中华护理教育 ›› 2021, Vol. 18 ›› Issue (1): 92-96.doi: 10.3761/j.issn.1672-9234.2021.01.019
• 综述 • 上一篇
收稿日期:
2020-02-02
出版日期:
2021-01-20
发布日期:
2021-01-22
通讯作者:
梁亚慧
作者简介:
杨桂华:女,本科,主任护师,E-mail: <email>yangyang6067@sina.com</email>
基金资助:
YANG Gui-hua,YUAN Wei,LIANG Ya-hui(),CHANG Zong-xia
Received:
2020-02-02
Online:
2021-01-20
Published:
2021-01-22
Contact:
Ya-hui LIANG
摘要:
个案管理作为一种管理模式,在规范医院管理、优化医疗管理服务流程、患者管理、整合社区资源、疾病管理、延续护理服务等方面能够发挥重要作用,实现了在医疗、患者、护理上的三赢。该文阐述了个案管理的概念、运作程序、个案管理在慢性病管理中的应用,以及与临床路径、诊断相关分组的有机结合等内容,以期为个案管理工作的开展提供参考。
杨桂华, 袁玮, 梁亚慧, 常宗霞. 个案管理模式的应用现状与启示[J]. 中华护理教育, 2021, 18(1): 92-96.
YANG Gui-hua, YUAN Wei, LIANG Ya-hui, CHANG Zong-xia. The current status of case management model application and its implications to the practice[J]. Chinese Journal of Nursing Education, 2021, 18(1): 92-96.
[1] |
Matthews P . Case management information systems:how to put the pieces together now and beyond year 2000[J]. Nurs Case Manag, 1999,4(2):80-84.
pmid: 10418459 |
[2] | O'HearnUlch PA, Schmidt MM . Clinical nurse specialist as community-based nurse case manager:integral to achieving the triple aim of healthcare[J]. Nurse Lead, 2013,11(3):32-35. |
[3] |
Woodward J, Rice E . Case management[J]. Nurs Clin N Am, 2015,50(1):109-121.
doi: 10.1016/j.cnur.2014.10.009 |
[4] |
Trueman SWT . Case management down under[J]. Prof Case Manag, 2011,16(4):217.
doi: 10.1097/NCM.0b013e31821dbab0 pmid: 21646899 |
[5] |
Lukersmith S, Millington M, Salvador-Carulla L . What is case management? A scoping and mapping review[J]. Int J Integr Care, 2016,16(4):2.
doi: 10.5334/ijic.2477 pmid: 28413368 |
[6] | CMSA. Standards of practice for case management[R]. Little Rock:Arkansas, 1995. |
[7] |
McCullough L . The case manager:an essential link in quality care[J]. Creat Nurs, 2009,15(3):124-126.
doi: 10.1891/1078-4535.15.3.124 pmid: 19715093 |
[8] | 甘莉, 林侑华, 杨蓉 . 台湾地区护理个案管理的发展及现状[J]. 护理研究, 2014,28(12C):4491-4493. |
Gan L, Lin YH, Yang R . Development and status quo of nursing case management in Taiwan area[J]. Chin Nurs Res, 2014,28(12C):4491-4493. | |
[9] | 薛美琴, 张玲娟 . 个案管理模式在我国的应用及思考[J]. 中华护理杂志, 2014,49(3):367-371. |
Xue MQ, Zhang LJ . The delivery and inspiration of case management model in China[J]. Chin J Nurs, 2014,49(3):367-371. | |
[10] |
Welch G, Garb J, Zagarins S , et al. Nurse diabetes case management interventions and blood glucose control:results of a meta-analysis[J]. Diabetes Res Clin Pract, 2010,88(1):1-6.
doi: 10.1016/j.diabres.2009.12.026 pmid: 20116879 |
[11] |
Lin HY, Chen SC, Peng HL , et al. Effects of a case management program on patients with oral precancerous lesions:a randomized controlled trial[J]. Support Care Cancer, 2016,24(1):275-284.
doi: 10.1007/s00520-015-2787-5 pmid: 26024744 |
[12] |
Joo JY, Liu MF . Case management effectiveness in reducing hospital use:a systematic review[J]. Int Nurs Rev, 2017,64(2):296-308.
doi: 10.1111/inr.12335 pmid: 27861853 |
[13] | Gouveia WA, Massaro FJ . Critical pathway experience at New England Medical Center[J]. Am J Heal-Syst Pharm, 1995,52(10):1068-1070. |
[14] | 张千竹 . 基于大数据的临床路径优化诊疗的研究[D]. 青岛:青岛科技大学, 2018. |
Zhang QZ . Research on clinical pathway optimization diagnosis and treatment based on big data[D]. Qingdao:Qingdao University of Science & Technology, 2018. | |
[15] |
Restelli U, Croce D, Milella F , et al. Re-organisation of the management of patients affected with chronic pathologies in Lombardy Region:critical points associated with the management of HIV positive patients[J]. J Prev Med Hyg, 2018,59(4):E301-E304.
