Brief reports
Outcomes of Self-Care in Clients with Heart Failure before and after Treatment, using a Case Management Approach
Authors:
Kanokporn Khankaew,
Khon Kaen University, TH
About Kanokporn
The author works at the nursing department of Queen Sirikit Heart Centre under Faculty of Medicine at Khon Kaen University in Thailand
Nalintip Ongsombat,
Khon Kaen University, TH
About Nalintip
The author works in the Nursing Department under Faculty of Nursing at Khon Kaen University in Thailand
Atchariya Wonginchan ,
Khon Kaen University, TH
About Atchariya
The author works in the Nursing Department under Faculty of Nursing at Khon Kaen University in Thailand
Vichai Senthong,
Khon Kaen University, TH
About Vichai
Vichai works in the Division of Cardiology, Department of Medicine, Faculty of Medicine, Khon Kaen University, Thailand
Chollada Thronsao
Mahasarakham University, TH
About Chollada
Chollada is associated with the Faculty of Medicine of Mahasarakham University, Thailand
Abstract
Purpose: Heart failure (HF) is a clinical syndrome that is the final stage of most types of heart diseases. Thailand - in the Asia-Pacific region - has an unusually high incidence as the risk factors for heart disease increase due to population structure changes. This article aims to compare the self-care of heart failure clients before and after treatment using case management.
Methods: A quasi-experimental research design was employed with 30 clients who were treated at the Khon Kaen University Heart Failure Clinic (KKU-HF) between April 2017 and March 2018. The research tool was a 2-part questionnaire that included demographic data and the comparison of scores of self-care before and after treatment using case management. Inferential statistics and paired t-test were used to analyze the data.
Results: Most of the clients were males (80%), and most of them (56.67 %) were around 60 years of age and older. A comparison of scores for knowledge and understanding of self-care, before and after the treatment, showed a statistically significant improvement at the level of 0.05. Self-care behavior had also improved. The general quality of life had improved by up to 66.67%.
Conclusion and Implications: The goal of this research study was to reduce the rate of re-hospitalization, the cost of medical treatment, and the death rate of heart failure clients. The findings can be used not only to develop self-care systems of the Khon Kaen University Heart Failure Clinic (KKU-HF) but also for other clinics to adopt.
How to Cite:
Khankaew, K., Ongsombat, N., Wonginchan, A., Senthong, V. and Thronsao, C., 2020. Outcomes of Self-Care in Clients with Heart Failure before and after Treatment, using a Case Management Approach. Disability, CBR & Inclusive Development, 31(2), pp.132–147. DOI: http://doi.org/10.47985/dcidj.373
Published on
04 Nov 2020.
Peer Reviewed
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