Effect of Intervention Program for Patients with Hypertension Registered in Home Health Care

This study represents quasi-experimental researches to compare efficacy of case management between registered hypertensive patients group under the customized visiting health care service and control group. It was performed by using nonequivalent control group pretest-posttest design. The subjects for this study are registered hypertensive patients under the customized visiting health care service in S-city, Gyeonggi-do. There are 53 patients in total; 28 patients who met the criteria were selected in Experimental Group and the rest 25 patients were placed in Control Group. The data collection and case management were carried out for 12 weeks from April to July. Experimental Group had six home visits and two phone calls during the 8-week period and was provided standardized service of 12-week follow up care as well while Control Group had two home visits during the 8-week period, 12-week follow up care and received informative sessions for high blood pressure management with the same material that was also given to Experiment Group. Statistical analyses were performed by SPSS 15.0 Program to see frequency and percentage for general characteristics of the subjects. Chi-square was performed to compare homogeneity verification between Experiment and Control Groups. Weekly differences of blood pressure were analyzed by repeated measures ANOVA. The physiologic index of systolic BP and diastolic BP, changes of total cholesterol, knowledge on self-management of high blood pressure, performance of self-management, and confidence in self-management were calculated before and after intervention program, and the differences between the two groups were analyzed by t-test. The results of the study are as follows: Hypothesis I, “Experimental Group would have a wider range in decline of systolic and diastolic BP before and after intervention than Control Group”, was accepted as there were significant differences of systolic and diastolic BP between the two groups (t=3.201, p=.002, t=2.364, p=.022). Hypothesis II, “Experimental Group would have a wider range in decline of cholesterol before and after intervention than Control Group”, was rejected as there was no significant difference of cholesterol between the two groups (t=1.457, p=.151). Hypothesis III, “Experimental Group would have a wider range in increase of knowledge on high blood pressure before and after intervention than Control Group”, was accepted as there were significant differences of knowledge during Week 1-Week 8 and Week 8-Week 12 between the two groups (t=-3.212, p=.002, t=-2.054, p=.045). Hypothesis IV, “Experimental Group would have a wider range increase of self-management performance before and after intervention than Control Group”, was accepted as there were significant differences during the research period. During Week 1-Week 8 there were significant differences (t=-2.752, p=.008), but there was no significant difference during Week 8-Week 12 (t=-4.892, p=.000). Hypothesis V, “Experimental Group would have a wider range in increase of confidence in self-management before and after intervention than Control Group” was accepted as there were significant differences of confidence in self-management between the two groups during Week 1-Week 8 and Week 8-Week 12 (t=-4.832, p=.000, t=-2.888, p=.006).

Author dc:creator

• 오, 숙희

Contributors dc:contributor

• 김, 용순
• 대학원 간호학과
• 200624143

• 고혈압
• 방문간호
• 중재프로그램

Language dc:language

ko

Identifier

http://dcoll.ajou.ac.kr:9080/dcollection/jsp/common/DcLoOrgPer.jsp?sItemId=000000010570
000000010570

OAI identifier oai:identifier

oai:repository.ajou.ac.kr:201003/983