The Effectiveness of Health Care Applying Case Management for Patients with Heart failure

[[abstract]]Objectives: To determine the effectiveness of healthcare in heart failure patients with and without case management care by comparing the collected datae regarded the self-care knowledge scale (recognition, attitude and behavior), patients' satisfaction questionnaires and emergency revisit rate. Methods and Materials: Fifty two patients diagnosed as heart failure in this Medical center were divided into two groups (26 each) by randomization in a 6-month period (from Dec. 2009 to March 2010). In addition to regular medical treatment for heart failure, group A received an extra case management care protocol as compare to group B without case management for control group. We evaluated the collected datae (the self-care knowledge scale, after discharge satisfaction questionnaire and emergency revisit rate). In each group to see any existed improvement the quality of care. Results: The datae collected were as following , the self-care knowledge scale: recognition 14.72 vs 11.29(p= .005), attitude 43.13 vs 41.77 ( p= .596), behavior 57.00 vs 56.31, (p= .678), after discharge satisfaction questionnaire was 4.24 vs 4.09(p= .247), and the emergency revisit rate was 50% vs 73%(p= .111) in group A and group B, respectively. Conclusions: Heart failure patients underwent case management care protocol presented improve effectiveness of healthcare by increasing self-care knowledge scale, especially recognition, and can be applied as a reference to promote the heart failure case management