Impact of case manager-led stratified out-of-hospital health management on health behaviour ability in the patients with chronic disease
10.3969/j.issn.1671-8283.2025.04.004
- VernacularTitle:个案健康管理师主导的分层院外健康管理对慢性病人群健康行为能力的影响
- Author:
Er CHEN
1
;
Feifei YU
1
;
Suijuan PENG
1
;
Huiling LIANG
1
;
Yingfen ZHANG
1
Author Information
1. 中山大学附属第一医院特需医疗中心门诊,广东 广州,510080
- Publication Type:Journal Article
- Keywords:
stratified out-of-hospital health management;
case health manager;
chronic disease;
health behaviour ability;
continuous care;
pre-post controlled study
- From:
Modern Clinical Nursing
2025;24(4):22-29
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the effect of stratified out-of-hospital health management led by case health manager on the health behaviour ability of the patients with chronic diseases.Methods A convenience sampling method was employed to select 481 patients with chronic diseases who underwent physical examinations at outpatient department of a Tier-IIIA hospital from April 2022 to April 2023.A health management team led by case health managers conducted questionnaire survey to investigate the individual characteristics of the patients,established personal record based on the physical examination,and implemented stratified out-of-hospital health management for the patients.The intervention lasted for 12 months.The health behaviour ability and chronic disease self-management efficacy of the patients before and after the intervention were compared with.Results After the case manager-led stratified out-of-hospital health management,the health behaviour ability of patients with chronic diseases was stronger than that before the implementation,the self-management efficacy of chronic diseases was better than that before the implementation,and the patients'satisfaction was higher than that before the implementation(all P<0.001).Conclusion Stratified out-of-hospital health management led by a case health manager can improve the health behaviour ability and self-management efficacy of the patient with chronic diseases,thereby improve the patients'satisfaction.
