A STUDY TO ASSESS THE EFFECTIVENESS OF TRANSITIONAL CARE NURSING PACKAGE ON HEALTH RELATED QUALITY OF LIFE AMONG CLIENTS WITH CORONARY ARTERY DISEASE

Background: Coronary artery disease (CAD) is connected with poor patient health status and deterioration of health-related quality of life. The magnitude of the impact of coronary artery disease on an individuals quality of life is due to the demanding long term changes in lifestyle coupled with the huge economic burden of treatment and rehabilitation. Health related quality of life (HRQOL) as a multidimensional construct demonstrates functional dimensions, patients subjective understanding of his bio psychosocial health status and productivity affairs. Aim: To assess the effectiveness of transitional care nursing package on health related quality of life of clients with coronary artery disease. Materials and Methods: A quasi experimental pre-test, post-test design was used. A Sample of 290 coronary artery disease clients (study group-146, control group -144) were selected by non probability convenience sampling technique. SF-36 Health Survey Tool was used to assess the HRQOL. Results: In pre-test assessment of HRQOL, 4.1% of them having low level, 87.7% were having moderate level, 8.2% of them were having high level & none of them having very high level of HRQOL. After administration of transitional care nursing package to study group the HRQOL was improved to high level for majority 76.7% of respondents and 6.8% had achieved very high level of HRQOL and none of them had low level of HRQOL. The mean and standard deviation in the pre and post test level of HRQOL among CAD clients was 351.12, SD 38.45 and 506.84; SD 48.65 respectively with the mean difference level of 155.71. Hence the transitional care nursing package was effective in improving the level of HRQOL at p<0.001level. Conclusion: Comprehensive transitional care nursing programs helps to enhance care during transitions between settings that can reduce not only hospital readmissions but also helps to improve health related quality of life (HRQOL) by adapting positive health behaviors after discharge from acute care settings.