Defense Date

1988

Document Type

Dissertation

Degree Name

Doctor of Philosophy

Department

Education

First Advisor

Jean Lokerson

Abstract

This study was conducted to determine the effect of patient teaching in the home setting on compliance to one's home care regimen, number of hospital readmissions, and days of rehospitalization for patients with chronic congestive heart failure. An experimental design was used with subjects randomly assigned either to the experimental or control group. Both groups received traditional education in the hospital setting. In addition, the experimental group received the home health teaching program and the control group received an assessment visit for the purpose of counteracting the Hawthorne effect. Compliance data were collected from both groups by the investigator via telephone interview three months and six months after the initial hospitalization. Data were verified and supplemented by patients' medical records.

The study was guided by the following hypotheses:

1. Patients with chronic congestive heart failure who have home teaching in addition to traditional education in the hospital setting will comply to a greater degree with the treatment regimen, as measured by a Compliance Assessment Guide, than patients who receive only traditional teaching in the hospital setting.

2. Patients with chronic congestive heart failure who have home teaching in addition to traditional education in the hospital setting will have fewer hospital readmissions for congestive heart failure than patients who receive only traditional education in the hospital setting.

3. Patients with chronic congestive heart failure who have home teaching in addition to traditional education in the hospital setting will have fewer days of rehospitalization for congestive heart failure than patients who receive only traditional education in the hospital setting.

The Student's t test was used to determine if statistically significant differences existed between the two groups on the variables of compliance, number of hospital readmissions, and days of rehospitalization. No significant difference was found between the experimental and control groups on compliance measured by a Compliance Assessment Guide. Statistically significant differences were found between the two groups on the number of readmissions and days of rehospitalization for congestive heart failure. The experimental group had fewer readmissions and fewer days of rehospitalization for congestive heart failure than did the control group. The differences between the two groups on these two variables were attributed to the effectiveness of the home teaching program for the experimental group.

Rights

© The Author

Is Part Of

VCU University Archives

Is Part Of

VCU Theses and Dissertations

Date of Submission

9-13-2016

Included in

Education Commons

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