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Evaluation of the Effect of Educating Self Care Behavior of Heart failure Patients on Economy of Health

Authors: Maryam Seraji and Fatameh Rakhshani

Int J Med Res Health Sci.279-284 | pdf PDF Full Text

ABSTRACT
Heart disease is the most costly reason for hospitalization. The purpose of this research was evaluation of
the influence of teaching self care behavior for heart failure patients on economy of health in hospitals in
the city of Zahedan of Iran in the year 2012.This study was quasi-experimental with a control group in
the CCU and Post CCU wards of the hospitals of the city of Zahedan in 2012. The patients were
randomly and conveniently placed in two groups of intervention (70 individuals) and control (70). The
intervention group received an educational package and three months after discharge, both groups were
evaluated using interview and phone follow-up as well as coding system (HIS), frequency of admissions
and clinic visits and expenditures partaken. Next using descriptive and analytic statistical tests and the
SPSS software version 18, the data was analyzed. the results showed that in the intervention group the
percent of attendance to the clinic for health check up on an outpatient basis (visit and EKG) was 25% in
three months before intervention and reached 41/6% at three months after intervention. Percent
hospitalization in the CCU three months before intervention was 33/3% and reached 13/3% at three
months after intervention and the percent change was 20%. Self care teaching program for patients with
Heart failureleads to decreased hospitalization and as a result decreased treatment expenditures.
Key Words: Education, Heart failure, Self Care, Health Economy

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