Effects of Community based case Management Program on Functional Status and Caregiver Burden of Stroke Patients

뇌졸중 환자에 대학 지역사회 중심 사례관리 효과

Purpose: The purpose of the study was to analyze the changes in functional status and caregiver burden after a community based case management program for stroke patients. Method: This study was designed as a one group pre and post test. A total of 61 stroke patients and their caregivers were sampled in three urban areas and two rural areas. Face to face interviews were conducted as a pre test one week before intervention, and a post test two weeks after intervention. The case management program consisted of four home visits and two telephone counseling sessions for assessment, education and providing information during the eight weeks. The collected data were analyzed with paired t test. Results: First, significant differences in functional status, and specifically mobility and cognition, were found between pre test and post test. Second, caregiver burden, in particular, objective burden was significantly decreased after 8 weeks. Third, the positive response for the services increased after 8 weeks. Conclusion: The community based case management program was effective to improve the functional status of stroke patients and to decrease the caregiver burden.