Susan Ka Yee Chow|Frances Kam Yuet Wong
A randomized controlled trial of a nurse?led case management programme for hospital?discharged older adults with co?morbidities
Hong Kong Polytechnic University|Hong Kong Polytechnic University
examine effects nurseled case management programme hospitaldischarged older adults comorbiditiesthe significant chronic conditions today involve diseases cardiovascular respiratory endocrine renal systems previous studies suggested nurseled case management approach using either telephone followups home visits able improve clinical patient outcomes patients single chronic disease effects older patients least two longterm conditions unknown selfhelp programme using motivation empowerment approaches framework care studyrandomized controlled trialthe study conducted 20102012 older patients least two chronic diseases included analysis participants randomized three arms two study groups one control group data collected baseline 4 12 weeks latertwo hundred eightyone patients completed study interventions demonstrated significant differences hospital readmission rates within 84 days post discharge two intervention groups lower readmission rates control group patients two study arms significantly better selfrated health selfefficacy significant difference groups physical composite score significant difference mental component score sf36 scalethe postdischarge interventions led nurse case managers selfmanagement disease using empowerment approach able provide effective clinical patient outcomes older patients comorbidities