Journal of the Korea Academia-Industrial cooperation Society (한국산학기술학회논문지)

The Korea Academia-Industrial cooperation Society (한국산학기술학회)
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Effects of Public Health Center Hypertension Health School Program on Hypertension-related Knowledge, Self-care Behavior, Quality of life and Physiological Parameters in Hypertensive patients

보건소 고혈압 건강교실 프로그램이 고혈압 환자의 고혈압관련 지식, 자가간호행위, 삶의 질 및 생리적 지수에 미치는 영향

  • Received : 2016.08.09
  • Accepted : 2016.11.10
  • Published : 2016.11.30
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Abstract

The purpose of this study was to examine the effects of health program s on hypertension in a public health center located in Y-si. Most interesting were the effects on hypertension-related knowledge, self-care behavior, quality of life, and physiological parameters for hypertensive patients. Nonequivalent control group pretest-posttest design was employed. A total of 48 patients with hypertension living in Y-si were assigned to either the experimental group (n=23) or the control group (n=25). The experimental group was provided with an 8-week health program on hypertension between August 31 and October 23 in 2015. Data were analyzed with SPSS/WIN 21.0 using descriptive statistics, ${\chi}^2$-test, Fisher's exact test, and t-test. The result indicated a significant difference between the experimental group and the control group with respect to the scores of hypertension-related knowledge (t=-3.76, p<.001), self-care behavior (t=-3.33, p=.002), physiological parameters, including systolic blood pressure (t=6.27, p<.001) and diastolic blood pressure (t=4.70, p<.001), total cholesterol levels (t=3.08, p=.003), and Abdominal circumference (t=2.52, p=.015). We conclude that the self-group program on hypertension has a significant effect on the change of hypertension-related knowledge and self-care behavior for hypertensive patients.

본 연구는 Y시 보건소의 고혈압 건강교실 프로그램이 대상자의 고혈압 관련 지식, 자가간호행위, 삶의 질 및 생리적 지수에 미치는 효과를 검증하기 위한 비동등성 대조군 전 후 시차 설계를 이용한 유사실험 연구이다. 프로그램에 참여한 대상자는 고혈압 환자 총 48명으로 이 중 실험군은 23명, 대조군은 25명이었으며, 연구기간은 2015년 8월 31일부터 10월 23일까지 8주간, 주 2회 고혈압 건강교실 프로그램을 운영하였다. 자료 분석은 SPSS/WIN 21.0 프로그램을 이용하여 t-test, ${\chi}^2$-test, Fisher's exact test 그리고 t-test로 분석하였다. 고혈압 건강교실 프로그램 적용 후 고혈압 관련 지식(t=-3.76, p<.001), 자가간호행위(t=-3.33, p<.002), 생리적 지수 중 수축기 혈압(t=6.27, p<.001)과 이완기 혈압(t=4.70, p<.001), 총 콜레스테롤(t=3.08, p=.003) 및 복부둘레(t=2.52, p=.015)는 차이가 있는 것으로 나타났으며, 두 군 간에 통계적으로 유의한 차이가 있었다. 따라서 지역사회 재가 고혈압환자를 위한 건강교실 프로그램이 고혈압환자의 질병관련 지식 및 자가간호행위를 향상시킬 수 있는 유용한 간호중재 프로그램임을 확인 할 수 있었다.

