Journal article
Thirty‐day readmission, length of stay and self‐management behavior among patients with acute coronary syndrome and type 2 diabetes mellitus: a scoping review
Journal of Clinical Nursing, Vol.29(3-4), pp.320-329
2020
Abstract
Aims and Objectives: To summarize the current evidence on comorbid type 2 diabetes mellitus (T2DM) related to 30-day readmission and hospital length of stay (LOS) among patients with acute coronary syndrome (ACS) and evidence on the effectiveness of self-management programs for patients with both conditions. Background: ACS and T2DM remain two major diseases leading to serious consequences. Thirty-day readmission and LOS were considered indicators of the quality of care, with the understanding that the potential significant effects of these outcomes could be varied. Design: This scoping review followed the methodology described by Arksey and O'Malley. Methods: Five databases including PubMed, Embase, Cochrane Library, Web of Science and CINAHL were searched, and a total of 20 articles involving 913807 patients were included. Results were reported in accordance with PRISMA-ScR guidelines. Results: The results indicated that patients with both ACS and T2DM have prolonged LOS and increased 30-day readmission rates. The findings supported that improvements in patient self-management behavior for optimal health outcomes was partially successful by effective self-management programs; however, few articles on intervention programs specifically designed for patients with two conditions were found. Conclusion: Prolonged LOS and increased 30-day readmission rates are found among patients with ACS and T2DM. Base on few pilot studies building on each other, the effectiveness of self-management programs in promoting self-care behavior, self-efficacy and knowledge for patients with ACS and T2DM cannot be concluded. Relevance to clinical practice: Findings from this review provide valuable information on and a better understanding of readmissions and LOS among patients with ACS and T2DM for healthcare providers. Future developments and implementations of effective self-management programs should target patients with dual diagnoses to improve health behavior and reduce readmission and LOS.
Details
- Title
- Thirty‐day readmission, length of stay and self‐management behavior among patients with acute coronary syndrome and type 2 diabetes mellitus: a scoping review
- Authors
- Liya Tang (Author) - Jilin University, ChinaKun Li (Corresponding Author) - Jilin University, ChinaJo Wu (Author) - University of the Sunshine Coast - School of Nursing & Midwifery
- Publication details
- Journal of Clinical Nursing, Vol.29(3-4), pp.320-329
- Publisher
- Wiley-Blackwell Publishing Ltd.
- Date published
- 2020
- DOI
- 10.1111/jocn.15087
- ISSN
- 0962-1067
- Copyright note
- Copyright © 2009 Wiley-Blackwell Publishing Ltd. This is the accepted version of the following article: Tang, L, Li, K, Wu, C‐J. Thirty‐day readmission, length of stay and self‐management behaviour among patients with acute coronary syndrome and type 2 diabetes mellitus: A scoping review. J Clin Nurs. 2019; 29: 320– 329. https://doi.org/10.1111/jocn.15087, which has been published in final form at https://doi.org/10.1111/jocn.15087
- Organisation Unit
- School of Health - Nursing; University of the Sunshine Coast, Queensland; School of Nursing, Midwifery and Paramedicine - Legacy
- Language
- English
- Record Identifier
- 99451383502621
- Output Type
- Journal article
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