الفهرس 
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Abstract
SUMMARY
Heart failure represents a clinical syndrome that results from a constellation of disease processes affecting myocardial function. Although recent studies have suggested a decreasing or stable incidence of heart failure, patients with heart failure continue to have high hospitalization and re-admission rates, resulting in a large economic and public health problem (Su et al., 2019).
Re-admission rates for HF patients have not decreased in the last few years, and in fact, have risen, likely because of the decreased mortality and subsequent increased prevalence of HF patients. So, strategies aimed at reducing re-admissions are essential (Roger, 2013).
The aim of this study was to evaluate the effect of implementing a designing nursing educational program on re-admission for patients with heart failure.
Quasi experimental research design was utilized to conduct this study. (study and control group). This study was carried out in cardiovascular medicine department at Assiut University Heart Hospital. The study sample consisted of (50) heart failure patients for each group; ages ranged from 18-65 years old from both sexes, admitted to the cardiovascular medicine department and agreed to participate in the study.
Two tools were used to collect data pertinent to the study; patient assessment sheet and re-admission assessment sheet.
The main findings of the present study as the following: -
1- The majority of the patients in both study and control groups were males (74 %), (76%) with a mean age (55.6± 10.4), (55.8 ± 10.7) years, married (84%), (92%), educated (50%), (58%) and unemployed (86%), (76%) respectively.
2- There was a statistically significant difference between study and control groups regarding their ejection fraction with a p-value of (0.037) and their length of stay with a p-value of (0.044).
3- After 6 months of follow-up, the highest percentage of re-admission was from control group (36%) compared to (26%) of study group, (20%) have re-admitted once, (12%) twice, (4%) three times.
4-There was a statistically significant difference between study and control groups regarding the mean frequency of their hospital re-admissions with a p-value of (0.041) and period from discharge to 1st re-admission with a p-value of (0.044).
5- The highest percentages of causes for re-admission in both study and control groups were drug non-compliance (23.1%), (27.8%), bad dietary habits (15.4%), (27.8%), uncontrolled diabetes mellitus (23.1%), (22.2%), ischemia (7.7%), (27.8%), anemia (15.4%), 16.7), and worsening left ventricular function (7.7%), (22.2%) respectively.
6- Predictors of Re-admission were female sex with a p-value of (0.040), blood urea nitrogen level with a p-value of (0.023), red blood cells level with a p-value of (0.045), smoking with a p-value of (0.047), duration of HF/year with a p-value of (0.024) and history of renal trouble with a p-value of (0.044).