Journal of Korean Academy of Nursing (대한간호학회지)

Korean Society of Nursing Science (한국간호과학회)
권호 표지
DOI QR코드

DOI QR Code

Effects of a Cardiocerebrovascular Disease Prevention Education Program for Postmenopausal Middle-aged Women

폐경 중년여성을 위한 심뇌혈관질환 예방교육프로그램의 효과

  • Received : 2014.08.25
  • Accepted : 2014.11.24
  • Published : 2015.02.28
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: This study was conducted to examine effects of a cardiocerebrovascular disease (CVD) prevention education program on knowledge, self-efficacy and health behavior among postmenopausal middle-aged women. Methods: A non-equivalent control group pretest-posttest design was used. Participants were 53 postmenopausal middle-aged women who registered in two community culture centers in G metropolitan city. Experimental group (n=26) received a CVD prevention education program 8 times over 8 weeks. Knowledge, self-efficacy and health behavior of the participants were examined with self-report structured questionaries. Data were collected between October 15 and December 11, 2013, and were analyzed using chi-square test, Fisher's exact test, independent t-test, and analysis of covariance with SPSS/PC version 21.0. Results: After the intervention the experimental group showed significant increases in the knowledge of CVD symptoms (p<.001) and CVD risk factors (p<.001), level of self-efficacy (p=.028) and health behavior (p<.001) compared to the control group. However, no significant difference was found between groups for knowledge of CVD prevention (p<.133). Conclusion: Results suggest that a CVD prevention education program can be an effective strategy to improve knowledge on CVD symptoms and risk factors, self-efficacy and health behavior for postmenopausal middle-aged women.