doi: 10.15167/2421-4248/jpmh2018.59.4.919 pmid: 30656232 |
[16] |
Bleich C, Büscher C, Melchior H , et al. Effectiveness of case management as a cross-sectoral healthcare provision for women with breast cancer[J]. Psycho-Oncology, 2017,26(3):354-360.
doi: 10.1002/pon.4139 pmid: 27151147 |
[17] |
Muluk SC, Painter L, Sile S , et al. Utility of clinical pathway and prospective case management to achieve cost and hospital stay reduction for aortic aneurysm surgery at a tertiary care hospital[J]. J Vasc Surg, 1997,25(1):84-93.
doi: 10.1016/s0741-5214(97)70324-0 pmid: 9013911 |
[18] | 刘春燕, 吴桂琴, 邵琳 , 等. 临床路径与个案管理在非体外循环冠状动脉搭桥手术中的应用[J]. 吉林医学, 2016,37(10):2602-2604. |
Liu CY, Wu GQ, Shao L , et al. Application of clinical pathway and case management in off-pump coronary artery bypass surgery[J]. Jilin Med J, 2016,37(10):2602-2604. | |
[19] | 陈乐乐 . 慢性病管理效果及影响因素研究[D]. 厦门:厦门大学, 2018. |
Tao LL . Research on the effectiveness of managing chronic diseases and its influencing factors[D]. Xiamen:Xiamen University, 2018. | |
[20] | 王璐, 朱晓萍, 田梅梅 , 等. 个案管理模式在糖尿病患者护理中的应用现状[J]. 护士进修杂志, 2018,33(2):121-124. |
Wang L, Zhu XP, Tian MM , et al. Application status of case management model in nursing care of diabetic patients[J]. J Nurses Train, 2018,33(2):121-124. | |
[21] |
Watts SA, Sood A . Diabetes nurse case management:improving glucose control:10 years of quality improvement follow-up data[J]. Appl Nurs Res, 2016,29:202-205.
doi: 10.1016/j.apnr.2015.03.011 pmid: 26856514 |
[22] |
Ji H, Chen RH, Huang Y , et al. Effect of simulation education and case management on glycemic control in type 2 diabetes[J]. Diabetes Metab Res Rev, 2019,35(3):e3112.
doi: 10.1002/dmrr.3112 pmid: 30520255 |
[23] | 陈运香, 李小芒, 秦云山 , 等. 对糖尿病前期人群进行家庭参与式个案管理的效果评价[J]. 护士进修杂志, 2019,34(12):1133-1136. |
Chen YX, Li XM, Qin YS , et al. Evaluation of the effect of family participatory case management on prediabetes[J]. J Nurses Train, 2019,34(12):1133-1136. | |
[24] | 周建萍 . 个案管理对肺癌患者疼痛症状的影响[J]. 护理实践与研究, 2018,15(24):97-98. |
Zhou JP . The influence of case management on the pain symptoms of lung cancer patients[J]. Nurs Pract Res, 2018,15(24):97-98. | |
[25] | 严明珠, 马智勇, 赵艳秋 , 等. 个案管理模式对肺癌化疗患者生活质量及自我感受负担的影响[J]. 郑州大学学报(医学版), 2018,53(2):241-245. |
Yan MZ, Ma ZY, Zhao YQ , et al. Effects of case management model on quality of life and self-perceived burden in lung cancer patients with chemotherapy[J]. J Zhengzhou Univ Med Sci, 2018,53(2):241-245. | |
[26] | 张惠婷, 张晶晶, 吴晓丹 , 等. 乳腺癌患者个案管理模式的探索[J]. 护理学杂志, 2017,32(14):19-21. |
Zhang HT, Zhang JJ, Wu XD , et al. Exploration of case management model for breast cancer patients[J]. J Nurs Sci, 2017,32(14):19-21. | |
[27] |
Cicutto L, Gleason M, Haas-Howard C , et al. Building bridges for asthma care program:a school-centered program connecting schools,families,and community health-care providers[J]. J Sch Nurs, 2020,36(3):168-180.
doi: 10.1177/1059840518805824 pmid: 30336726 |
[28] | 庄英, 段霞, 王毅 , 等. 个案管理模式在冠心病患者中的应用研究进展[J]. 护理学杂志, 2019,34(21):110-113. |
Zhuang Y, Duan X, Wang Y , et al. Research progress on the application of case management model in patients with coronary heart disease[J]. J Nurs Sci, 2019,34(21):110-113. | |
[29] | 刘晓青, 金爱萍, 董琼 , 等. 脑卒中病人个案管理的研究及应用进展[J]. 护理研究, 2018,32(3):336-339. |
Liu XQ, Jin AP, Dong Q , et al. Research and application pro-gress case management on stroke patients[J]. Chin Nurs Res, 2018,32(3):336-339. | |
[30] |
Low S, Lim SC, Wang JX , et al. Long-term outcomes of patients with type 2 diabetes attending a multidisciplinary diabetes kidney disease clinic[J]. J Diabetes,2018,10(7):572-580.
