Journal of Education and Health Promotion

The effect of home care on readmission and mortality rate in patients with diabetes who underwent general surgeries

Document Type : Original Article

Authors

. Lila Faridani 1
. Parvaneh Abazari 2
. Maryam Heidarpour 3
. Hamid Melali 4
. Mojtaba Akbari 3

1 1 Student Research Committee, University of Medical Sciences, Isfahan, Iran

2 Nursing and Midwifery Sciences Development Research Center, Najafabad Branch, Islamic Azad University, Najafabad, Iran Nursing and Midwifery Care Research Center, Isfahan University of Medical Sciences, Isfahan, Iran

3 Isfahan Endocrine and Metabolism Research Center, Isfahan University of Medical Sciences, Isfahan, Iran

4 Isfahan University of Medical Sciences, Dean of Amin Hospital, Isfahan, Iran

Abstract
BACKGROUND: More than one‑half of people with diabetes need at least one surgery in their
lifespan. Few studies have addressed how to manage the needs of these patients after discharge
from the hospital. The present study is designed to determine the effect of home care on readmission
of Type 2 diabetic patients who underwent surgical procedures.
MATERIALS AND METHODS: The present study was a randomized clinical trial. Sixty‑nine
patients with Type 2 diabetes undergoing surgery were assigned to the intervention and control
groups via blocking order in the selected educational hospitals of Isfahan 2019. Home care
was performed for 3 months with interprofessional team approach. Data collection tools were
re‑admission checklist. Data were entered in SPSS software version 23 and were analyzed by
nonparametric tests.
RESULTS: The background characteristics in the intervention and control groups were not different.
The frequency of readmission in the control and intervention groups from the time of discharge until
3 months later was 25.7% and 18.9%, respectively. Frequency of readmission in the intervention
and control groups was not significant in 3 months from discharge, P > 0.05. The mortality rate was
11.4% and 0% in control and intervention groups, respectively, P < 0.05.
CONCLUSION: It can be argued that continued home care can decrease the rate of readmission
and mortality rate in patients with Type 2 diabetes who will discharge from surgical wards.

Keywords

Home care
home visit
mortality
readmission
Type 2 diabetes
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Journal of Education and Health Promotion
Volume 11, Issue 10
November 2021
Pages 1-5

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