THE EFFECT OF IDEAL DISCHARGE PLAN MODEL ON ANXIETY LEVELS IN PATIENTS WITH MYOCARDIAL INFARCTION IN SHAHID MADANI HOSPITAL IN KHOY, IRAN, 2016

Cardiovascular diseases such as coronary artery disease are the most important
causes of death in the world and Iran as well. For this reason, These kinds of diseases cause anxiety on
the patietns. Discharge planning is crucial to ensure timely discharge, and continuity of care. It also
helps healthcare providers to use limited resources most effectively, and to avoid unnecessary
readmissions. The aim of this study is to determie the effect of IDEAL (Include ،Discuss ،Educate ،
Assess ،Listen) discharge plan model on anxiety levels in patients with myocardial infarction in Shahid
Madai hospital in Khoy, Iran, 2016.
Materials and Methods: In a semi experimental study, 108 patients with myocardial infarction were
assessed in Shahid Madani hospital affiliated with Urmia University of Medical Sciences in 2016. They
were selected through convenience sampling, and divided randomly into two groups of intervention and
control. Every patient in the intervention group received IDEAL discharge plan model from their
admission to 3 months after their discharge, while patients in the control group received no intervention.
Spielberg’s state-trait inventory was used to assess their level of anxiety before intervention, and 3
months after their discharge.
Results: According to findings, the mean score of anxiety for experimental group before the intervention
and after intervention were 72.71 ± 3.09 and 32.25±4.94 respectively. There was a significant difference
between the mean scores of anxiety reduction in two groups after the intervention (p<0.001).
Conclusion: As a result, providing the patients with IDEAL discharge plan mode will diminish their
anxiety level of myocardial infarction. Therefore, it is recommended that the nurse managers provide
programs to highlight the instructional role of nurses