運用個案管理模式於充血性心臟衰竭住院病患照護之成效

The purpose of this study was to investigate the effectiveness of case management model on the care for patients with CHF. A randomized clinical trial was applied in this study. Subjects in the control group (n=35) received usual care, whereas subjects in the intervention group (n=36) joined the case management program. Differences in disease awareness, selfcare behaviors, quality of life, average length of hospitalization, average hospitalization costs, and 90-day readmission rates between 2 groups were analyzed. The results showed that the scores in disease awanress, self-care behaviors and quality of life were significantly higher in the intervention group (p＜.05). Average length of hospitalization was less than that was in the control group by 2.8 days (p＜.05). Average hospitalization cost was NT$16,017.88 less in the intervention group (p＞.05). Finally, 90-day readmissions rate was reduced up to 20.7% in the intervention group (p＜.05). The results of the study provided a way of continuous quality improvement for patients with CHF to the health care system.

關鍵字

個案管理模式；充血性心臟衰竭；照護成效

並列摘要

並列關鍵字

case management model ； congestive heart failure ； care effectiveness

被引用紀錄

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呂昌翰（2014）。高雄市中輟個案管理中心個案之研究〔碩士論文，長榮大學〕。華藝線上圖書館。https://doi.org/10.6833/CJCU.2014.00088

賴琦棉、張朔衽、王玟珊（2016）。一位心衰竭患者接受心臟再同步化治療之護理經驗。彰化護理，23(3)，79-90。https://doi.org/10.6647/CN.23.03.16

陳昭縈、吳敏溪、李美慧、劉鵬達、魏大森（2020）。個案管理與照護－即時互動式通訊軟體解決病人未被滿足之需求－以腦中風「經顱磁刺激」治療為例。彰化護理，27(4)，15-19。https://doi.org/10.6647/CN.202012_27(4).0003

林詩涵（2015）。大腸直腸癌個案管理介入成效之研究〔碩士論文，義守大學〕。華藝線上圖書館。https://doi.org/10.6343/ISU.2015.00152

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運用個案管理模式於充血性心臟衰竭住院病患照護之成效

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