Reasons for asthmatic patient readmission: health care providers and patients’ perspectives

العناوين الأخرى

أسباب إعادة إدخال مرضى الربو إلى المستشفيات من وجهة نظر المرضى ومقدمي الرعاية الصحية

مقدم أطروحة جامعية

Rahhal, Amal Muhammad Abd al-Majid

مشرف أطروحة جامعية

al-Fayyumi, Imad Hasan

الجامعة

جامعة الإسراء

الكلية

كلية التمريض

دولة الجامعة

الأردن

الدرجة العلمية

ماجستير

تاريخ الدرجة العلمية

2023

الملخص الإنجليزي

Background: The utilisation of thirty-day readmission (30-DR) rates is prevalent as a measure of quality and a quantifiable gauge for healthcare facilities, given that patients frequently experience readmission due to the aggravation of asthmatic conditions from initial admission.

The correlation between the calibre of patient education and post discharge care and the frequency of readmissions is noteworthy.

Purpose: This study aimed to assess the health belief model aspects as well as demographic variables among asthmatic patients who were previously readmitted to hospitals in last 30 days in addition to healthcare professionals and its statistical association to the rate of readmission for asthmatic patients in respect to health belief model aspects.

Design: A case control study was conducted by using questionnaires for asthmatic patients as well as health team members.

Materials and methods: This study is subdivided into healthcare professionals who are 99 member in number as well as asthmatic adult patients who are subdivided into cases (n=149) and controls group (n=150), all of these participants completed the questionnaires.

All cases group were readmitted to hospitals in the previous 30 days while controls group were not.

The statistical program SPSS, version 26 statistical software to analyse the collected data using ANOVA, independent sample t-tests and person-correlation coefficient.

Results: A total of 299 patients and 99 healthcare professionals represented that there is a single demographical variable which was ''age'' which affected and contributed to asthma condition's control, also, this study findings revealed that there is a statistically significant difference in the level of responses of the case group in relation to the HBM aspect of benefits according to gender in favour of female patients, while there is no significant differences reported between physicians and nurses in relation to all aspects of the HBM.

Also, the study results showed that there were a statistically significant differences in the level of (seriousness, benefits, attitude, cost, knowledge, and total degree of reasons for asthmatic patient readmissions from all patients perspectives, and the knowledge of the control group had a positive impact on asthma control.

Conclusion: This study has also documented that patients who exhibit better control over their asthma have not necessitated a hospital readmission within a 30-day period.

The patients exhibited asthma control by engaging in physical activity, experiencing infrequent nocturnal awakenings or early morning awakenings, and implementing asthma control techniques during the preceding four-week period.

The Health Belief Model (HBM) identified two key constructs, namely perceived asthma seriousness and perceived benefits of controlling asthma, which were found to significantly influence the behaviour of patients who were successful in managing their asthma symptoms and avoiding hospital readmissions.

The construct of cost, as perceived by patients, is a component of the Health Belief Model that acts as a barrier to taking action.

التخصصات الرئيسية

التمريض

الموضوعات

• المستشفيات
• الأمراض
• الربو
• مقدمو الرعاية

عدد الصفحات

98

قائمة المحتويات

• APA
• MLA
• AMA

لغة النص

الإنجليزية

نوع البيانات

رسائل جامعية

رقم السجل

BIM-1535825