EFFECT OF DISCHARGE PLANNING ON COMPLIANCE OF PATIENTS WITH ESOPHAGEAL VARICES
Nagat Ahmed Ahmed Elshekh, Kamelia Fouad Abdallah, Mohsen Salama Mohammed, Nahed Ahmed Mersal
Medical Surgical Nursing Department, Faculty of Nursing, Ain Shams University,National Liver Institute, Menofiya University
Bleeding esophageal varices are considered a medical emergency. It is the most common cause of upper gastrointestinal hemorrhage in Egypt. It represents more than half of the patients with upper gastrointestinal bleeding. Recurrent bleeding varices may be due to the lack of compliance. Compliance was defined as partnership between the health care provider and patient. The goal of this relationship being to ensure that the patient is as self sufficient in managing his or her health as possible. Discharge planning is a process by which the client is prepared for continued care outside the health care facility or for independent living at home. Clients themselves, family, or other health care workers may provide continuing care. Planning for discharge begins when a client is admitted to the health care system. The objectives of this study were to assess needs of patients with esophageal varices, and assess effect of discharge planning on patients compliance. The study hypotheses were patient with esophageal varices who received discharge planning will be more knowledgeable regarding therapeutic regimen than patients who did not, and patients compliance will be improved after the implementation of discharge plan. A quasi-experimental design initialized to meet the aim of this study. The study was conducted in medical department in the liver Institute-Menofya University. A purposive sample of 100 adults patients with esophageal varices who met the inclusion criteria were recruited in the study. They were divided into two equal matched groups (study and control), each group was 50 patients, Data for this study were collected by suing three tools, A interview questionnaire sheet to assess knowledge of patient's esophageal varices, Compliance assessment sheet to assess compliance of patients with esophageal varices, Patient assessment sheet, and Program booklet. It was concluded that the patients had inadequacy in their knowledge and compliance pre intervention in the two groups. majority of patients in the study group had adequate knowledge and compliance post-intervention.