The Effects of a Case Management Program of Customized Home Visiting Health Service for Clients with Arthritis

Soon-Ok Yang; Myung Soon Kwon; Yong-Jun Choi; Seung-Hee Lee

doi:10.12799/jkachn.2011.22.2.151

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Yang, Kwon, Choi, and Lee: The Effects of a Case Management Program of Customized Home Visiting Health Service for Clients with Arthritis

Original Article

Journal of Korean Academy of Community Health Nursing 2011; 22(2): 151-161.

Published online: 4 April 2014

DOI: https://doi.org/10.12799/jkachn.2011.22.2.151

The Effects of a Case Management Program of Customized Home Visiting Health Service for Clients with Arthritis

Soon-Ok Yang¹, Myung Soon Kwon², Yong-Jun Choi³, Seung-Hee Lee⁴

¹Professor, Division of Nursing, Hallym University, Korea.

²Associate Professor, Division of Nursing, Hallym University, Korea.

³Associate Professor, Department of Social and Preventive Medicine, College of Medicine, Hallym University, Korea.

⁴Full-time Lecturer, Department of Nursing, Catholic Sangji College, Korea.

Address reprint requests to: Lee, Seung-Hee, Department of Nursing, Catholic Sangji College, 393 Yulse-dong, Andong 760-711, Korea. Tel: 82-54-851-3265, 82-16-758-5325, Fax: 82-54-853-3260, woaiyoung@gmail.com

Received 18 March 2011 Revised 7 June 2011 Accepted 8 June 2011

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose

The purpose of this study was to analyze the effects of a case management program on range of motion, pain, depression and self efficacy in community-dwelling older women with knee arthritis.

Methods

The research design was one-group pre and post-test design with 40 participants with knee arthritis who agreed to participate in the 12-week case management program. Data were collected four times, before and after 4, 8 and 12 weeks.

Results

Repeated measures ANOVA revealed significant differences between before and after the service in range of motion, pain, depression and self efficacy. Significant improvements from the baseline to 4 weeks after the service were observed in the measurements of range of motion, pain, depression and self efficacy. There were no significant differences in range of motion, pain and depression between 4 and 12 weeks after the services.

Conclusion

This study represents the first effort showing that a case management program can have positive outcomes on range of motion, pain, depression and self efficacy for older women with knee arthritis. More research using a control group pre-post test design considering time lapse is needed in order to examine more accurately the effects of case management programs for knee arthritis.

Keywords: Arthritis, Case management, Pain, Depression, Self efficacy

Figures and Tables

Figure 1

Process of arthritis case management program.

Figure 2

Change of range of motion of knee joint by weeks.

Figure 3

Change of pain and depression by weeks.

Figure 4

Change of self efficacy by weeks.

Table 1

General Characteristics of Subjects (N=40)

Table 2

The Difference of Knee Joint of Motion, Pain, Depression and Self Efficacy according to General Characteristics

Table 3

Effects on Range of Motion, Pain, Depression and Self Efficacy

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