The Effects of Case Management on TB Patient Care

Wednesday, 9 July 2008
Hsiu Chuan Chang, RN, MSN , Department of Nursing, I-Lan Hospital Department of Health, I-lan, Taiwan

Learning Objective 1: To explore the relationship between the outcome indicators of tuberculosis in which the cases who take part with or without case management.

Learning Objective 2: To explore the relationship between the patient knowledge about tuberculosis in which the cases who take part with or without case management.

The purpose of this study was to explore the effects of case management on outcomes of care for patient with pulmonary tuberculosis. Sampling criteria included that patients was diagnosed with tuberculosis but no other organ was affected. The case management model group receive care from a case manager who provides health education inpatient care and/ or follow-up outpatient care. The sample of the traditional group do not receive care from case manager. Data collection included questionnaires of TB knowledge and reviewing medical records. The outcome indicators include treatment completion rate, and patient knowledge about TB. The study is an evaluation research design. Subjects were selected by using stratified random sampling. The structured questionnaire of TB knowledge internal consistency reliability Conbach's was .82. During the period of time from May 2006 to June 2006, the total number of respondents were 150(82 case management and 68 traditional care) responding rate is 74.26% in eastern Taiwan. Data will be obtained analyzed using descriptive statistics, Chi-Square test, the Kaplan-Meier test with SPSS l3.0 for Windows. Results showed

1. The pulmonary tuberculosis (TB) treatment completion rate of case management group (93.9 %) were not significantly compared to the traditional group (88.2 %) (r=.244).

2. The patient knowledge about TB of case management group were significantly compared to the traditional group (r=.030*).

3. The patient knowledge about TB of the treatment completed group were significantly compared to the treatment not completed group (r=.007*).

Results of the study provide suggestions for the pulmonary tuberculosis (TB) of case management and the outcome indicators' relationships. Based on evidence research finding of the patient knowledge about TB and treatment completion rate were significantly. Suggest nursing education increase training program of tuberculosis's in school curriculum, to strengthens the nurses cognition and ability of tuberculosis care, then promotion the nursing quality.