主管:国家卫生健康委员会
主办:国家卫生计生委医院管理研究所
中国科学引文数据库(CSCD)来源期刊
中国科技论文统计源期刊 中国科技核心期刊
《中文核心期刊要目总览》入选期刊

Chinese Nursing Management ›› 2019, Vol. 19 ›› Issue (5): 647-651.doi: 10.3969/j.issn.1672-1756.2019.05.002

• Special Planning • Previous Articles     Next Articles

The construction and application of case management model to patients with Chronic Kidney Disease

SHI Yu, CHEN Yan, DENG Junna, PENG Hongmei, LI Wang, HE Jing   

  1. Xinqiao Hospital of the Army Military Medical University, Chongqing, 400037, China
  • Online:2019-05-15 Published:2019-05-15
  • Contact: E-mail:hejing55571@163.com

Abstract: Objective: To construct Chronic Kidney Disease (CKD) case management model and to analyze its clinical effect. Methods: Formed a nurse-led management model of CKD by selecting and traning specified nurses of CKD management center, modifying responsibility of specified nurses, opening nursing clinic. Results: Totally 2 763 CKD patients received case management. The follow-up rate increased from 47.4% to 55.6%, standard high quality low protein diet rate increased from 21.2% to 36.5%, smoking rate reduced from 41.3% to 37.3%, periodical examination rate increased from 46.7% to 50.3%, blood pressure control rate increased from 60.9% to 64.1%, blood lipid control rate increased from 46.9% to 51.4% (P<0.05). The number of project grants, published papers, obtained patents, and awards gained by specified nurse increased significantly. Conclusion: The Case Management Model to CKD Patients in clinical practice, it improved the management level of CKD, improved the quality of specialized nursing, and promoted nursing quality.

Key words: Chronic Kidney Disease; case management; nursing clinic

CLC Number: 

  • R47