Kronik Hastalık Yönetimi İçin Bir Rehber: Kronik Bakım Modeli

Incirkuş, Kübra; Nahcivan, Nursen

doi:10.17672/fnhd.49483

Cited by 8 publications

(6 citation statements)

References 28 publications

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“…Patient Assessment of Chronic Illness Care -Patient Form (PACIC): The Patient Assessment of Chronic Illness Care -Patient Form (PACIC) was developed by Glasgow et al, in 2005, in a study on chronic diseases, such as hypertension, arthritis, depression, diabetes, asthma (10) . The validity and reliability analysis of the Turkish form of the scale was conducted by Incirkus and Nahcivan in 2010 (5) . The total score of the scale is the average of all 20 items.…”

Section: Methodsmentioning

confidence: 99%

“…Since the treatment of hypertension is a continuous process, the development and maintenance of healthy lifestyle behaviours requires management of a case basis, covering long-term support and advice (5) . Effective case management will not only ensure adherence to the treatment, but also the control of the disease and its symptoms, the reduction of emergency visits and hospitalizations, the reduction of disease-related physiological and psychological effects, and the improvement of the quality of life (5) . Nowadays, the fact that chronic diseases are increasing highlights the importance of chronic disease control and community-based disease management programs.…”

Section: Introductionmentioning

confidence: 99%

“…In the process of working on hypertension patients, the nurse must assume the role of case manager, as they are the health worker closest to the patient (7) . There are many studies in the literature evaluating healthy lifestyle behaviours for individuals with hypertension (7) , the effect of the training given by the nurse regarding healthy lifestyle behaviors (4)(5)(6)(7) , the effect of proper adherence to antihypertensive medication treatment (4) , and the effect of case management (8) . However, there are currently no studies assessing the effect of case management on patient adherence to antihypertensive medication and chronic disease care.…”

Section: Introductionmentioning

confidence: 99%

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Hypertension management: what is the role of case management?

Özpancar

Pakyüz

Topçu

2018

Rev. esc. enferm. USP

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Objective The aim of this study was to determine the effect of case management on hypertension management and on adherence to antihypertensive medication and chronic disease care of patients with hypertension. Method This study was conducted as an experimental and randomized controlled study. The sample of the study consisted of randomly selected patients with hypertension who did not have communication problems, who used antihypertensive medication treatment and whose treatment had been continuing for at least six months. The study group was given individual training (Hypertension causes, the risk factors, significance, unwanted side effects, medication treatment, changes in life style) and was applied case management model in hypertension - joint care protocol but no intervention was offered to the control group. Data was collected using the adherence to antihypertensive medication scale, the patient assessment of chronic illness care in the first and six months later interview. Results There was no significant difference between the study and control group according to adherence to antihypertensive medication and patient assessment of chronic illness care in the first interview. Otherwise, there were significant differences between the study and control group according to blood pressure, adherence to antihypertensive medication and patient assessment of chronic illness care in the six months later interview. The adherence to antihypertensive medication total score and the patient assessment of chronic illness care total score were significantly higher in the study group compared with control group in the six months later interview. Conclusion The case management plays an important role the in control of hypertension, and can improve adherence to antihypertensive medication and chronic illness care.

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Hypertension management: what is the role of case management?

Özpancar

Pakyüz

Topçu

2018

Rev. esc. enferm. USP

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“…Bu programlarda, sağlıktan hastalığa ve toplumdan bireye doğru bakım yaklaşımı benimsenmekte, eğitim programlarında topluma yönelik uygulamalar/stajlar yapılmakla birlikte eğitim programının TTE'ye temellendirildiği hemşirelik lisans programlarının olmadığı görülmektedir. (Aydın, 2014), kronik hastalıkların giderek artması ve sorunun çözümüne yönelik evde bakım modellerinin geliştirilmesi (Yılmaz ve ark, 2010), kronik hastalıkların yönetiminde birinci basamak odaklı ve toplum temelli hastalık yönetimi programlarının öneminin artması (İncirkuş & Nahçivan, 2015), bakım ve tedavinin toplum temelli ortamlarda sürdürülmesini gerektirmektedir. Bu gereklilik de bu ortamlarda çalışacak nitelikte hemşire yetiştiren toplum temelli hemşirelik eğitim programlarını zorunlu kılmaktadır.…”

