EFFECTIVENESS OF DISCHARGE PLAN ON QUALITY OF LIFE OF POST ANGIOPLASTY PATIENTS

Abstract

Background : Coronary artery disease is caused by deposition of cholesterol and fats in the inner lining of coronary arteries which leads to blockage of it and obstruct the flow of blood to heart muscles which lead to ischemia and necrosis of muscles of the heart. Angioplasty is one of the interventions for management of coronary artery disease. Objectives : The objective of the study was to prepare discharge plan for post angioplasty patients and give them so they can take care of themselves at home and to evaluate the effectiveness of discharge plan on QOL of post angioplasty patients. Methodology : Quantitative research approach with quasi experimental time series design was adopted. Total 52 post angioplasty patients were selected by using purposive sampling technique. The pretest data was collected on second post angioplasty day and post test was done one month after angioplasty by using clinical profile and standard questionnaire of QOL SF36 Discharge summary containing instructions regarding home care was given at the time of discharge from the hospital. Results : Results showed that Discharge plan was effective in improving the quality of life  of post angioplasty patients, mainly in the domains of Physical Function (t = 4.19, P<0.00), Pain (2.76, P<0.008), Role limitation-Mental (t = 2.58, P < 0.013) and health perceptions (t=2.48,P<0.017). Conclusion : This study concluded that discharge plan was effective in improving the QOL of post angioplasty patients in the domains of Physical Function (PF), Pain (P), Role limitation - Mental (RLM) and health perceptions of post angioplasty patients.