DOI QR코드

DOI QR Code

The Effect of Case Management Program for Hypertensive Patient

보건소 등록 고혈압 환자에게 실시한 사례관리 프로그램의 효과

  • Chung, Jung-Soon (Visiting Health Management Team, Namyangju City Public Health Center, Department of Medical Affairs) ;
  • Lee, Sun-Ock (Department of Nursing, Korea National Open Univ.)
  • 정정순 (남양주시 보건소 북부보건센터 보건관리팀) ;
  • 이선옥 (한국방송통신대학교 자연과학대학 간호학과)
  • Received : 2014.02.11
  • Accepted : 2014.05.14
  • Published : 2014.05.31

Abstract

Purpose: The purpose of this study was to investigate the effects of case management service for hypertensive elderly patients through the customized visiting home health care program. Method: Non-equivalent control group pretest-posttest design was employed. Data were collected from April 2007 to January 2009. Among a total of fifty subjects, 25 subjects were belonged to the case management group and the others were belonged to the general management group. Results: 1) In experimental group, significant increasing rate of number of people within normal blood pressure by time, but no significant increasing rate of number of people within normal blood neutral fat, total cholesterol, HDL, & LDL. 2) In experimental group, the score of knowledge about disease and healthy life practice were increased on 8 week period but decreased on follow up period. Number of people within normal blood HDL and mean score of healthy life practice were significantly higher than control group on follow up period. Conclusion: Case management service was effective on controlling blood pressure but partly effective on blood lipid, knowledge about disease, and healthy life practice in hypertensive patients. Further study is needed to conduct a periodic re-evaluation of the effect of case management and to verify an optimal interval to provide the case management service.

Keywords

References

  1. Ahn, Y. H. (2007). Compliance level with therapeutic regimen of medication and life style among patients with hypertension in rural communities. Journal of Korean Academy of Public Health Nursing, 21(2), 125-133.
  2. Cho, G. H., Kim, Y. K.(2008). Influencing factors on depression, suicidal thought, and life satisfaction of Korean elders. J Korean Acad Soc Nurs Edu, 14(2),176-187 https://doi.org/10.5977/JKASNE.2008.14.2.176
  3. Choi, I. H. (2007). Changes of blood pressure and the performance of self-management of hypertension patients following the case-management. Department of Health Welfare Administration. Unpublished master's thesis, Graduate School Of Public Health, Kosin University, Busan.
  4. Hong, J. S. (2004). Social and health practice factors associated with diabetes mellitus, hypercholesterolemia, and hypertension of the public service personnel in a rural country. Unpublished master's thesis, Graduate School Of Public-Sport, Daejeon University, Daejeon.
  5. Hong, J. S. (2006). Hypertension related knowledge and attitude, and lifestyle change among self-management program users. Unpublished master's thesis, Graduate School of Public Health, Yonsei University, Seoul.
  6. Jeong, B. S., Gang, H. G., Gwak, M. Y., Kim, E. S., Kim, H. Y., Bak, E. S., et al. (2006). Effects of biophysical index, knowledge and self management compliance of patients with primary hypertension by a self management compliance promotion program. Journal of Korean Academy Nursing, 36(3), 554-560. https://doi.org/10.4040/jkan.2006.36.3.551
  7. Jeong, H. S. (2006). The effects of diet health education program for prehypertension group on the diet habit and blood pressure. Korean Journal of Health Education and Promotion, 23(4), 1-12.
  8. Kim, H. R., Oh, K. S., Oh, K. O., Lee, S. O., Lee, S. J., Kim, J. A., et al. (2008). Quality of life in low income Korean aged. Journal Korean Academy Nursing, 38(5), 694-703. https://doi.org/10.4040/jkan.2008.38.5.694
  9. Kim, M. S. (2009). Effects of case management for patients with hypertension registered in patient-tailored home visiting project. Unpublished master's thesis, Graduate School of Busan National University, Pusan.
  10. Kim, Y. M., Shin, E. Y., Lee, K. S. (2006). Effects of the case management program for the elderly with hypertension. Journal of the Korean Gerontological Society, 26(3), 477-492.
  11. Lee, H. J. (2004). Effect of individual health education the medical clinic of public health center on knowledge, self-efficacy, and self-care behavior in clients with hypertension. Journal of Korean Community Health Nursing Academic Society, 18(1), 80-89.
  12. Lee, M. H. (2009). A study on the effectiveness of community-based case management for older adults with hypertension. The Graduate School of Public Affairs, Ajou University, Kyungki.
  13. Lee, O. K. (2007). Evaluation of the case management utilizing the customized home health care program for the patients with hypertension. Unpublished master's thesis, the Graduate School Yonsei University, Seoul.
  14. Lee, W. W. (2007). A study on the medical service use of high blood pressure patients through the case management program and on the effect of their self-management performing level-focused on the data of National Health Insurance. Unpublished master's thesis, Youngnam University, Daegu.
  15. Ministry for Health, Welfare and Family Affairs (2008). Hypertension Diabetes case management 2007 Brand Identification standards intermission report. Seoul.
  16. Park, Y. I., Jun, M. H. (2000). The effect of a self regulation program for hypertensives in rural areas. Journal of Korean Academy Nursing, 30(5), 1303-1317. https://doi.org/10.4040/jkan.2000.30.5.1303
  17. So, A. Y., Kim, Y. M., Kim, E. Y., Kim, C. Y., Kim, C. H., Kim, H. G., et al. (2008). Effects of community-based case management program for clients with hypertension. Journal of Korean Academy Nursing, 38(6), 822-830. https://doi.org/10.4040/jkan.2008.38.6.822
  18. Yang, S. O., Ahn, S. Y., Yim, E. S., Kwon, M. S. (2008). The effects of customized home visiting health service in Gangwon-do. Journal of Korean Academy of Community Health Nursing, 19(1), 88-100.
  19. Yong, W. S., Park, I. S., Kang, S. H., Kim, W. J., Kim, K. H., Kim, K. K., et al. (2006). Development of hypertension predictive model. Korean Journal of Health Education and Promotion, 23(4), 13-28.

Cited by

  1. The Effects of Hypertension Health School Program on Hypertension-related Knowledge, Self-efficacy, Self-care Behavior and Physiological Parameters in Hypertensive Patients vol.23, pp.1, 2016, https://doi.org/10.5953/JMJH.2016.23.1.49
  2. Changes in Adherence to Non-Pharmacological Guidelines for Hypertension vol.11, pp.8, 2016, https://doi.org/10.1371/journal.pone.0161712
  3. Benefit analysis of visiting healthcare in public health centers vol.35, pp.5, 2018, https://doi.org/10.14367/kjhep.2018.35.5.69
  4. 보건소 고혈압 건강교실 프로그램이 고혈압 환자의 고혈압관련 지식, 자가간호행위, 삶의 질 및 생리적 지수에 미치는 영향 vol.17, pp.11, 2014, https://doi.org/10.5762/kais.2016.17.11.236
  5. 심뇌혈관질환 예방교육 프로그램이 노인대학 이용 노인의 심·뇌혈관질환의 지식, 우울 및 생리적 지수에 미치는 효과 vol.24, pp.2, 2014, https://doi.org/10.5953/jmjh.2017.24.2.77
  6. The Effect of Public Health Center-Based Hypertension School on Hypertension-related Knowledge, Self-efficacy, Anthropometric Value and Blood Pressure vol.7, pp.3, 2014, https://doi.org/10.7236/ijasc.2018.7.3.44