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소애영 ( So Ae-Young ) - 강릉대학교 간호학과
김윤미 ( Kim Yun-Mi ) - 을지대학교 간호대학
김은영 ( Kim Eun-Young ) - 강원대학교 의과대학 간호학과
김창엽 ( Kim Chang-Yup ) - 서울대학교 보건대학원
김철환 ( Kim Cheol-Hwan ) - 인제대학원대학교 보건경영학과
김희걸 ( Kim Hee-Gerl ) - 경원대학교 간호학과
신은영 ( Shin Eun-Young ) - 한양여자대학 보건행정과
유원섭 ( Yoo Weon-Seob ) - 을지대학교 의과대학 예방의학교실
이꽃메 ( YI Ggod-Me ) - 상지대학교 보건과학대학 간호학과
전경자 ( June Kyung-Ja ) - 순천향대학교 간호학과
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Abstract
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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.
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KeyWords
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Hypertension, Case management, Self care, Knowledge, Outcomes
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원문 및 링크아웃 정보
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등재저널 정보
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