Effects of Nursing Case Management Programme on Care Outcomes in Patients with Multiple Trauma
Keywords:
nursing case management, multiple trauma, care outcomesAbstract
Objective: To examine effects of a nursing case management program (NCMP) on
patients’ length of hospitalisation, their ability to perform activities of daily living (ADLs),
and their caregivers’ ability to perform ADLs and to prevent complications in the patients.
Design: Two-group only posttest experimental design
Methodology: The participants were patients with multiple traumatic injuries admitted
in a trauma ward, and their caregivers, forming a total of 40. Twenty (20 patient-caregiver
pairs) were assigned to a control group and the other 20 (20 patient-caregiver pairs) to an
experimental group. The experimental group received the NCMP for 14 days, during which
the control group was given standard care. The data-collecting instruments consisted of (1)
the Patient’s Daily Living Activities Questionnaire; (2) the Length of Hospitalisation
Record; and (3) the Caregiver’s ADL Ability and Complication Prevention Ability
Questionnaire. The data were analysed using descriptive statistics, independent t-test, and
Mann-Whitney U-test.
Results: The experimental group displayed signifcantly higher mean score on the
patients' ADLs, the caregivers' capability in performing ADLs and preventing complications
in the patients than did in the control group. The experimental group was also found to spend
signifcantly fewer days of hospitalization than did in the control group.
Recommendations: It is recommended that nurses implement this NCMP in patients
with multiple traumatic injuries as a means of reducing their length of hospitalisation,
enhancing the patients’ and their caregivers’ ability to perform activities of daily living, and
enabling the caregivers to prevent the patients from developing complications.
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