Main Article Content
The purpose of this descriptive research were: 1) to analyze the situations and expectations of care management for patients undergoing continuous ambulatory peritoneal dialysis (CAPD). 2) To develop a care management model for these patients, and 3) to evaluate the appropriateness of the developed model. The purposive sampling technique was used samples were 15 health care providers and clients for analyzing the situations and expectations, and 10 experts for evaluating the developed model. Research tools consisted of a semi-structure interview and the guidelines for evaluating an appropriateness of the developed model. The tool was verified by 5 experts and the content validity index was 0.87. Data were analyzed by using percentage and content analysis.
The research findings were as follows; (1) After analysis the situations and the expectations of care management for the patients, 4 issues were found: 1) the hospital policy and health care services structure were unclear, 2) health care design and procedures of services as health care provider role were ineffective, 3) patients did not participate in a self-care and treatment program, and 4) the hospital, the community and primary care units were not connected. It was also expected to be more effective management for these patients, (2) The developed model comprised 3 components: 1) focusing on patients and caregivers center, 2) clear policy and cooperation of a health care team, and 3) community cooperation and coordination with primary care units, and (3) The appropriateness of care management for the patients undergoing CAPD was at the high level (Mean=4.80, SD=0.40, Min= 4.60, Max=4.90).
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