Browse > Article
http://dx.doi.org/10.4040/jkan.2008.38.6.822

Effects of Community-based Case Management Program for Clients with Hypertension  

So, Ae-Young (Department of Nursing, Kangnung National University)
Kim, Yun-Mi (Department of Nursing, Eulji University)
Kim, Eun-Young (Department of Nursing, Kangwon National University)
Kim, Chang-Yup (Graduate School of Public Health, Seoul National University)
Kim, Cheol-Hwan (Department of Public Health & Healthcare Management)
Kim, Hee-Gerl (Department of Nursing, Kyungwon University)
Shin, Eun-Young (Department of Health Administration, Hanyang Women's College)
Yoo, Weon-Seob (School of Medicine, Eulji University)
Yi, Ggod-Me (Department of Nursing, Sangji University)
June, Kyung-Ja (Department of Nursing, Soonchunnhyung University)
Publication Information
Journal of Korean Academy of Nursing / v.38, no.6, 2008 , pp. 822-830 More about this Journal
Abstract
Purpose: The purpose of this study was to analyze effects of a community-based case management program for clients with hypertension living in the community. Methods: The research design was a one group pre and post-test design with 30 participants with hypertension who agreed to participate in the 8-12 week case management program provided by case managers from the National Health Insurance Corporation in 2002. Data were collected three times, before and after the case management services, and 6 months later. Outcomes included changes in blood pressure, knowledge of hypertension and daily life practices, including alcohol consumption, smoking, exercise, and medication adherence. Results: Repeated-measures ANOVA and post-hoc tests of means revealed significant differences before and after service for systolic blood pressure, daily life practices (monitoring body weight and BP, low salt and cholesterol and high vegetable diet, and stress-relief practices), and exercise. The goal for medication adherence was attained after service. Significant improvements from baseline to 6 months after service were observed in measures of salt and vegetables in diet. There were no significant differences on hypertension knowledge, alcohol consumption or smoking behavior between before service and after, and at 6 months. Conclusion: The findings provide preliminary evidence that case management intervention can have positive outcomes on BP control, daily life practices, exercise, and medication adherence for clients with hypertension. However, additional interventions are needed to sustain long-term effects.
Keywords
Hypertension; Case management; Self care; Knowledge; Outcomes;
Citations & Related Records
Times Cited By KSCI : 1  (Citation Analysis)
Times Cited By Web Of Science : 1  (Related Records In Web of Science)
연도 인용수 순위
1 Chang, S. O., Shin, S. R., Kim, H. K., Kim, S. S., & Ju, E. A. (2005). Changes in smokers' perception about smoking before and after participation in a hospitalized smoking cessation program. Journal of Korean Academy of Nursing, 35, 1163-1173   DOI
2 Dally, D. L., Dahar, W., Scott, A., Roblin, D., & Khoury, A. T. (2002). The impact of health education program targeting patients with high visit rates in managed care organization. American Journal of Health Promotion, 17, 101-111   DOI   PUBMED   ScienceOn
3 Ginsberg, G. M., Viskoper J. R., Fuchs, Z., Drexler I., Lubin F., Berlin, S., et al. (1993). Partial cost-benefit analysis of two different modes of nonpharmacological control of hypertension in the community. Journal of Human Hypertension, 7, 593-597   PUBMED
4 Joffres, M. R., Ghadirian, P., Fodor, J. G., Petrasovits, A., Chockalingam, A., & Hamet, P. (1997). Awareness, treatment, and control of hypertension in Canada. American Journal of Hypertension, 10, 1097-1102   DOI   ScienceOn
5 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 Corporation. Unpublished master's thesis, Yeungnam University, Daegu
6 Nine, S. L., Lakies, C. L., Jarrett, H. K., & Davis, B. A. (2003). Community-based chronic disease management program for African Americans. Outcomes Management, 7, 106-112   PUBMED
7 Park, N. H. (2003). The effect of self-help programs for hypertensives in community areas. Journal of Korean Society of Health Education and Promotion, 20, 207-219
8 Pender, N. J. (1996). Health promotion in nursing practice (3rd ed.). Stanford, CT: Appleton & Lange
9 Tipton, C. M. (1991). Exercise, training and hypertension: An update. Exercise and Sport Sciences Reviews, 19, 447-505   PUBMED
