부산ㆍ경남 지역의 고혈압 사례관리사업 실시 효과 (Effect of the Case Management Program for Hypertension Patients in Busan and Gyeongsangnam-do)

서지정보

· 발행기관 : 고신대학교(의대) 고신대학교 의과대학 학술지
· 수록지 정보 : 고신대학교 의과대학 학술지 / 23권 / 2호 / 79 ~ 84페이지
· 저자명 : 최일호, 유병철

초록

Background : Hypertension is one of the high prevalence disease and 9th common death cause of Korean in 2006. The effective management for hypertension is continuous treatments and maintenance of healthy life style. So, we started this study to verify effect of the case management program as a method for maintenance of hypertension management which is conducted by the National Health Insurance Corporation.
Method : We studied effect of the case management for hypertension patients during the period from January to December in 2006. Investigation subjects were 364 hypertension patients residing in Busan and Gyeongsangnam-do. We conducted the case management program for hypertension patient that case managers in each areas performed 3 times visiting and 1 time phone arbitration according to protocol of the case management program by the National Health Insurance Corporation. We evaluated effect of the case management program based on changes of blood pressure, knowledge level for hypertension, self-management level for hypertension patients. Data analysis was performed with t-test and paired t-test using SPSS Win(ver 12.0K) program.
Result : After the case management program, mean blood pressure was improved from 113.88 ± 29.41 mmHg to 107.84 ± 25.47 mmHg(p<0.01), systolic blood pressure and diastolic blood pressure were decreased from 139.44 ±17.54 mmHg to 130.98 ± 12.82 mmHg and from 88.33 ± 10.73 mmHg to 84.70 ± 7.84 mmHg(p<0.01). The level of knowledge on 9-point scale for hypertension was increase from 5.65 ± 1.77 before the case management to 7.65 ± 1.36 after the case management(p<0.01) and the level of self-management behaviors for hypertension(sum of the score was 35 points) was improved from 22.69 ± 3.96 to 26.06 ± 3.48(p<0.01). Smoking quantity(cigarette per day) and drinking frequency(time per week) were reduced from 14.74 ± 7.48 and 3.45 ± 4.66 to 12.41 ± 8.24 and 2.56 ± 1.74(p<0.05), exercise frequency(time per week) was increased from 4.60 ± 1.75 to 4.79 ± 1.67(p<0.01).
Conclusion : From the result, we can concluded that the case management program conducted by the National Health Insurance Corporation showed decrease of blood pressure, improvements of self-management and knowledge level for hypertension. The case management program for hypertension needs to be developed in a way that increases not only hypertension patient's motivation to manage their diseases but also improvement of public heath system. For the widespread use of the case management program among hypertension patients, media-based promotional campaign and supporting of public health system are much required

영어초록

Background : Hypertension is one of the high prevalence disease and 9th common death cause of Korean in 2006. The effective management for hypertension is continuous treatments and maintenance of healthy life style. So, we started this study to verify effect of the case management program as a method for maintenance of hypertension management which is conducted by the National Health Insurance Corporation.
Method : We studied effect of the case management for hypertension patients during the period from January to December in 2006. Investigation subjects were 364 hypertension patients residing in Busan and Gyeongsangnam-do. We conducted the case management program for hypertension patient that case managers in each areas performed 3 times visiting and 1 time phone arbitration according to protocol of the case management program by the National Health Insurance Corporation. We evaluated effect of the case management program based on changes of blood pressure, knowledge level for hypertension, self-management level for hypertension patients. Data analysis was performed with t-test and paired t-test using SPSS Win(ver 12.0K) program.
Result : After the case management program, mean blood pressure was improved from 113.88 ± 29.41 mmHg to 107.84 ± 25.47 mmHg(p<0.01), systolic blood pressure and diastolic blood pressure were decreased from 139.44 ±17.54 mmHg to 130.98 ± 12.82 mmHg and from 88.33 ± 10.73 mmHg to 84.70 ± 7.84 mmHg(p<0.01). The level of knowledge on 9-point scale for hypertension was increase from 5.65 ± 1.77 before the case management to 7.65 ± 1.36 after the case management(p<0.01) and the level of self-management behaviors for hypertension(sum of the score was 35 points) was improved from 22.69 ± 3.96 to 26.06 ± 3.48(p<0.01). Smoking quantity(cigarette per day) and drinking frequency(time per week) were reduced from 14.74 ± 7.48 and 3.45 ± 4.66 to 12.41 ± 8.24 and 2.56 ± 1.74(p<0.05), exercise frequency(time per week) was increased from 4.60 ± 1.75 to 4.79 ± 1.67(p<0.01).
Conclusion : From the result, we can concluded that the case management program conducted by the National Health Insurance Corporation showed decrease of blood pressure, improvements of self-management and knowledge level for hypertension. The case management program for hypertension needs to be developed in a way that increases not only hypertension patient's motivation to manage their diseases but also improvement of public heath system. For the widespread use of the case management program among hypertension patients, media-based promotional campaign and supporting of public health system are much required

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