The Effects of Case Management for Clients with Clonorchiasis in Riverside Areas

Chunmi Kim; Hee-Gerl Kim; Kyung-Ja June; Souk-Young Kim

doi:10.12799/jkachn.2012.23.4.427

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Kim, Kim, June, and Kim: The Effects of Case Management for Clients with Clonorchiasis in Riverside Areas

Original Article

Journal of Korean Academy of Community Health Nursing

Journal of Korean Academy of Community Health Nursing 2012; 23(4): 427-437.

Published online: 31 December 2012

DOI: https://doi.org/10.12799/jkachn.2012.23.4.427

The Effects of Case Management for Clients with Clonorchiasis in Riverside Areas

Chunmi Kim¹, Hee-Gerl Kim², Kyung-Ja June³, Souk-Young Kim⁴

¹Department of Nursing, Sunmoon University, Asan, Korea.

²College of Nursing, Gachon University, Sungnam, Korea.

³Department of Nursing, Soonchunhyang University, Cheonan, Korea.

⁴College of Nursing, Eulji University, Daejeon, Korea.

Corresponding author: Kim, Hee Gerl. Department of Nursing, Gachon University, 65 Bokjung-dong, Sujeong-gu, Sungnam 461-701, Korea. Tel: +82-31-750-5982, Fax: +82-31-750-8859, hgkim@gachon.ac.kr

Received 20 September 2012 Accepted 22 December 2012

(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

In order to lower the infection rate and the reinfection rate of Clonorchiasis in high-risk areas, we performed and analyzed a case management on people with chlonorchisis.

Methods

The data was collected from April 2010 to March 2011. A community health practitioner was selected as a case manager based on our training program. The intervention group had 58 participants with three months of case management and the control group had 144 participants handled with traditional methods.

Results

The pre and post-test in the intervention group and the control group showed us improved knowledge of Clonorchiasis, attitudes and behavior toward eating freshwater fish. The results of post-test between the intervention group and the control group showed statistically significant differences in all categories, except a hand-washing category. However, one year after a case management, there was no significant difference in the failure rate of treatment.

Conclusion

The case management was effective for people infected with Clornorchiasis near riverside areas; however, in order to lower the rates of reinfection and treatment failure, it is necessary to perform continuous monitoring and regular evaluations.

Keywords: Case management, Parasites, Infection

Figures and Tables

Figure 1

Process of Clonorchiasis case management.

Table 1

Homogeneity of Baseline Characteristics of Infected Clients with Clonorchiasis between Intervention and Control Group (N=202)

HBW=hard-boiled water.

Table 2

Difference in Knowledge, Attitude and Behavior before and after Case Management according to Characteristics (N=20)

Exp.=experimental group; Cont.=control group; HBW=hard-boiled water.

Table 3

Difference in Knowledge, Attitude and Behavior between Intervention Group and Control Group after Case Management (N=202)

HBW=hard-boiled water.

Table 4

Comparing Treatment Failure Rate between Intervention Group and Control Group after Case Management (N=202)

Notes

The study was supported by a grant from the Korea Centers for Disease Control and Prevention Research Fund (2011-E54008-00).

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