[Effects of community-based case management program for clients with hypertension].
OBJECTIVE
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.


CONCLUSIONS
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.
So
Ae-Young
AY
Department of Nursing, Kangnung National University, Wonju, Korea.
Kim
Yun-Mi
YM
Kim
Eun-Young
EY
Kim
Chang-Yup
CY
Kim
Cheol-Hwan
CH
Kim
Hee-Gerl
HG
Shin
Eun-Young
EY
Yoo
Weon-Seob
WS
Yi
Ggod-Me
GM
June
Kyung-Ja
KJ
D000203:Activities of Daily Living; D000368:Aged; D000428:Alcohol Drinking / Q000517:prevention & control / Q000523:psychology; D001794:Blood Pressure; D019090:Case Management / Q000458:organization & administration*; D003153:Community Health Services; D004039:Diet, Sodium-Restricted; D005260:Female; D006801:Humans; D006973:Hypertension / Q000523:psychology / Q000628:therapy*; D007723:Korea; D008297:Male; D055118:Medication Adherence / Q000523:psychology; D008875:Middle Aged; D010353:Patient Education as Topic; D016540:Smoking Cessation / Q000523:psychology