Keywords

References

  1. J. Y. Hwang, "Impact of health educationon prevention and management behavior in hypertension patient," Unpublished master's thesis, Konyang University, Daejeon, 2013.
  2. Ministry of Health and Welfare & Korea Centers for Disease Control and Prevention, "Korea health statistics 2013: Korea national health and nutrition examination survey(KNHANES VI-1)," Seoul; 2014.
  3. Ministry of Health and Welfare, Korea Centers for Disease Control & Prevention, 2013 Health Behavior and Chronic Disease Statistics, 2014.
  4. World Health Organization (WHO), "Programmes and projects cardiovascular disease, Strategic priorities," Website http://www.hoint/cardiovascular_diseases/prioorities/en/indexhtml, 2013.
  5. P.M. Ho, J. S. Rumsfeld, "Beyond inpatientand outpatient care: alternative model for hypertension management," BMC PublicHealth, vol. 29, no. 6, pp. 25, 2006.
  6. P. A. Heiderreich, J. G. Trogdon, O. A. Khavjou, J. Bulter, K. Dracup, M. D. Ezekowitz et al., "Forecasting the future of cardiovascular disease in the united states: a policy statement from the american heart association," Circulation, 123, pp. 933-11, 2011. DOI: https://doi.org/10.1161/CIR.0b013e31820a55f5
  7. Y. M. Ah, "Evaluation of antihypertensive medication use and persistence using national health insurance claims data," Unpublished doctoral dissertation, Hanyang University, Seoul, 2016.
  8. K. A. Son, Y. S. Kim, M. H. Hong, M. A. Jeong, "Analysis of the medication compliance of hypertensives and its influential factors," Journal of the Korea Academia-Industrial cooperation Society, Vol. 11, No. 5, pp. 1897-1904, 2010. DOI: http://dx.doi.org/10.5762/KAIS.2010.11.5.1897
  9. A. McDonald, K. C. Maki, M. H., "Davidson Dylipidemia and hypertension, In: Cardiovascular nutrition: Strategies and tools for disease management and prevention," Edited by KrisEtgerton P, Burns JH. Am Diet Assoc, 11: 1243-1258, 1998.
  10. M. Mesbah, B. F. Cole, M. T. Lee, "Statistical methods for quality of life studies. Boston: Kluwer Academic Publishers," 2002. DOI: https://doi.org/10.1007/978-1-4757-3625-0
  11. M. V. D. Carvalho, L. B. Siqueira, A. L. L. Sousa, P. C. B. V. Jardim, "The influence of hypertension on quality of life," Arquivos Brasileiros de Cardiologia, vol. 100, no. 2, 164-174, 2013. DOI: https://doi.org/10.5935/abc.20130030
  12. N. Y. Kang, "Effect on the quality of life of health qigong program for community health promotion," Unpublished doctoral dissertation, Myongji University, Seoul, 2007.
  13. Y. J. Song, D. K. Kwon, J. Y. Lee, "Effect of exercise program of public health center on diabetes and hypertension," Korea Sport Research, vol. 16, no. 2, pp. 75-80, 2005.
  14. E. J. Jung. Kwon, J. S. S. H. Ahn, S. M. Son, "Blood pressure, sodium intake and dietary behavior changes by session attendance on salt reduction education program for pre-hypertensive adults in a public health center," Korean Journal of Community Nutrition, vol. 18, no. 6, pp. 626-643, 2013. DOI: https://doi.org/10.5720/kjcn.2013.18.6.626
  15. S. J. Lee, "Compliance with low-salt diet and related factors in essential hypertension patients," Unpublished master's thesis, Seoul National University, Seoul, 1998.
  16. J. S. Chung, S. O. Lee, "The effect of disease management program for hypertensive patient," Journal of Korean Academy Society Nursing Education, vol. 20, no. 2, pp. 321-331, (2014) DOI: http://dx.doi.org/10.5977/jkasne2014.20.2.321
  17. H. T. Jung, N. K. Bae, Y. C. Cho, “Serial change of blood pressure level of hypertensive patients admitted to the case management program,” Journal of the Korea Academia-Industrial cooperation Society, Vol. 11, No. 5, pp. 1912-1920, 2010. https://doi.org/10.5762/KAIS.2010.11.5.1912
  18. I. H. Choi, B. C. Yu, "Effect of the case management program for hypertention patients in busan and gyeongsangam-do," Journal of Kosin Medical, vol. 23, no. 2, pp. 79-84, 2008.
