J Korean Acad Nurs.  2008 Dec;38(6):822-830. 10.4040/jkan.2008.38.6.822.

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

Affiliations
  • 1Department of Nursing, Kangnung National University, Wonju, Korea.
  • 2Department of Nursing, Eulji University, Seongnam, Korea. kyunm@eulji.ac.kr
  • 3Department of Nursing, Kangwon National University, Chuncheon, Korea.
  • 4Graduate School of Public Health, Seoul National University, Seoul, Korea.
  • 5Department of Public Health & Healthcare Management, Seoul, Korea.
  • 6Department of Nursing, Kyungwon University, Seongnam, Korea.
  • 7Department of Health Administration, Hanyang Women's College, Seoul, Korea.
  • 8School of Medicine, Eulji University, Daejeon, Korea.
  • 9Department of Nursing, Sangji University, Wonju, Korea.
  • 10Department of Nursing, Soonchunnhyung University, Cheonan, Korea.

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.

Keyword

Hypertension; Case management; Self care; Knowledge; Outcomes

MeSH Terms

Activities of Daily Living
Aged
Alcohol Drinking/prevention & control/psychology
Blood Pressure
Case Management/*organization & administration
Community Health Services
Diet, Sodium-Restricted
Female
Humans
Hypertension/psychology/*therapy
Korea
Male
Medication Adherence/psychology
Middle Aged
Patient Education as Topic
Smoking Cessation/psychology

Figure

  • Figure 1 Process of hypertension case management program.


Cited by  2 articles

The Effects of Tele-care Case Management Services for Medical Aid Beneficiaries
Yang Heui Ahn, Eui Sook Kim, Il Sun Ko
J Korean Acad Community Health Nurs. 2010;21(3):351-361.    doi: 10.12799/jkachn.2010.21.3.351.

Effectiveness of Community-based Case Management for Patients with Hypertension
Soon-Nyoung Yun, In-Sook Lee, Jin Hyun Kim, Young Ko
J Korean Acad Community Health Nurs. 2014;25(3):159-169.    doi: 10.12799/jkachn.2014.25.3.159.


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