Nickel J T, Salsberry P J, Caswell R J, Keller M D, Long T, O'Connell M
Ohio State University, College of Nursing, Columbus 43210-1289,USA.
Res Nurs Health. 1996 Apr;19(2):91-9. doi: 10.1002/(SICI)1098-240X(199604)19:2<91::AID-NUR1>3.0.CO;2-F.
Effects of case management on quality of life were tested with 57 home care patients with AIDS, randomly assigning individuals to either usual care or case-managed care over the duration of home services (ranging from 5 days to over 2 years). Participants were primarily male (93%), white (79%), and never married (82%). Quality of life was measured monthly using the quality of Well-Being Index (QWB). Case-managed patients showed advantages over the usual care group in descriptive analyses of quality of life and survival. Large standard deviations in the QWB scores resulting from high fatality among subjects impeded statistical analyses of effects.
对57名艾滋病家庭护理患者进行了病例管理对生活质量影响的测试,在家庭护理服务期间(从5天到2年以上)将个体随机分配到常规护理组或病例管理护理组。参与者主要为男性(93%)、白人(79%)且从未结婚(82%)。每月使用幸福指数(QWB)来衡量生活质量。在生活质量和生存的描述性分析中,病例管理组患者比常规护理组表现出优势。由于受试者中高死亡率导致QWB分数的标准差较大,阻碍了对效果的统计分析。