Effectiveness of Chronic Kidney Disease Case Management Program

• Main Authors: Hsiang-Jung Ni, 倪湘榕
• Other Authors: I-Chuan Li
• Format: Others
• Language: zh-TW
• Published: 2011
• Online Access: http://ndltd.ncl.edu.tw/handle/90111984681250593596

碩士 === 國立陽明大學 === 臨床暨社區護理研究所 === 99 === Chronic kidney disease(CKD) is a worldwide public health problem. The prevalence and incidence of CKD in Taiwan was the highest in the world.CKD is the 7th to 8th leading cause of death in Taiwan.CKD causes large burden on consumption of health care workforce and costs.The integrated CKD care program was implemented since 2003 in Taiwan.The government designed the CKD structured education session by delivering individualized nursing instructions based on different stage of CKD.The purpose of this study was to evaluate the effectiveness of this case management model. This study used a quasi-experimental,two-group repeated measurement design.The experimental group?vn=100?w received the management care plan and control group?vn=100?w according to regular nursing care.All subjects completed the following structured questionnaires: self-efficacy, self-management, and Quality of life(WHOQOL-BREF) at two different study time points respectively. The physiological indicators were glomerular filtration rate(GFR), hematocrit(Hct) , uric acid(UA) that were collected from chart reviews.The data were analyzed by using SPSS version 18?|0.Result showed significant differencses in all of physiological indicators, self-efficacy and self-management activities, but no significant differences in quality of life, respectively between experimental and control groups.Conclusion of the study revealed that case management is importantto serve as a basis for patients with CKD. The results of the study provided a reference for improvingcare quality for patients with CKD in both clinical care and policy as well.