Key result
Admission to the cardiac care unit was associated with a significant decrease in functional status, with mean Barthel index scores dropping from 92.96 to 82.85 and Katz index scores from 5.37 to 4.57.
Why the study?
Chronic heart disease and aging can impair activities of daily living, and assessing ADL dependency after CCU discharge is important for patient care planning.
Cross-Sectional (n=180)
Yes
Absolute Event Rate: 82.85% vs 92.96%
p-value: p=<0.001
Patients experience a decline in their functional status and ability to perform activities of daily living following discharge from a cardiac care unit.
Introduction: Activities of daily living (ADL) refer to the ability to perform the essential self-care activities that are necessary to have a life without dependency. Development of chronic diseases such as heart disease, as age progresses, can affect ADL. Facilitating the return of patients to the ADL and determining the level of care is one of the responsibilities of nurses. Therefore, using Barthel and Katz indexes, this study aimed to assess ADL dependency after discharge from cardiac care unit (CCU). Methods: In this descriptive cross-sectional study, 180 patients were selected by the available sampling method. Data were analyzed before and after admission to the CCU using SPSS software version 13. Results: The mean score of the Barthel and Katz indexes, before admission to the CCU, was 92.96 and 5.37, respectively, which changed to 82.85 and 4.57 post-cardiac care unit (P-CCU). Accordingly, ADL dependency increased after discharge from CCU. Conclusion: After discharge from the CCU (in P-CCU), patients do not return to the same level of activities before hospitalization, and the functional status and ability of patients to perform daily activities decrease.
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Khalandi et al. (2022) conducted a cross-sectional in Cardiovascular disease requiring CCU admission (n=180). Cardiac care unit admission vs. Pre-admission status was evaluated on Mean score of the Barthel index for activities of daily living (p=<0.001). Admission to the cardiac care unit was associated with a significant decrease in functional status, with mean Barthel index scores dropping from 92.96 to 82.85 and Katz index scores from 5.37 to 4.57.
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