  19. M. Y. Gi, Y. H. Park, "The effect of hypertension self-help program on hypertension-related knowledge, self-efficacy, self-management compliance and physiological parameters in workers," The Journal of Korean Occupation Health Nursing, vol. 21, no. 1, pp. 1-9, 2012. DOI: https://doi.org/10.5807/kjohn.2012.21.1.1 http://dx.doi.org/10.5807/kjohn.2012.21.1.1
  20. N. H. Park, "The effect of self-help programs for hypertensives in community areas," Journal of Korean Society for Health Education and Promotion, vol. 20, no. 3, pp. 207-219, 2003.
  21. K. H. Kang, "Health incentive program and hypertensive patients' blood pressure control," Journal of the Korea Academia-Industrial cooperation Society, Vol. 14, No. 9 pp. 4388-4393, 2013. DOI: https://doi.org/10.5762/KAIS.2013.14.9.4388
  22. M. S. Song, S. H. Kim, "Effects of a transtheoretical model based exercise behavior improving program on blood pressure and physical activity for older adults with hypertension," The Korea Contents Association, vol. 11, no. 12, pp. 364-377, 2011. DOI: https://doi.org/10.5392/JKCA.2011.11.12.364
  23. K. O. Chang, "The relationship among health habits, perceived health status and knowledge related to hypertension and medication compliances of hypertensive elderly," Unpublished master's thesis, Busan: Catholic University, Busan, 2003.
  24. E. S. Min, "The knowledge, health belief and compliance of hypertensive patients," Unpublished master's thesis, Eulji University, Daejeon, 2011.
  25. Y. H. Lee, "A study on the development and effects of slides/Tape program for the hypertensive patients' self-care," Journal of Korean Academy of Nursing, vol. 25, no. 4, pp. 696-708, 1995.
  26. EuroQoL Group, "EuroQul-a new facility for the measurement of health related quality of life," Health Police, vol. 16, no. 1, pp. 199-208, 1990. https://doi.org/10.1016/0168-8510(90)90421-9
  27. J. W. Shin, Y. K. Park, S. R. Suh, J. E. Kim, "Factors influencing quality of life in elderly diabeticpatients of korea: Analysis from the Korea national health and nutrition examination survey in 2008," Journal of the Korean Gerontological Society, 31(3.), pp. 479-481, 2011.
  28. H. S. Kang, W. O. Kim, J. W. Kim, M. J. Wang, J. H. Cho, "Development and effect of east-west self-help group program for rehabilitation of post-stroke clients: a preliminary study," Journal of Korean Academy of Adult Nursing, vol. 16, no. 1, pp. 37-48, 2004.
  29. H. J. Lee, "The effects of hypertensive education on knowledge, self-efficacy, self-care behavior in clients with coronary artery disease," Unpublished master's thesis, Ajou University, Suwon, 2007.
  30. Y. J. Kim, "The effect of silverrobic exercise program on self-efficacy, self-care behaviors and blood pressure in the hypertensive elderly," Unpublished master's thesis, Chonnam National University, Daejeon, 2009.
  31. O. J. Lee, "The effect of self-care program for hypertension outpatients in a general hospital," Unpublished master's thesis, Chon Buk National University, Daegu, 2009.
  32. S. O. Eum, "The effect of health coaching programs on self-efficacy, health behaviors, and quality of life in hypertensive elderly women living in poverty," Unpublished doctoral dissertation, Seoul National University, Seoul, 2014.
  33. H. K. Choi, N. S. Kim, H. S. Kim, "Effects of water exercise on physical fitness, pain and quality of life in patients with osteoarthritis," Journal of Muscle and Joint Health, vol. 16, no. 1, pp. 55-65, 2009.
  34. M. J. Ko, E. S. Im, Y. J. Han, G. S. Kang, "Effect of an aquatic exercise program an physical fitness, body composition and quality of life in elderly women," Journal of East-West Nursing Researc, vol. 15, no. 1, pp. 9-17, 2009.
  35. H. S. Lee, The Influence of the gym-ball exercise program on the health fitness strengt hand life quality of the old female. Unpublished master's thesis, Daegu University, Daegu, 2006.