Tahere Sarboozi Hosein Abadi - ۱. Department of Nursing, School of Nursing and Midwifery, Torbat Heydariyeh University of Medical Sciences, Torbat Heydariyeh, Iran ۲. Health Sciences Research Center, Torbat Heydariyeh University of Medical Sciences, Torbat Heydariyeh, Iran.
Mohammad Namazi Nia - Department of Nursing, School of Nursing and Midwifery, Torbat Heydariyeh University of Medical Sciences, Torbat Heydariyeh, Iran Health Sciences Research Center, Torbat Heydariyeh University of Medical Sciences, Torbat Heydariyeh, Iran.
Seyed Reza Mazlom - Instructor, Nursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran

Background: Lifestyle and behaviors of human beings are major factors in cardiovascular diseases. Therefore, a discharge program based on Self-determination Theory could improve the lifestyle of the patients. Aim: This study aimed to determine the effect of this program on the lifestyle and readmission of patients with heart failure. Method: This clinical trial was performed on ۶۰ patients with heart attack in a city in north-east of Iran, during ۲۰۱۸-۱۹. The participants were selected by convenience sampling method and divided randomly into intervention and control groups. Subsequently, the intervention group was subjected to a ۱۲-week SDT-based discharge program. However, the control group received the routine program. The data were collected using a demographic characteristics form, the Health-Promoting Lifestyle Profile II questionnaire, and the readmission questionnaire. Moreover, the data were analyzed in SPSS software (version ۲۰) using the Chi-square, independent t-test, paired t-test, and Wilcoxon. Results: In total, ۲۰.۰% and ۴۶.۷% of the subjects in the intervention and control groups were re-hospitalized, respectively. The Chi-square showed a significant difference in this regard (P=۰.۰۲۸).The results also showed a significant increase in the lifestyle score of the patients at post-test stage, in the intervention group (۱۶۴.۶±۱۶.۹), compared to the control group (۱۱۹.۱±۱۷.۲) (P<۰.۰۰۱). Furthermore, the mean score of various lifestyle subscales significantly increased in the intervention group, compared to the control group, three months after discharge (P<۰.۰۱). Implications for Practice: The design and implementation of a SDT-based discharge program could be included in the nursing care program as an effective method to create and maintain health-promoting behaviors.  

Discharge program, Heart failure Lifestyle, readmission