Ae-Young So; Yun-Mi Kim; Eun-Young Kim; Chang-Yup Kim; Cheol-Hwan Kim; Hee-Gerl Kim; Eun-Young Shin; Weon-Seob Yoo; Ggod-Me Yi; Kyung-Ja June

doi:10.4040/jkan.2008.38.6.822

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Original Article
Effects of Community-based Case Management Program for Clients with Hypertension: Ae-Young So, Yun-Mi Kim, Eun-Young Kim, Chang-Yup Kim, Cheol-Hwan Kim, Hee-Gerl Kim, Eun-Young Shin, Weon-Seob Yoo, Ggod-Me Yi, Kyung-Ja June; Journal of Korean Academy of Nursing 2008;38(6):822-830.
DOI: https://doi.org/10.4040/jkan.2008.38.6.822
Published online: December 31, 2008

¹Professor, Department of Nursing, Kangnung National University, Wonju, Korea.

²Assistant Professor, Department of Nursing, Eulji University, Seongnam, Korea.

³Assistant Professor, Department of Nursing, Kangwon National University, Chuncheon, Korea.

⁴Associate Professor, Graduate School of Public Health, Seoul National University, Seoul, Korea.

⁵Professor, Department of Public Health & Healthcare Management, Seoul, Korea.

⁶Associate Professor, Department of Nursing, Kyungwon University, Seongnam, Korea.

⁷Full-time Lecturer, Department of Health Administration, Hanyang Women's College, Seoul, Korea.

⁸Assistant Professor, School of Medicine, Eulji University, Daejeon, Korea.

⁹Associate Professor, Department of Nursing, Sangji University, Wonju, Korea.

¹⁰Professor, Department of Nursing, Soonchunnhyung University, Cheonan, Korea.

Address reprint requests to: Kim, Yun-Mi. Department of Nursing, School of Nursing, Eulji University, 212 Yangji-dong, Sujeong-gu, Seongnam 461-712, Korea. Tel: 82-31-740-7183, Fax: 82-31-740-7359, kyunm@eulji.ac.kr

• Received: June 8, 2008 • Accepted: November 7, 2008

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Abstract
REFERENCES

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

REFERENCES

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Figure 1

Process of hypertension case management program.

Table 1

General Characteristics of Participants

Table 2

Effects on BP, Knowledge about Hypertension, Daily Life Practice, Alcohol Consumption, Smoking and Exercise Habits

^*p<.05; ^†LSD.

Figure & Data

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

J Korean Acad Nurs. 2008;38(6):822-830. Published online December 31, 2008

DOI: https://doi.org/10.4040/jkan.2008.38.6.822

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

Figure 1 Process of hypertension case management program.

Figure 1

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

Table 1

General Characteristics of Participants

Table 2

Effects on BP, Knowledge about Hypertension, Daily Life Practice, Alcohol Consumption, Smoking and Exercise Habits

^*p<.05; ^†LSD.

Table 1 General Characteristics of Participants

Table 2 Effects on BP, Knowledge about Hypertension, Daily Life Practice, Alcohol Consumption, Smoking and Exercise Habits

^*p<.05; ^†LSD.