Effectiveness of case management for community elderly with hypertension, diabetes mellitus, and hypercholesterolemia in Taiwan: A record review

Lu, Kuei-Yun; Lin, Pi‐Li; Tzeng, Li-Chi; Huang, Kang-Chieh; Chang, Lulu

doi:10.1016/j.ijnurstu.2005.11.013

Cited by 13 publications

(17 citation statements)

References 22 publications

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“…In particular, the most decrease occurred in the non-use group, with 14.9 mmHg of SBP and 7.7 mmHg of DBP, in average. This study's result accords with the existing research suggesting CM positively affects BP control [8][9][10]. A project in which public health nurses provided CM services to seniors for 3 months also achieved a significant outcome in reducing BP [9].…”

Section: Discussionsupporting

confidence: 87%

“…In addition, as a result of interactive patient education sessions provided by nurses, the subjects' BP decreased significantly at 12 months of followup management [8]. In Korea, a health care project of customized home visiting applying CM methods to uncontrolled HT patients produced 64% of increase in the control rate of BP [10]. This indicates CM have been known to encourage health behaviors and self-management [25,26] had a positive impact on BP control as well as self-management behaviors.…”

Section: Discussionmentioning

confidence: 99%

“…CM affects the knowledge and psycho-social factors of patients like social support, resulting in self-care behaviors [7][8][9]. A patient's self-care behaviors and lifestyle are related to short-term outcomes including BP [7][8][9][10][11], which, in turn, affects the patient's long-term health (mortality) and medical service utilization [12,13].…”

Section: Introductionmentioning

confidence: 99%

“…To solve these problems, NHIC, with the help of its local branches nationwide, has been running a CM project in community focusing on the goal of improving health status of HT patients who over-or underuse medical services to prevent aggravation and complication of the chronic disease through promoting the health behaviors and encouraging rational medical service utilization [16]. Several studies have reported the positive effectiveness of CM on health behaviors and health status [10,[17][18][19]. However, few studies has been conducted to evaluate the effects of CM on the medical expense and use of medical services, even some previous studies showing contradictory results [12,20].…”

Section: Introductionmentioning

confidence: 99%

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Effectiveness of Community-based Case Management for Patients with Hypertension

Yun

Lee

Kim

et al. 2014

J Korean Acad Community Health Nurs

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Purpose: The purpose of this study was to evaluate the effectiveness of case management for patients with hypertension on their health status and medical service utilization. Methods: This study was a secondary analysis of data collected for a larger study of chronic disease management in 2008 using the National Health Insurance Corporation database. A total of 12,944 patients who received case management for hypertension were included in this analysis. The subjects of case management were classified into subgroups, namely, over-use, under-use, and non-use groups according to the amount of medical service utilization. To compare the medical service utilization, a control group was selected randomly. The data were analyzed through descriptive statistics, McNemar test, and ANOVA. Results: All the subgroups displayed significant differences in blood pressure, self-management, social support, and their characteristics of medical service utilization. The total medical expense of the under-use and non-use groups increased after case management. However, there was no decrease in the medical expense of the over-use group. Conclusion: This finding suggests that there is a need to re-examine why patients overuse medical services and to supplement specific strategies for encouraging appropriate medical service utilization, and enhancing case management efforts for the over-use group.

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Section: Discussionsupporting

confidence: 87%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Effectiveness of Community-based Case Management for Patients with Hypertension

Yun

Lee

Kim

et al. 2014

J Korean Acad Community Health Nurs

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“…The Leadership domain, which guides strategies and opportunities for participating in the development of healthy public policies, mobilization and management of resources for health promotion and capacity building, was not identified in any of the selected articles (4)(5) Nurses play an important role in the detection, monitoring, treatment and prevention of diseases and in health promotion in the community (9) . Consequently, health education and empowerment were the main nursing interventions used to promote health in patients with arterial hypertension within the Catalyzing Change domain, which focuses on enabling changes and empowering individuals and communities to improve health (4)(5) .…”