Keywords

References

  1. Park HK. National cardiovascular disease preventive management strategies. Paper presented at: Korean cardiology-related societies joint scientific session & The pulse of Asia 2013 Seoul; 2013 April 19-20; Hilton Hotel. Seoul: The Korean Society of Cardiology.
  2. Statistics Korea. 2012 annual report on the causes of death statistics [Internet]. Daejeon: Author; 2013 [cited 2013 May 15]. Available from: http://kostat.go.kr/ portal/korea/kor_nw/2/1/index.board?bmode= read&aSeq=308559.
  3. World Health Organization. United Nations high-level meeting on noncommunicable disease prevention and control: NCD summit to shape the international agenda. New York, NY: Author; 2011 [cited 2013 May 15]. Available from: http://www.who.int/ nmh/events/un_ ncd_summit2011/en/.
  4. Stirrat C, Mann S. Perceptions of cardiovascular risk factors among cardiology outpatients. Heart Lung and Circulation. 2008;17(Suppl 2):S22-S23. http://dx.doi.org/10.1016/j.hlc.2008.03.051
  5. World Health Organization. Preventing chronic diseases: A vital investment. WHO Global Report. Geneva, CH: Author; 2005.
  6. Health Insurance Review & Assessment Service. Disclosure of cardiocerebrovascular disease evaluation results [Internet]. Seoul: Author; 2012 [cited 2013 May 15]. Available from: http://www.hira.or.kr/dummy.do?pgmid= HIRAA020041000000&cmsurl =/cms/notice/02/1214308_13390.html.
  7. American Heart Association. Warning signs of heart attack, stroke & cardiac arrest [Internet]. Dallas, TX: Author; 2013 [cited 2013 May 15]. Available from: http://www.heart.org/HEARTORG/Conditions/911-Warnings-Signs-of-a-Heart-Attack_UCM_305346_SubHomePage.jsp.
  8. Kirchberger I, Heier M, Kuch B, Wende R, Meisinger C. Sex differences in patient-reported symptoms associated with myocardial infarction (from the population-based MONICA/KORA Myocardial Infarction Registry). The American Journal of Cardiology. 2011;107(11):1585- 1589. http://dx.doi.org/10.1016/j.amjcard.2011.01.040
  9. An official position statement of the Association of Women' Health Obstetric & Neonatal Nursing. Women's cardiovascular health. An official position statement of the Association of Women's Health, Obstetric & Neonatal Nursing. Journal of Obstetric, Gynecologic, and Neonatal Nursing. 2011;40(5):662-664. http://dx.doi.org/10.1111/j.1552-6909.2011.01289.x
  10. Lloyd-Jones D, Adams RJ, Brown TM, Carnethon M, Dai S, De Simone G, et al. Heart disease and stroke statistics-2010 update: A report from the American Heart Association. Circulation. 2010;121(7):e46-e215. http://dx.doi.org/10.1161/circulationaha.109.192667
  11. Lisabeth LD, Brown DL, Hughes R, Majersik JJ, Morgenstern LB. Acute stroke symptoms: Comparing women and men. Stroke. 2009;40(6): 2031-2036. http://dx.doi.org/10.1161/strokeaha.109.546812
  12. Worrall-Carter L, Ski C, Scruth E, Campbell M, Page K. Systematic review of cardiovascular disease in women: Assessing the risk. Nursing & Health Sciences. 2011;13(4):529-535. http://dx.doi.org/10.1111/j.1442-2018.2011.00645.x
  13. Korea Centers for Disease Control and Prevention. Surveillance and quality management of out-of-hospital cardiac arrest [Internet]. Cheongju: Author; 2011 [cited 2013 May 13]. Available from: http://www.cdc.go.kr/CDC/info/CdcKrInfo0201. jsp?menuIds=HOME001-MNU1155-MNU1083-MNU1375-MNU0025&cid =1583.
  14. Innes KE, Selfe TK, Taylor AG. Menopause, the metabolic syndrome, and mind-body therapies. Menopause. 2008;15(5):1005-1013. http://dx.doi.org/10.1097/01.gme.0b013e318166904e
  15. Korea Centers for Disease Control and Prevention. In-depth analyses of the third national Health and nutrition examination survey (KNHANES III): Health examination [Internet]. Cheongju: Author; 2007 [cited 2013 May 13]. Available from: http://www.cdc.go.kr/CDC/info/ CdcKrInfo0201.jsp?menuIds=HOME001-MNU1155-MNU1083- MNU1375-MNU0025&cid=1219.
  16. Gu MO, Yu JS, Kweon IK, Kim HW, Lee EO. A review of research on self efficacy theory applied to health related behavior. The Journal of Nurses Academic Society. 1994;24(2):278-302. https://doi.org/10.4040/jnas.1994.24.2.278
  17. Bandura A. Self-efficacy mechanism in human agency. American Psychologist. 1982;37(2):122-147. https://doi.org/10.1037/0003-066X.37.2.122
  18. Kim EY, Hwang SY. Development and evaluation of a small groupbased cardiocerebrovascular disease prevention education program for male bus drivers. Journal of Korean Academy of Nursing. 2012;42(3): 322-332. http://dx.doi.org/10.4040/jkan.2012.42.3.322
  19. Park HJ. The effects of lifestyle modification education program on the workers' knowledge, attitude and behavior to prevent cerebrocardiovascular diseases in middle and small-sized industries [master's thesis]. Seoul: Dongguk University; 2008.
  20. Lee HJ. Development and evaluation of community education program for cardiocerebrovascular high-risk patients [dissertation]. Daegu: Kyungpook National University; 2010.
  21. Park MK, Kim JH. Effects of a comprehensive lifestyle improvement program for middle-aged women with cardio-cerebrovascular disease-related risk factors. Journal of Korean Academy of Community Health Nursing. 2013;24(2):111-122. http://dx.doi.org/10.12799/jkachn.2013.24.2.111
  22. Chonnam National University Hospital Regional Cardiocerebrovascular Center. Education manual for patient and family [Internet]. Gwangju: Author; 2010 [cited 2013 July 20]. Available from: http://www.gjccvc.co.kr/sub.htm?PID=0605.
  23. Bandura A. Regulation of cognitive processes through perceived selfefficacy. Developmental Psychology. 1989;25(5):729-735. http://dx.doi.org/10.1037/0012-1649.25.5.729
  24. American Heart Association. Coronary artery disease: Coronary heart disease [Internet]. Dallas, TX: Author; 2013 [cited 2013 May 13]. Available from: http://www.heart.org/HEARTORG/Conditions/More/My-HeartandStrokeNews/Coronary-Artery-Disease---Coronary-Heart- Disease_UCM_436416_Article.jsp.
  25. Sherer M, Maddux JE, Mercandante B, Prentice-dunn S, Jacobs B, Rogers RW. The self-efficacy Scale: Construction and validation. Psychological Reports. 1982;51(2) :663-671. http://dx.doi.org/10.2466/pr0.1982.51.2.663
  26. Becker DM, Levine DM. Risk perception, knowledge, and lifestyles in siblings of people with premature coronary disease. American Journal of Preventive Medicine. 1987;3(1):45-50. https://doi.org/10.1016/S0749-3797(18)31296-0
  27. Shin KR, Shin SJ, Kim JS, Kim JY. The effects of fall prevention program on knowledge, self-efficacy, and preventive activity related to fall, and depression of low-income elderly women. Journal of Korean Academy of Nursing. 2005;35(1) :104-112. https://doi.org/10.4040/jkan.2005.35.1.104
  28. Song KJ. The effects of self-efficacy promoting cardiac rehabilitation program on self-efficacy, health behavior, and quality of life [dissertation]. Seoul: Seoul National University; 2001.
  29. Song AR. Development of and educational program for the management of menopause and it's effect. Journal of Korean Academy of Nursing. 1998;28(2) :280-290. https://doi.org/10.4040/jkan.1998.28.2.280
  30. Lowdermilk DL, Perry SE. Maternity & women's health care. Yoo EK, Kim MH, Kim SA, Park SA, Shin HS, Ahn S, et al., translator. Seoul: Hyunmoon; 2005.
  31. Shin HS, Lee J, Lee KH, Song YA. Health behavioral patterns associated with psychologic distress among middle-aged Korean women. Asian Nursing Research. 2007;1(1):61-67. http://dx.doi.org/10.1016/s1976-1317(08)60009-2

Cited by

  1. 심뇌혈관질환 위험인자를 가진 폐경 중년여성의 질환예방 지식과 건강행위 vol.28, pp.4, 2016, https://doi.org/10.7475/kjan.2016.28.4.424
  2. 중년여성의 심뇌혈관질환 관련요인 및 취약군 규명 vol.24, pp.2, 2018, https://doi.org/10.4069/kjwhn.2018.24.2.185
  3. Exercise Adherence Model of Middle-Aged based on Theory of Self-determination vol.23, pp.10, 2015, https://doi.org/10.9708/jksci.2018.23.10.143
  4. 심혈관질환위험 중년여성 대상 일상생활기반 신체활동강화프로그램의 효과 vol.49, pp.2, 2015, https://doi.org/10.4040/jkan.2019.49.2.113
  5. 중년여성의 생활 스트레스가 우울에 미치는 영향: 사회적 지지와 삶의 의미의 매개효과 중심으로 vol.21, pp.1, 2015, https://doi.org/10.5762/kais.2020.21.1.641
  6. 노인의 건강관심도와 심뇌혈관질환에 대한 지식 및 건강증진행위와의 관계 vol.28, pp.2, 2021, https://doi.org/10.22705/jkashcn.2021.28.2.144