10 Yoo, W. S., Kim, M. H., Kim, Y. M., Kim, E. Y., Kim, C. H., Kim, H. G., et al. (2007). Development of job manual for progressive reorganization in case management program for the insureds of National Health Insurance. Seoul: National Health Insurance Corporation
11 Yoo, Y. S., Cho, O. H., Park, S. K., Jung, H. S., & Kim, S. I. (2005). Development of a web-based hypertensive patient management system using short message service (SMS): Pilot study. Clinical Nursing Research, 11, 57-70
12 Drevenhorn, E., Kjellgren, K. I., & Bengtson, A. (2007). Outcomes following a programme for lifestyle changes with people with hypertension. Journal of Clinical Nursing, 16, 144-151   DOI   ScienceOn
13 Ko, I. S., Kim, G. S., Lim, M. H., Lee, K. J., Lee, T. W., Park, H. S., et al. (2007). Effects of health education on the knowledge and self-care of hypertension for visiting nursing clients. Journal of Korean Academy of Public Health Nursing, 21, 134-145
14 Park, J. H., Park, J. H., Lee, S. Y., Kim, S. Y., Shin, Y., & Kim, S. Y. (2008). Disparities in antihypertensive medication adherence in persons with disabilities and without disabilities: Results of a Korean population-based study. Archives of Physical Medicine and Rehabilitation, 89, 1460-1467   DOI   ScienceOn
15 Choi, I. H. (2007). Changes of blood pressure and the performance of self-management of hypertension patients following the case-management. Unpublished master's thesis, Kosin University, Busan
16 Friedman, R. H., Kazis, L. E., Jette, A., Smith, M. B., Stollerman, J., Torgerson, J., et al. (1996). A telecommunications system for monitoring and counselling patients with hypertension. Impact on medication adherence and blood pressure control. American Journal of Hypertension, 9, 285-292   DOI   ScienceOn
17 Newell, M. (1996). Using nursing case management to improved health outcomes. Gaithersburg, MD: An Aspen Publication
18 Joint National Committee (JNC). (1997). The sixth report of the Joint National Committee on detection, evaluation, and treatment of high blood pressure. Archives of Internal Medicine, 157, 2413-2446   DOI
19 Bramley, T. J., Gerbino, P. P., Nightengale, B. S., & Frech-Tamas, F. (2006). Relationship of blood pressure control to adherence with antihypertensive monotherapy in 13 managed care organizations. Journal of Managed Care Pharmacy, 12, 239-245   DOI   PUBMED
20 Lee, J. S., Oh, S. Y., Han, H. S., & Yi, Y. J. (2001). The coping experience in hypertensive clients. Journal of Korean Academy of Nursing, 31, 759-769   DOI
21 Kim, C. Y., Kim, E. Y., Kim, C. H., Kim, H. S., Kim, H. G., Nam, H. S., et al. (2003). Development and evaluation of case management program for the insureds of National Health Insurance. Seoul: National Health Insurance Corporation
22 Colhoun, H. M., Dong, W., & Poulter, N. R. (1998). Blood pressure screening, management and control in England: Results from the health survey for England 1994. Journal of Hypertension, 16, 747-752   DOI   ScienceOn
23 Lee, G. S., Kim, C. H., Shin, J. H., Ryu, W. S., Lee, G. M., Shin, E. Y., et al. (2005). A study of man power development and monitoring system in case management program of National Health Insurance. Seoul: National Health Insurance Corporation
24 Park, O. J., Hong, M. S., Jang, K. S., & Kim, J. Y. (1998). The effect of social support on compliance with sick role behavior in hypertensive clients and duration of the effect for up to 6 months. Journal of Korean Academy of Nursing, 28, 159-170   DOI
25 Nelson, M. R. (2003). The JNC-7 hypertension guidelines. Journal of American Medical Association, 290, 1312   DOI   PUBMED   ScienceOn
26 Chan, S., MacKenzie, A., Ng, D. T., & Leung, J. K. (2000). An evaluation of the implementation of case management in the community psychiatric nursing service. Journal of Advanced Nursing, 31, 144-156   DOI   ScienceOn
27 Nho, H. S., & Kim, H. S. (2000). Hypertension and exercise prescription. Journal of Korean Society of Living Environmental System, 7, 1-8
28 Kim, Y. M., Shin, E. Y., & Lee, K. S. (2006). Effects of the case management program for the elderly with hypertension. Korean Journal of Gerontology, 26, 477-492
29 Marques-Vidal, P., & Tuomilehto, J. (1997). Hypertension awareness, treatment, and control in the community: Is the 'rule of halves' still valid? Journal of Human Hypertension, 11, 213-220   DOI
30 The Korea Institution for Health and Social Affairs (KIHSA). (2006). National health and nutrition survey 2005. Seoul: Ministry of Health and Welfare