Section: Discussionmentioning

confidence: 99%

Intervenções de enfermagem relacionadas à promoção da saúde em portadores de hipertensão

et al. 2012

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Objectives: To identify the health promotion compentencies of nursing interventions for patient with hypertension. Methods: The methodology of an integrative literature review was followed, using the eight competencies for the practice of health promotion that were defined at the Galway Consensus Conference. Sixteen articles were analyzed. Results: The domains of competence for health promotion practice that were most evident were: catalyzing change, assessment of needs, and partnerships. Only one article mentioned the use of nursing taxonomies for planning care in patients with hypertension. Conclusion: The results of this study will support nursing competencies for practicing health promotion in patients with hypertension. Keywords: Nursing; Health promotion; Hypertension; Evidence based nursing; RESUMOObjetivos: Identificar as competências de promoção da saúde em intervenções de enfermagem em portadores de hipertensão arterial. Méto-dos: Seguiu-se a metodologia de revisão integrativa da literatura, utilizando as oito competências para a prática de promoção da saúde definidas na Conferência de Galway. Foram analisados 16 artigos. Resultados: Os domínios de competência para a prática de promoção da saúde mais evidenciados foram Catalisar mudanças, Avaliação das necessidades e Parcerias. Apenas um artigo mencionou o uso das taxonomias de enfermagem para o planejamento da assistência em portadores de hipertensão arterial. Conclusão: Os resultados deste estudo poderão subsidiar as competências dos enfermeiros para a prática da promoção da saúde em portadores de hipertensão arterial. Descritores: Enfermagem; Promoção da saúde; Hipertensão; Enfermagem baseada em evidências RESUMEN Objetivos: Identificar las competencias de promoción de la salud en intervenciones de enfermería en portadores de hipertensión arterial. Mé-todos: Se siguió la metodología de La revisión integrativa de la literatura, utilizando las ocho competencias para la práctica de la promoción de la salud definidas en la Conferencia de Galway. Fueron analizados 16 artículos. Resultados: Los dominios de competencia para la práctica de promoción de la salud más evidenciados fueron Catalizar cambios, Evaluación de las necesidades y sociedades. Sólo un artículo mencionó el uso de las taxonomías de enfermería para la planificación de la asistencia en portadores de hipertensión arterial. Conclusión: Los resultados de este estudo pueden subsidiar las competencias de los enfermeros para la práctica de la promoción de la salud en portadores de hipertensión arterial. Descriptores: Enfermería; Promoción de la salud; Hipertensión; Enfermería basada en la evidencia

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Characterizing Beliefs about Stroke and Walking for Exercise among Seniors from Four Racial/Ethnic Minority Communities

Chang

Choi

Kwon

et al. 2018

J Cross Cult Gerontol

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We described and compared seniors' stroke-related health beliefs among four racial/ethnic communities to inform a culturally-tailored stroke prevention walking intervention. Specific attention was paid to how seniors combined pathophysiology-based biomedical beliefs with non-biomedical beliefs. We conducted twelve language-concordant, structured focus groups with African American, Chinese American, Korean American, and Latino seniors aged 60 years and older with a history of hypertension (n = 132) to assess stroke-related health beliefs. Participants were asked their beliefs about stroke mechanism and prevention strategies in addition to questions corresponding to four constructs from the Health Belief Model: perceived susceptibility, perceived severity, and benefits and barriers to walking for exercise. Using thematic analysis, we iteratively reviewed and coded focus group transcripts to identify recurrent themes within and between racial/ethnic groups. Participants across all four racial/ethnic groups believed that blockages in brain arteries caused strokes. Factors believed to increase susceptibility to stroke were often similar to biomedical risk factors across racial/ethnic groups, but participants also endorsed non-biomedical factors such as strong emotions. The majority of participants perceived stroke as a serious condition requiring urgent medical attention, fearing paralysis or death, but few mentioned severe disability as a stroke consequence. Participants largely believed stroke to be preventable through physical activity, dietary changes, and medication adherence. Perceived benefits of walking for exercise included improved physical health, decreased bodily pain, and ease of participation. Perceived barriers to walking included limited mobility due to chronic medical conditions, increased bodily pain, and low motivation. While seniors' stroke-related health beliefs were often similar to biomedical beliefs across racial/ethnic groups, we also identified several non-biomedical beliefs that were shared across groups. These non-biomedical beliefs regarding perceived stroke susceptibility and severity may warrant further discussion in stroke education interventions. Patterns in non-biomedical beliefs that vary between groups may reflect cultural differences. Stroke education could potentially increase cultural relevancy and impact by addressing such differences in health beliefs as well as perceived benefits and barriers to walking for exercise that vary between different racial/ethnic groups.

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Effectiveness of case management for community elderly with hypertension, diabetes mellitus, and hypercholesterolemia in Taiwan: A record review

Cited by 13 publications

References 22 publications

Effectiveness of Community-based Case Management for Patients with Hypertension

Effectiveness of Community-based Case Management for Patients with Hypertension

Intervenções de enfermagem relacionadas à promoção da saúde em portadores de hipertensão

Characterizing Beliefs about Stroke and Walking for Exercise among Seniors from Four Racial/Ethnic Minority Communities

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