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오숙희 ( Oh Suk-Hee ) - 수원시 방문보건센터
김용순 ( Kim Yong-Soon ) - 아주대학교 간호대학
박지원 ( Park Jee-Won ) - 아주대학교 간호대학
유문숙 ( Yoo Moon-Sook ) - 아주대학교 간호대학
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Abstract
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Purpose: The study compared the hypertension care efficacy of a case management intervention program for registered clients.
Methods: The nonequivalent control group pretest-posttest design involved 53 registered hypertensive patients of a customized visiting health care service in S-city(n=28 experimental group, n=25 control group). Data collection and case management intervention were carried out from April to July, 2009. The experimental group had six home visits and two phone calls, and the control group had two home visits during the 8-week period. Outcome variables for test hypotheses were changes in physiologic index (blood pressure and total cholesterol) and degree of self-management performance and confidence.
Results: Repeated measure ANOVA and t-test of means revealed significant differences before and after program for systolic and diastolic blood pressure and self-management performance and confidence, but no significant difference concerning total cholesterol.
Conclusion: A case management program can have positive effects on blood pressure control and self management. However, research is needed to create a more effective case management for vulnerable patient populations.
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KeyWords
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방문간호, 사례관리, 고혈압, 중재연구
Home care services, Case management, Hypertension, Intervention study
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원문 및 링크아웃 정보
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등재저널 정보
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