Effectiveness of Discharge Instruction in the Management of Hypertension among Hospital patients

Introduction

Hospitals and different Healthcare facilities have different protocols or management that is
followed by its employees in administering care and intervention. In cases such as Hypertension, it is
important to note that proper monitoring of Blood pressure in the treatment of Hypertensive patients in
order to determine antihypertensive treatment intensification (Radhika Rastogi, MD, MPH1; Megan M.
Sheehan, BS2; Bo Hu, PhD3; et al 2020). Patients who have chronic illnesses tend to be more focused on
self-care management that’s why discharge education is essential. Studies have found that providing
patients with personalized health information and reminders can improve compliance with guidelines,
health status and patient satisfaction

However, there is gap between the understanding of the patient’s needs and discharge
instructions.

The aim of this study is to understand the quality of discharge guidance for patients with
hypertension and address the repetitive admission of hypertensive patient. This is also to clarify the gap
between patient needs and the content of discharge guidance, and to provide a reference for health
education and clinical path management of patients with hypertension in the future.

Research Problem

This research aims to answer the following questions

1. What are the demographic of patients who are repetitively admitted in the hospital
2. How does discharge instruction affect the treatment of Hypertensive patients
3. What is the gap between the patients needs and discharge instruction

Significance of the Study

This findings of the study will seek to help the following sectors:

The Healthcare sector

The improvement of Discharge instructions among Healthcare sectors would significantly improve the
number of patients who will be readmitted. They would also have a reference for Health education in
order to properly assess patients in the future.
The patients

The patients involved in clinical care and discharge education would be benefitted and would have
better understanding of their needs in order to avoid readmission to Hospitals/Healthcare facilities.

Fellow Nursing Researcher

In order inform action, gather evidence for theories, and contribute to developing knowledge in a field
of study especially in the Nursing field.

Scope and Delimitation

The focus of this study is to clarify the gap between patient needs and the content of discharge
guidance, and how it affects the transition from hospital to home. This would also include the patient’s
satisfaction and understanding of the Hospital’s discharge instructions and Education and how it would
avoid them to be readmitted in the future.

This does not include patients who are experiencing other chronic illnesses.

Key Variables

Discharge Instruction- form of education and communication designed by nurses and other medical
personnel to provide patients and/or caregivers with important information about medical care

Hypertension- is a common condition in which the long-term force of the blood against your artery walls
is high enough that it may eventually cause health problems, such as heart disease.

Chronic Illness- s a human health condition or disease that is persistent or otherwise long-lasting in its
effects or a disease that comes with time.

Self-care management- he practice of individuals looking after their own health using the knowledge
and information available to them
Rastogi R, Sheehan MM, Hu B, Shaker V, Kojima L, Rothberg MB. Treatment and Outcomes of Inpatient
Hypertension Among Adults With Noncardiac Admissions. JAMA Intern Med. 2021;181(3):345–352.
doi:10.1001/jamainternmed.2020.7501

Krist AH, Woolf SH, Rothemich SF, Johnson RE, Peele JE, Cunningham TD, Longo DR, Bello GA, Matzke
GR. Interactive preventive health record to enhance delivery of recommended care: a randomized trial.
Ann Fam Med. 2012;10(4):312–9.

Osborn CY, Mayberry LS, Mulvaney SA, Hess R. Patient web portals to improve diabetes outcomes: a
systematic review. Curr Diab Rep. 2010;10(6):422–35.

Krohn DA. Discharge instructions in the outpatient setting: nursing considerations. J Radiol Nurs.
2008;27(1):29–33.