doi: 10.1111/1753-0407.12626 pmid: 29154443 |
[31] |
Rümenapf G, Geiger S, Schneider B, et al. Readmissions of patients with diabetes mellitus and foot ulcers after infra-popliteal bypass surgery-attacking the problem by an integrated case management model[J]. Vasa, 2013,42(1):56-67.
doi: 10.1024/0301-1526/a000235 |
[32] |
Goodwin JS, Satish S, Anderson ET , et al. Effect of nurse case management on the treatment of older women with breast cancer[J]. J Am Geriatr Soc, 2003,51(9):1252-1259.
doi: 10.1046/j.1532-5415.2003.51409.x pmid: 12919237 |
[33] | 王宏 . 乳腺癌个案管理提高化疗完成率临床应用效果[J]. 岭南现代临床外科, 2016,16(4):413-415. |
Wang H . Case management of breast cancer promote the completion for chemotherapy:an investigation[J]. Lingnan Mod Clin Surg, 2016,16(4):413-415. | |
[34] |
Li H, Sun XZ, Miller E , et al. BMI,reproductive factors,and breast cancer molecular subtypes:a case-control study and meta-analysis[J]. J Epidemiol, 2017,27(4):143-151.
doi: 10.1016/j.je.2016.05.002 pmid: 28142040 |
[35] |
Dinelli DL, Higgins JC . Case management of asthma for family practice patients:a pilot study[J]. Mil Med, 2002,167(3):231-234.
pmid: 11901573 |
[36] | Chok L, Bachli EB, Steiger P , et al. Effect of diagnosis related groups implementation on the intensive care unit of a Swiss tertiary hospital:a cohort study[J]. BMC Heal Serv Res, 2018,18(1):84. |
[37] | 瞿佳, 宋雅云 . 我国个案管理研究的文献计量分析[J]. 护理学杂志, 2019,34(21):96-98. |
Qu J, Song YY . Biliometric analysis on case management studies in China[J]. J Nurs Sci, 2019,34(21):96-98. |
[1] | 李欣, 庞冬, 陆宇晗, 马晓晓, 候晓婷. 临终护理培训课程的研究进展[J]. 中华护理教育, 2021, 18(9): 860-864. |
[2] | 韦帅芳, 徐克珮, 杨玉洁, 刘华平. 虚拟社区在慢性病患者健康教育中的应用进展[J]. 中华护理教育, 2021, 18(9): 789-794. |
[3] | 吴晗, 袁越, 乔建红, 王红, 杨莎, 许翠萍. 运动疗法改善帕金森病患者跌倒恐惧的研究进展[J]. 中华护理教育, 2021, 18(9): 795-798. |
[4] | 章琛越,朱雪娇. 减少脑卒中患者延迟就医行为健康教育的研究进展[J]. 中华护理教育, 2021, 18(8): 759-764. |
[5] | 张倍倍,韦伟,白杨,胡方舟,黄文贞. 青少年糖尿病患者健康管理现状及展望[J]. 中华护理教育, 2021, 18(7): 664-668. |
[6] | 张一帆, 赵培, 郭员志, 李丹, 院文倩, 李玉环. 乳腺癌患者家庭主要照顾者照顾负荷的研究进展[J]. 中华护理教育, 2021, 18(5): 470-474. |
[7] | 刘柯显,徐红贞. 儿童术后谵妄评估的研究进展[J]. 中华护理教育, 2021, 18(4): 381-384. |
[8] | 梁和静,黄金,蒋凤,张婷,赵梅村. 以视频为基础的健康教育应用进展[J]. 中华护理教育, 2021, 18(3): 284-288. |
[9] | 马珂珂,郭园丽,杨彩侠. 护理研究文化的研究现状及启示[J]. 中华护理教育, 2021, 18(2): 182-186. |
[10] | 马登慧,张军,史宇欣,张乖. 严肃游戏在护理教育中的应用进展[J]. 中华护理教育, 2021, 18(10): 942-945. |
[11] | 郑小源,刘佳欣,唐璟,黄卓尔,刘莉娟,丛丽. 机械瓣膜置换术后患者抗凝药物使用依从性的研究进展[J]. 中华护理教育, 2021, 18(10): 946-950. |
[12] | 林琴,王童语,夏开萍,李旭英,袁忠. 输液港原发性导管异位相关因素及防治的研究进展[J]. 中华护理教育, 2021, 18(10): 956-960. |
[13] | 杨冰香,刘烁,王金娜,李婷,徐爱京,方雅璇,金三丽. 模拟强化医学跨专业教育的研究进展[J]. 中华护理教育, 2020, 17(9): 799-802. |
[14] | 冯婷婷,张欣,谭玲玲,肖丽艳,焦静,刘华平. 临床护理教师胜任力研究的范围综述[J]. 中华护理教育, 2020, 17(9): 857-864. |
[15] | 贾莉莉, 朱康宁, 张国增, 越丽霞, 王志霞, 王飞杰. 癌症患者疾病感知的研究进展[J]. 中华护理教育, 2020, 17(8): 765-768. |
|