Clinical practice of case management model in nursing care of patients with chronic kidney disease
10.3760/j.issn.1674-2907.2015.02.011
- VernacularTitle:个案管理模式在慢性肾脏病患者护理中的实践
- Author:
Jianlin ZHANG
1
;
Yan DENG
Author Information
1. 510010 广州军区总医院肾脏内科
- Keywords:
Nursing care;
Case management model;
Chronic kidney disease
- From:
Chinese Journal of Modern Nursing
2015;21(2):150-153
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the methods and effects of case management model in nursing care of patients with chronic kidney disease ( CKD) , so as to provide effective evidence for the model′s promotion in the clinic and provide the reference for specialist nursing development.Methods Base on consummated health education materials and fully preparation work, we chose experienced nurses, who were selected according to competence and trained as case managers, to take care of forty patients with CKD during January to June 2013 as experimental group.A total of forty CKD patients accepted routine nursing carein the January to June 2012 as control group.We compared the treatment compliance and renal function, other indicators measurement at discharge and 6 months after discharge, and hospital readmission rate between two groups within 6 months were measured and compared.Results After 6 months discharge,patients′treatment compliance in the experimental group (46.5 ±3.8) was better than that of the control group (39.2 ±4.8) (t=-8.912;P<0.01).In the experimental group, BUN,SCr and Cys were (10.37 ±2.73) mmol/L, (362.35 ±65.76)μmol/L and(3.62 ± 0.69)mg/L respectively compared (12.13 ±2.49)mmol/L, (412.90 ±88.43)μmol/L and (4.04 ±0.87)mg/L respectively in the control group, and all these of data in the experimental group were lower than these in the control group (t=-3.685, -3.132, -2.431,respectively;P <0.05), but data between discharge and discharge after six months had no differences (t =1.671, -0.955,0.466,respectively;P >0.05).The readmission rate was 12.5%in the experimental group compared with 37.5%in the control group ( Z=6.667, P<0.05).Conclusions Case management model can improve the patients′treatment compliance, improve disease control, reduce hospital readmission rate, and is an effective nursing model to adapt development of the new period.
