Valencerina, Djan Kurvie R.

BSN IV-D4

Effects of community-based case management by visiting

nurses for low-income patients with hypertension in South
Korea

Long-term management of hypertension, which is more prevalent in

socioeconomically disadvantaged populations, presents challenges for healthcare
providers in community health centers (Baumann, Chang, & Hoebeke, 2002).
Community-based case management programs generally provide for the long term, for
clients with hypertension; this program was designed to promote a healthy lifestyle,
improve treatment compliance, and reduce costs (Kim et al., 2003). The study examined
whether visiting nurse-driven CBCM focusing on self-management could be successfully
implemented and whether it would improve BP and health behavior outcomes in low
income patients. A single group pretestpost-test design included 22 newly registered
low-income adult patients with hypertension in a public health center in Seoul was
conducted to identify the effectiveness of the CBCM for low-income adults with
hypertension in a public health center. The visiting nurse-driven case management was
effective in reducing the BP level and improving the knowledge and self-management
level of the low-income adults with hypertension in the community. This study serves as
a baseline for visiting nurse driven CBCM for low-income patients with hypertension.
These findings suggest that visiting nurse-driven CBCM targeting the self-management of
BP can foster improved BP control for hypertension patients in low income populations.

An implication to nursing practice of this study can be seen in the community or

public health nursing where home visit and tailored intensive management is effective
for newly diagnosed hypertensive patients based on the results of the study. For nursing
education, the concept of CBCM can be discussed in the community nursing subject. For
nursing research, this study could be implemented here in the Philippines to determine if
CBCM is as effective as the results of the study.

Reference:
Kim, G. S., Ko, I. S., Lee, T., & Kim, E. J. (2014). Effects of community-based case
management by visiting nurses for low-income patients with hypertension in South
Valencerina, Djan Kurvie R.
BSN IV-D4

Korea. Japan Journal Of Nursing Science, 11(1), 35-43. doi:10.1111/j.1742-

7924.2012.00229.x