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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Original Article
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; Journal of Korean Academy of Community Health Nursing 2011;22(2):151-161.
DOI: https://doi.org/10.12799/jkachn.2011.22.2.151
Published online: April 4, 2014

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.

• Received: March 18, 2011 • Revised: June 7, 2011 • Accepted: June 8, 2011

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.

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Abstract

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.
Key Words: Arthritis; Case management; Pain; Depression; Self efficacy

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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