Relation of the Readiness for Hospital Discharge after Myocardial Infarction Scale to socio-demographic and clinical factors. An observational study
Abstract
Introduction: The aim of the study was to analyse the relationship between the Readiness for Hospital Discharge after Myocardial Infarction Scale (RHD MIS) scores and socio-demographic and clinical factors in patients after acute myocardial infarction (AMI) treated with percutaneous coronary angioplasty.
Material and methods: The study was conducted as a single-centre, prospective, cohort, 6-month observa-tion, including 213 patients: 59 women and 154 men aged 30–91 years (average age of 62,91 ± 11.26 years).
Results: Patients’ economic status was found to have a significant impact on the readiness for discharge measured by RHD-MIS general score.
Among all three investigated RHD-MIS subscales, objective assessment of knowledge was influenced by gender (p = 0.012) and place of residence (p = 0.025). There was a linear trend for increase of knowledge along with increase in education level (p = 0.030). The only factor influencing patients’ expectations was their economic status (p value for heterogeneity: 0.014). A linear correlation between growing of patients’ expectations and worsening of their economic status (p = 0.008) was observed.
Conclusion: Readiness to discharge should be routinely assessed in all patients hospitalized with myo-cardial infarction. The result of this assessment should be used to identify patients requiring additional education. Further research is prompted to determine the cut-off values of RHD-MIS results qualifying patients for additional educational interventions.
Keywords: readiness for discharge from the hospitalmyocardial infarction
References
- Weiss ME, Costa LL, Yakusheva O, et al. Validation of patient and nurse short forms of the Readiness for Hospital Discharge Scale and their relationship to return to the hospital. Health Serv Res. 2014; 49(1): 304–317.
- Weiss ME, Piacentine LB, Lokken L, et al. Perceived readiness for hospital discharge in adult medical-surgical patients. Clin Nurse Spec. 2007; 21(1): 31–42.
- Weiss ME, Yakusheva O, Bobay KL. Quality and cost analysis of nurse staffing, discharge preparation, and postdischarge utilization. Health Serv Res. 2011; 46(5): 1473–1494.
- Kubica A, Andruszkiewicz A, Grześk G, et al. Edukacja zdrowotna jako metoda poprawy realizacji programu terapeutycznego. Folia Cardiologica Excerpta. 2010; 5: 93–99.
- Kubica A, Jurek A, Olejarczyk E, et al. Wybrane czynniki demograficzno-społeczne a skuteczność edukacji zdrowotnej prowadzonej na podstawie broszur edukacyjnych u osób z ostrym zawałem serca. Folia Cardiologica. 2008; 3: 199–207.
- Visser A, Deccache A, Bensing J. Patient education in Europe: united differences. Patient Educ Couns. 2001; 44(1): 1–5.
- Kubica A, Olejarczyk E, Jurek A, et al. Wpływ wybranych czynników ryzyka na poziom wiedzy i skuteczność edukacji zdrowotnej u osób z zawałem serca. Czynniki Ryzyka. 2008; 2: 10–18.
- Kubica A, Magielski P, Olejarczyk E, et al. Źródła wiedzy a skuteczność edukacji zdrowotnej u osób z ostrym zawałem serca. Folia Cardiologica Excerpta. 2009; 4: 285–290.
- Kubica A, Obońska K, Fabiszak T, et al. Adherence to antiplatelet treatment with P2Y12 receptor inhibitors. Is there anything we can do to improve it? A systematic review of randomized trials. Curr Med Res Opin. 2016; 32(8): 1441–1451.
- Kubica A. Współpraca z pacjentem — podstawowy warunek skuteczności terapii w chorobie wieńcowej. Choroby Serca i Naczyn. 2009; 6: 131–134.
- Kubica A, Kochman W, Bogdan M, et al. The influence of undergone percutaneous coronary interventions, and earlier hospitalizations with myocardial infarction on the level of knowledge and the effectiveness of health education in patients with myocardial infarction. Advances in Interventional Cardiology. 2009; 5: 25–30.
- Forster AJ, Murff HJ, Peterson JF, et al. The incidence and severity of adverse events affecting patients after discharge from the hospital. Ann Intern Med. 2003; 138(3): 161–167.
- Kubica A, Kasprzak M, Obońska K, et al. Discrepancies in assessment of adherence to antiplatelet treatment after myocardial infarction. Pharmacology. 2015; 95(1-2): 50–58.
- Kubica A, Kasprzak M, Siller-Matula J, et al. Time-related changes in determinants of antiplatelet effect of clopidogrel in patients after myocardial infarction. Eur J Pharmacol. 2014; 742: 47–54.
- Kosobucka A, Michalski P, Pietrzykowski Ł, et al. Adherence to treatment assessed with the Adherence in Chronic Diseases Scale in patients after myocardial infarction. Patient Prefer Adherence. 2018; 12: 333–340.
- Buszko K, Kosobucka A, Michalski P, et al. The readiness for hospital discharge of patients after acute myocardial infarction: a new self-reported questionnaire. Medical Research Journal. 2017; 2(1): 20–28.
- Smith J, Liles C. Information needs before hospital discharge of myocardial infarction patients: a comparative, descriptive study. J Clin Nurs. 2007; 16(4): 662–671.
- Oterhals K, Hanestad BR, Eide GE, et al. The relationship between in-hospital information and patient satisfaction after acute myocardial infarction. Eur J Cardiovasc Nurs. 2006; 5(4): 303–310.
- Paterson B, Kieloch B, Gmiterek J. 'They never told us anything': postdischarge instruction for families of persons with brain injuries. Rehabil Nurs. 2001; 26(2): 48–53.
- Doiron-Maillet N, Meagher-Stewart D. The uncertain journey: women's experiences following a myocardial infarction. Can J Cardiovasc Nurs. 2003; 13(2): 14–23.
- Kubica A, Pufal J, Moczulska B, et al. Skuteczność edukacji zdrowotnej u osób hospitalizowanych w klinice kariologii. Psychiatria w Praktyce Ogólnolekarskiej. 2005; 5: 61–68.
- Kubica A, Pufal J, Moczulska B, et al. Ocena wiedzy dotyczącej profilaktyki i objawów choroby niedokrwiennej serca u osób hospitalizowanych w klinice kardiologii. Psychiatria w Praktyce Ogólnolekarskiej. 2004; 4: 135–141.
- Winkleby MA, Flora JA, Kraemer HC. A community-based heart disease intervention: predictors of change. Am J Public Health. 1994; 84(5): 767–772.
- Andersson P, Leppert J. Men of low socio-economic and educational level possess pronounced deficient knowledge about the risk factors related to coronary heart disease. J Cardiovasc Risk. 2001; 8(6): 371–377.
- Sommaruga M, Vidotto G, Bertolotti G, et al. A self administered tool for the evaluation of the efficacy of health educational interventions in cardiac patients. Monaldi Arch Chest Dis. 2003; 60(1): 7–15.
- Michalski P, Kosobucka A, Nowik M, et al. Edukacja zdrowotna pacjentów z chorobami układu sercowo-naczyniowego. Folia Cardiologica. 2017; 11(6): 519–524.
- Naghavi M, Falk E, Hecht HS, et al. SHAPE Task Force. From vulnerable plaque to vulnerable patient--Part III: Executive summary of the Screening for Heart Attack Prevention and Education (SHAPE) Task Force report. Am J Cardiol. 2006; 98(2A): 2H–215H.
- Patel H, Mourad M. Demystifying discharge: Assessing discharge readiness to predict day of discharge. J Hosp Med. 2015; 10(12): 832–833.