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The Variables of the Readiness for Discharge from Hospital in Patients after Myocardial Infarction

Discharge after myocardial infarction (MI) reduces the risk of repeated myocardial infarction and stroke and has a positive effect on the patient’s prognosis. An important element of preparation is the assessment of the patient’s readiness for discharge from hospital. This study aimed to evaluate th...

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Autores principales: Kolarczyk, Ewelina, Witkowska, Agnieszka, Szymiczek, Marek, Młynarska, Agnieszka
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9867362/
https://www.ncbi.nlm.nih.gov/pubmed/36674337
http://dx.doi.org/10.3390/ijerph20021582
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author Kolarczyk, Ewelina
Witkowska, Agnieszka
Szymiczek, Marek
Młynarska, Agnieszka
author_facet Kolarczyk, Ewelina
Witkowska, Agnieszka
Szymiczek, Marek
Młynarska, Agnieszka
author_sort Kolarczyk, Ewelina
collection PubMed
description Discharge after myocardial infarction (MI) reduces the risk of repeated myocardial infarction and stroke and has a positive effect on the patient’s prognosis. An important element of preparation is the assessment of the patient’s readiness for discharge from hospital. This study aimed to evaluate the associations between a patient’s readiness for hospital discharge after MI, their functioning in the chronic illness, and socio-demographic and clinical variables. Methods: This was a cross-sectional, single-center study. The study was conducted among 242 patients who were hospitalized for myocardial infarction after percutaneous coronary intervention (PCI). The Readiness for Hospital Discharge After Myocardial Infarction Scale (RHD-MIS) and the Functioning in Chronic Illness Scale (FCIS) were used. Results: No statistically significant differences were found between socio-demographic and clinical factors and the overall result of the RHD-MIS (p >0.05).There is a positive correlation between hospital discharge readiness and functioning in chronic disease in patients after MI (r = 0.20; p < 0.001). The higher the level of subjective knowledge, the better the functioning in chronic disease (rho = 0.16; p < 0.05), the greater the increase in the sense of influence on the course of the disease (rho = 0.17; p < 0.05) and the greater the decrease in the impact of the disease on the patient’s attitude (rho = 0.23, p < 0.05). Conclusions: The higher the readiness for discharge from hospital, the better the patient’s functioning in the disease and the lower the impact of the disease on the patient.
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spelling pubmed-98673622023-01-22 The Variables of the Readiness for Discharge from Hospital in Patients after Myocardial Infarction Kolarczyk, Ewelina Witkowska, Agnieszka Szymiczek, Marek Młynarska, Agnieszka Int J Environ Res Public Health Article Discharge after myocardial infarction (MI) reduces the risk of repeated myocardial infarction and stroke and has a positive effect on the patient’s prognosis. An important element of preparation is the assessment of the patient’s readiness for discharge from hospital. This study aimed to evaluate the associations between a patient’s readiness for hospital discharge after MI, their functioning in the chronic illness, and socio-demographic and clinical variables. Methods: This was a cross-sectional, single-center study. The study was conducted among 242 patients who were hospitalized for myocardial infarction after percutaneous coronary intervention (PCI). The Readiness for Hospital Discharge After Myocardial Infarction Scale (RHD-MIS) and the Functioning in Chronic Illness Scale (FCIS) were used. Results: No statistically significant differences were found between socio-demographic and clinical factors and the overall result of the RHD-MIS (p >0.05).There is a positive correlation between hospital discharge readiness and functioning in chronic disease in patients after MI (r = 0.20; p < 0.001). The higher the level of subjective knowledge, the better the functioning in chronic disease (rho = 0.16; p < 0.05), the greater the increase in the sense of influence on the course of the disease (rho = 0.17; p < 0.05) and the greater the decrease in the impact of the disease on the patient’s attitude (rho = 0.23, p < 0.05). Conclusions: The higher the readiness for discharge from hospital, the better the patient’s functioning in the disease and the lower the impact of the disease on the patient. MDPI 2023-01-15 /pmc/articles/PMC9867362/ /pubmed/36674337 http://dx.doi.org/10.3390/ijerph20021582 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Kolarczyk, Ewelina
Witkowska, Agnieszka
Szymiczek, Marek
Młynarska, Agnieszka
The Variables of the Readiness for Discharge from Hospital in Patients after Myocardial Infarction
title The Variables of the Readiness for Discharge from Hospital in Patients after Myocardial Infarction
title_full The Variables of the Readiness for Discharge from Hospital in Patients after Myocardial Infarction
title_fullStr The Variables of the Readiness for Discharge from Hospital in Patients after Myocardial Infarction
title_full_unstemmed The Variables of the Readiness for Discharge from Hospital in Patients after Myocardial Infarction
title_short The Variables of the Readiness for Discharge from Hospital in Patients after Myocardial Infarction
title_sort variables of the readiness for discharge from hospital in patients after myocardial infarction
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9867362/
https://www.ncbi.nlm.nih.gov/pubmed/36674337
http://dx.doi.org/10.3390/ijerph20021582
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