patients in the intervention group experienced significantly lower the quality of living level than patients in the control group at 3-month follow-ups( P <0.05).The research showed that the result of 6-minute walk test was higher among participants in the intervention group than those in the control group at 3-month follow-ups( P <0.05).At 1-month and 3-month after intervention,the rates of unplanned readmissions were compared between the two groups.The rates of unplanned readmissions were 11.4% at 1-month,was 6.8% at 3-month in the intervention group, but it was 37.2% at 1-month and 32.6% at 3-month in the control group. Conclusion Discharge preparation interventions can effectively improve discharge preparation level and the quality of discharge teaching,improve the quality of life,and reduce the rate of unplanned readmission.
