The effects of case management for improvement of symptoms distress and readmission in order patients with heart failure

• Main Authors: Shu -Ching Lan, 藍淑菁
• Other Authors: Hung-Ru Lin
• Format: Others
• Language: zh-TW
• Published: 2011
• Online Access: http://ndltd.ncl.edu.tw/handle/20170235449886325503

碩士 === 國立臺北護理學院 === 護理研究所 === 99 === The purpose of this study was to examine the effectiveness of case management in improving symptom distress and reamission in older patients with heart failure. The quasi-experimental study design was used. The period of study was from Mary 2010 to Octuber 2010. Convenience sampling was adopted to select two groups’ subjects separately from two cardiac general wards of one teaching hospital in northern Taiwan, thirty-three patients in control group who received routine care, thirty-four patients in intervention group who received both routine care and intervention program which included home follow-up protocol. Data were collected at index admission and one and three weeks after discharge. The study results demonstrated that the intervention group had significant improvements in symptom distress. However, there were no significant differences in improved readmission. Study findings can be concluded that heart failure case management is effective in improving symptom distress and fatigue. This program is worthy of applying in clinical practice and derive benefits to increasing heart failure patients and those population with high risk developing to heart failure.