Outcomes of Self-Care in Clients with Heart Failure before and after Treatment, using a Case Management Approach

Kanokporn Khankaew, Nalintip Ongsombat, Atchariya Wonginchan, V. Senthong, Chollada Thronsao
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Abstract

Purpose: Heart failure (HF) is a clinical syndrome that is the final stage of most types of heart diseases. Thailand - in the Asia-Pacific region - has an unusually high incidence as the risk factors for heart disease increase due to population structure changes. This article aims to compare the self-care of heart failure clients before and after treatment using case management. Methods: A quasi-experimental research design was employed with 30 clients who were treated at the Khon Kaen University Heart Failure Clinic (KKU-HF) between April 2017 and March 2018. The research tool was a 2-part questionnaire that included demographic data and the comparison of scores of self-care before and after treatment using case management. Inferential statistics and paired t-test were used to analyze the data. Results: Most of the clients were males (80%), and most of them (56.67 %) were around 60 years of age and older. A comparison of scores for knowledge and understanding of self-care, before and after the treatment, showed a statistically significant improvement at the level of 0.05. Self-care behavior had also improved. The general quality of life had improved by up to 66.67%. Conclusion and Implications: The goal of this research study was to reduce the rate of re-hospitalization, the cost of medical treatment, and the death rate of heart failure clients. The findings can be used not only to develop self-care systems of the Khon Kaen University Heart Failure Clinic (KKU-HF) but also for other clinics to adopt.
心力衰竭患者治疗前后的自我护理结果,采用病例管理方法
目的:心力衰竭(HF)是一种临床综合征,是大多数心脏病的最后阶段。由于人口结构的变化,心脏病的危险因素增加,在亚太地区,泰国的发病率异常高。本文旨在比较心衰患者在病例管理治疗前后的自我护理。方法:采用准实验研究设计,对2017年4月至2018年3月在孔敬大学心力衰竭诊所(KKU-HF)接受治疗的30例患者进行研究。研究工具是一份两部分的问卷,包括人口统计数据和使用病例管理的治疗前后自我保健得分的比较。采用推论统计和配对t检验对数据进行分析。结果:患者以男性居多(80%),年龄≥60岁者居多(56.67%)。治疗前后自我护理知识和理解得分比较,差异有统计学意义,水平为0.05。自我照顾行为也有所改善。总体生活质量提高了66.67%。结论与意义:本研究的目的是降低心力衰竭患者的再住院率、医疗费用和死亡率。研究结果不仅可用于发展孔敬大学心力衰竭诊所(KKU-HF)的自我保健系统,也可供其他诊所采用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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