DOI QR코드

DOI QR Code

The Effect of Case Management for Clients with Hypertension.DM Registered in Customized Home Visiting Health Care Services

일 지역 맞춤형 방문건강관리사업의 고혈압.당뇨병 사례관리 효과분석

  • Received : 2010.01.18
  • Accepted : 2010.03.06
  • Published : 2010.03.31

Abstract

Purpose: To analyze the effects of customized home visiting health services on the health and health behaviors of clients with hypertension (n=107) and diabetes mellitus (DM: n=67). Methods: A one group pre and post-test research design was used. The subjects were registered in a customized 8-week, interventional, home visiting health services available in Daegu. Data was collected from November 17, 2008 to January 23, 2009. Analyses involved descriptive statistics, $x^2$ test and paired t-test. Result: Hypertension control rate was improved 25.2% and DM control rate was improved 3.0%. There were significantly beneficial hypertension-related differences in BP, health belief, health knowledge and health behaviors including performance of 10 min of moderate exercise, diet, BP monitoring and medication. Significantly beneficial DM-related changes included glucose, health belief, health knowledge and health behaviors including performance of 10 min of moderate exercise and glucose monitoring. But there were no significant hypertension-related differences in health belief (barrier) and health behavior including drinking and exercise length/frequency. Also, no significant DM-related differences were evident in health belief (barrier) and health behaviors including drinking, smoking, exercise length/frequency, diet and medication. Conclusion: Customized home visiting health service can provide effective, but not complete. Whether these benefits are maintained in the longer term is unknown.

Keywords

Acknowledgement

Supported by : 계명대학교

References

  1. Case Management Society of America. (2009). What is a case manager?. Retrieved August 1, 2009, from http://cmsa.org/home/CMSA/
  2. Cha, S. S. (2008). A study on the nutritional status, the diet therapy knowledge and the diet compliance of diabetes of Chungbuk in Korea. Unpublished master's thesis, Ewha Woman University, Seoul.
  3. Hong, S. H. (2006). Effects of exercise the glycemic control of diabetic patients. Unpublished master's thesis, Kyunghee University, Seoul.
  4. Jang, H. J., Nam, S. Y., Lee, T. B., Jin, Y. R., & Choi, B. A. (2006). Development of monitoring system and activation plan for public health center based home healthcare. Seoul : Korea Health Industry Development Institute.
  5. Jeon, H. O. (2008). Influencing factors on self-care in the elderly with essential hypertension. J Korean Acad Community Health Nurs, 19(1), 66-75.
  6. Jurgens, G., & Graudal, N. A. (2005). Effects of sodium diet versus high sodium diet on blood pressure, renin, aldosterone, catecholamine, cholesterol and triglyceride(Review). The Cochrane Collaboration.
  7. Kim, H. S., & Kim, H. Y. (2007). Factors predicting medication compliance among elderly visitors of public health centers. J Korean Acad Community Health Nurs, 18(1), 5-13.
  8. Kim, M S. (2009). Effects of case management for patients with hypertension registered in patient-tailored home visiting project. Unpublished master's thesis, Pusan National University, Pusan.
  9. Kim, S. Y. (2008). Effects of case management program on self-efficacy, self-care behaviors and glycemic control in patient with diabetes. Unpublished doctoral dissertation, Chonnam National University, Chonnam.
  10. Kim, T. M. (2006). Changes in the behavior and blood sugar value of diabetes patients following the case management. Unpublished master's thesis, Kosin University, Pusan.
  11. Korea National Health & Nutrition survey (2009). 2007 Korea national health statistics (the 4th). Retrieved August 1, 2009, from http://www.knhanes.cdc.go.kr
  12. Korea Health Industry Development Institute. (2004). A report for evaluation and developing management system about visiting health care service in metropolitan area in 2003. Seoul: Korea Health Industry Development Institute.
  13. Lee, G. H. (2007, February 26). The Korean diabetes mortality is first in OECD. Retrieved August 1, 2009, from http://www.chosun.com/site/data/html/dir/2007/02/26/html
  14. Lee, H. J. (2002). Factors affecting medication compliance of hypertensive patients. Unpublished master's thesis, Dankook University, Gyeonggi.
  15. Lee, I. S., & Yim, K. S. (2008). The strategies for expanding delivery system of tailored visiting health care for vulnerable groups. Seoul: Management center for health promotion.
  16. Lee, M. H. (2009). A study on the effectiveness of community-based case management for older adults with hypertension. Unpublished master's thesis, Ajou University, Gyeonggi.
  17. Ministry for Health, Welfare and Family Affairs. (2008). Tailored home visiting health service: Expert education-case management of chronic illness. Seoul: Ministry for Health, Welfare and Family Affairs.
  18. Ministry for Health, Welfare and Family Affairs. (2009-a). The guidance of tailored home visiting health service. Seoul: Ministry for Health, Welfare and Family Affairs.
  19. Ministry for Health, Welfare and Family Affairs. (2009-b). The result of 2008 tailored home visiting health service. Seoul: Ministry for Health, Welfare and Family Affairs.
  20. Park, J. S., Kim, J. N., Park, K. M., Ko, H. J., Kwon, Y. S., & Lee, K. H. (1999). The evaluation report of '99 Ministry for health, welfare and family affairs public works home-visiting health services in Yeongnam. Seoul: Ministry for Health, Welfare and Family Affairs.
  21. Park, J. S., & Oh, Y. J. (2009). Development of connection model about Korea hypertension diabetes Daegu initiative and tailored home visiting health service. Daegu: Keimyung university.
  22. Pender, N. J. (1996). Health promotion in nursing practice (3rd ed.). Stanford, CT :Appleton & Lange.
  23. Rosenstock, I. M. (1974). The health belief model and prevention health behavior. Health Educ Monogr, 2(4), 354-386. https://doi.org/10.1177/109019817400200405
  24. Ryu, H. S., & Hwang, R. H. (2004). A study on the status and policy issues of visiting nursing programs at public health centers in urban area. J Korean Acad Community Health Nurs, 15(1), 67-75.
  25. Shin, E. Y., Kim, C. H., Yoo, W. S., Kim, H. G., & Kim, C. Y. (2003). The effect of case management program for diabetic patients in Korean Community. J Korean Acad Community Health Nurs, 14(4), 1-9.
  26. Smith, K., Layne, M., & Garell, D. (1994). The impact of care coordination on children with special healthcare needs. J Child Health Care, 23(4), 251-266. https://doi.org/10.1207/s15326888chc2304_2
  27. So, A. Y., Kim, Y. M., Kim, E. Y., Kim, C. Y., Kim, C. H., Kim, H. G., Shin, E. Y., Yoo, W. S., Yi, G. M., & June, K. J. (2008). Effects of community-based case management program for clients with hypertension. J Korean Acad Nurs, 38(6), 822-830. https://doi.org/10.4040/jkan.2008.38.6.822
  28. Song, Y. H. (2006). Analysis of factors related to therapeutic compliance of hypertensive patients who visit one hospital for hypertension control. Unpublished master's thesis, The Catholic University of Korea, Seoul.
  29. The Korean Society of Hypertension. (1999). Hypertension. Seoul: The Korean Society of Hypertension
  30. Yang, S. O., Ahn, S. Y., Yim, E. S., & Kwon, M. S. (2008). The effects of customized home visiting health service in Gangwon-do. J Korean Acad Community Health Nurs, 19(1), 88-100.