A Descriptive Study of Family Transitional Care for Patients with Cardiovascular Disease
Abstract
Cardiovascular disease is a disease with the highest percentage of non-communicable diseases that cause death worldwide. Several cardiovascular diseases such as hypertension, coronary heart disease, heart failure, and myocardial infarction require the same ongoing care plan, both in the hospital and at home. Transitional care is very important for patients with cardiovascular disease and the management post hospitalization is conscientious to prevent re-hospitalization. Objective : This study aims to describe the care transition of families of patients with cardiovascular disease to post-hospitalization. Method: The research design uses quantitative research with descriptive methods. The research was conducted in January - April 2023 using the accidental sampling technique with total of 78 respondents at the Tangerang Private Hospital using the Family Caregiver Activation in Transitions Tool (FCAT) instrument. Data were analyzed using univariate analysis. Results: The results showed ¬that most of the respondents (55.2%) had high or good transitional care. While others (44.9%) are in the low category. Conclusions : The ideal transitional care needs multidisciplinary teams to collaborate. Nurses play a crucial part in the discharge process by coordinating care and communicating with significant parties such as families and community providers to facilitate smooth transfers of care. Further study related to nurses' abilities to deliver appropriate transitional care is also required in the future.
References
Al-Tamimi, M. A.-A., Gillani, S. W., Abd Alhakam, M. E., & Sam, K. G. (2021). Factors associated with hospital readmission of heart failure patients. Frontiers in Pharmacology, 12, 732760.
Babaei, S., & Abolhasani, S. (2020). Family’s supportive behaviors in the care of the patient admitted to the cardiac care unit: A qualitative study. Journal of Caring Sciences, 9(2), 80.
Daghistani, T. A., Elshawi, R., Sakr, S., Ahmed, A. M., Al-Thwayee, A., & Al-Mallah, M. H. (2019). Predictors of in-hospital length of stay among cardiac patients: a machine learning approach. International Journal of Cardiology, 288, 140–147.
Frieden, T. R., Cobb, L. K., Leidig, R. C., Mehta, S., & Kass, D. (2020). Reducing premature mortality from cardiovascular and other non-communicable diseases by one third: achieving sustainable development goal indicator 3.4. 1. Global Heart, 15(1).
Gledhill, K., Bucknall, T. K., Lannin, N. A., & Hanna, L. (2023). The role of collaborative decision‐making in discharge planning: Perspectives from patients, family members and health professionals. Journal of Clinical Nursing.
Gonçalves-Bradley, D. C., Lannin, N. A., Clemson, L., Cameron, I. D., & Shepperd, S. (2022). Discharge planning from hospital. Cochrane Database of Systematic Reviews, 2.
Graham, J., Gallagher, R., & Bothe, J. (2013). Nurses’ discharge planning and risk assessment: behaviours, understanding and barriers. Journal of Clinical Nursing, 22(15–16), 2338–2346.
Hume, K., & Tomsik, E. (2014). Enhancing patient education and medication reconciliation strategies to reduce readmission rates. Hospital Pharmacy, 49(2), 112–114.
Kitko, L., McIlvennan, C. K., Bidwell, J. T., Dionne-Odom, J. N., Dunlay, S. M., Lewis, L. M., Meadows, G., Sattler, E. L. P., Schulz, R., & Strömberg, A. (2020). Family caregiving for individuals with heart failure: a scientific statement from the American Heart Association. Circulation, 141(22), e864–e878.
Mai Ba, H., Son, Y.-J., Lee, K., & Kim, B.-H. (2020). Transitional care interventions for patients with heart failure: an integrative review. International Journal of Environmental Research and Public Health, 17(8), 2925.
Mensah, G. A., Roth, G. A., & Fuster, V. (2019). The global burden of cardiovascular diseases and risk factors: 2020 and beyond. In Journal of the American College of Cardiology (Vol. 74, Issue 20, pp. 2529–2532). American College of Cardiology Foundation Washington, DC.
Messinger-Rapport, B. J., & Sprecher, D. (2002). Prevention of cardiovascular diseases: Coronary artery disease, congestive heart failure, and stroke. Clinics in Geriatric Medicine, 18(3), 463–483.
Mitchell, P., Wynia, M., Golden, R., McNellis, B., Okun, S., Webb, C. E., Rohrbach, V., & Von Kohorn, I. (2012). Core principles & values of effective team-based health care. NAM Perspectives.
Naylor, M. D. (2000). A decade of transitional care research with vulnerable elders. Journal of Cardiovascular Nursing, 14(3), 1–14.
Naylor, M., & Keating, S. A. (2008). Transitional care. American Journal of Nursing, 108(9 SUPPL.), 58–63. https://doi.org/10.1097/01.NAJ.0000336420.34946.3a
Polsook, R., & Aungsuroch, Y. (2021). Factors influencing readmission among Thais with myocardial infarction. Belitung Nursing Journal, 7(1), 15–23.
Purnamasari, D. (2019). The emergence of non-communicable disease in Indonesia. Acta Medica Indonesiana, 50(4), 273.
Rasmussen, L. F., Grode, L. B., Lange, J., Barat, I., & Gregersen, M. (2021). Impact of transitional care interventions on hospital readmissions in older medical patients: a systematic review. BMJ Open, 11(1), e040057.
Shahsavari, H., Zarei, M., & Mamaghani, J. A. (2019). Transitional care: Concept analysis using Rodgers’ evolutionary approach. International Journal of Nursing Studies, 99, 103387.
Son, Y.-J., Choi, J., & Lee, H.-J. (2020). Effectiveness of nurse-led heart failure self-care education on health outcomes of heart failure patients: a systematic review and meta-analysis. International Journal of Environmental Research and Public Health, 17(18), 6559.
Stamp, K. D., Machado, M. A., & Allen, N. A. (2014). Transitional care programs improve outcomes for heart failure patients: an integrative review. Journal of Cardiovascular Nursing, 29(2), 140–154.
Teti Rahmawati, S. R. (2019). Karakteristik Dan Kesediaan Caregivers Keluarga Dari Pasien Dengan Penyakit Kronis Tentang Pembentukan Support Group. Jurnal Ilmiah Keperawatan Altruistik, 2(2), 53–62. https://doi.org/10.48079/Vol2.Iss2.42
Umara, A. F. (2018). The Model Theory Approach “Care, Core, Cure” for Patients with Cardiovascular Disease. In International Journal of Nursing and Health Services (IJNHS) (Vol. 1, Issue 2).
Vedanthan, R., Bansilal, S., Soto, A. V., Kovacic, J. C., Latina, J., Jaslow, R., Santana, M., Gorga, E., Kasarskis, A., Hajjar, R., Schadt, E. E., Björkegren, J. L., Fayad, Z. A., & Fuster, V. (2016). Family-Based Approaches to Cardiovascular Health Promotion. Journal of the American College of Cardiology, 67(14), 1725–1737. https://doi.org/https://doi.org/10.1016/j.jacc.2016.01.036
Weber-Raley, L., & Smith, E. (2015). Caregiving in the US 2015. National Alliance for Caregiving and the AARP Public Policy Institute.
Wihastuti, T. A., Andarini, S., & Heriansyah, T. (2016). Patofisiologi Dasar Keperawatan Penyakit Jantung Koroner: Inflamasi Vaskular. Universitas Brawijaya Press.
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