Section: Toplum Temelli Eğitim Uygulamalarıunclassified

Community-based nursing education

et al. 2019

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Recently a significant proportion of health services are provided in community-based settings. One of the most effective methods to train the health workforce in these settings is community-based education programs. Community-based education is partly taking place in the education programs of nursing schools in Turkey. But there is no community-based curriculum in nursing education. It is necessity put CBE on agenda for an effective and lasting solution to the training of qualified health workforce who will take part of the solve the problems such as; immigration which is a serious problem faced by our country, and the health needs of immigrants; the aging of the population and accompanying health problems; the fight against chronic diseases and similar problems. The main aim of the review is to explain the necessity of community-based nursing education programs in order to train qualified nurses for the needs of the community and the basic features of a community-based nursing program. In this review, the concept of community based education, community based nursing education program applications, strengths and difficulties of the program, basic principles to be considered while preparing community based education program are examined. Extended English summary is in the end of Full Text PDF (TURKISH) file. Özet Günümüzde sağlık hizmetlerinin önemli bir bölümü toplum temelli ortamlarda verilmektedir. Bu ortamlarda çalışacak nitelikte sağlık insan gücü yetiştirmek için kullanılan en etkin yöntemlerden biri toplum temelli eğitim programlarıdır. Türkiye’de hemşire yetiştiren eğitim kurumlarının programlarında toplum temelli eğitime kısmen yer verildiği ancak toplum temelli eğitim programlarının olmadığı görülmüştür. Ülkemizin yüz yüze kaldığı ciddi bir sorun olan göç ve göçmenlerin sağlık ihtiyaçları, nüfusun yaşlanması ve buna eşlik eden sağlık sorunları, kronik hastalıklarla mücadele ve benzeri sorunların çözümünde rol alacak nitelikli sağlık insan gücünün yetiştirilmesinde etkin ve kalıcı bir çözüm olarak toplum temelli eğitim programlarının gündeme alınması zorunlu hale gelmektedir. Derlemenin temel amacı, toplumun ihtiyaçlarına uygun nitelikte hemşire yetiştirmek için toplum temelli hemşirelik eğitim programlarının önemini ve programın temel özelliklerini açıklamaktır. Derlemede, toplum temelli eğitim kavramı, toplum temelli hemşirelik eğitimi programı uygulamaları, programın güçlü yönleri ve yaşanan güçlükler, toplum temelli eğitim programı hazırlanırken dikkat edilmesi gereken temel ilkeler incelenmiştir.

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“…In chronic diseases such as FH, multidisciplinary team approaches are recommended to support healthy lifestyle changes and to increase the level of adhernece 8,9 . These approaches, including social support, continuous follow-up, and use of technological information systems, should prioritize patient education and promote self-management skills 10,11 .…”

mentioning

confidence: 99%

Evaluation of the Effectiveness of Individually Tailored Lifestyle Intervention in Patients With Familial Hypercholesterolemia

2022

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ObjectivesThe aim of this study was to evaluate the effect of a theoretically-based individually tailored lifestyle intervention on healthy lifestyle changes and improvement in disease management in patients with familial hypercholesterolemia (FH).MethodsIn this randomized controlled clinical trial, 120 patients with FH were randomly assigned (1:1) to receive education and counseling based upon the Transtheoretical Model of Health Behavioral Change (n = 60) or conventional clinical education (n = 60). All patients were evaluated for healthy lifestyle changes, adherence to therapy, lipid levels, blood pressure, body mass index, and waist measurement at baseline and at 12th and 24th weeks' visits.ResultsMotivational interviews resulted in a significant improvement in healthy lifestyle changes and treatment adherence in the intervention group. In addition, there were significant decreases in body mass index (−7.49%), low-density lipoprotein cholesterol (−37.14%), and blood pressure (13.3%) in the intervention group.ConclusionsOur results showed that an individually tailored lifestyle intervention was effective in facilitating healthy lifestyle changes and improvement in treatment adherence and in decreasing cardiovascular risk factors including cholesterol levels in patients with FH.

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Kronik Hastalık Yönetimi İçin Bir Rehber: Kronik Bakım Modeli

Cited by 8 publications

References 28 publications

Hypertension management: what is the role of case management?

Hypertension management: what is the role of case management?

Community-based nursing education

Evaluation of the Effectiveness of Individually Tailored Lifestyle Intervention in Patients With Familial Hypercholesterolemia

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