농촌의학ㆍ지역보건 (Journal of agricultural medicine and community health)

한국농촌의학지역보건학회 (Korean Society for Rural Medicine and Community Health)
권호 표지
DOI QR코드

DOI QR Code

농촌지역 고혈압노인을 위한 동기강화 자가관리프로그램의 개발 및 적용

Development and Application of Motivation-enhancing Self-management Program for Rural Aged with Hypertension

  • 투고 : 2016.07.29
  • 심사 : 2016.09.26
  • 발행 : 2016.09.30
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Objective: The purpose of this study was to develop a motivation-enhancing self-management program and apply to rural aged with hypertension to evaluate the applicability of the Program. Methods: The motivation-enhancing self-management program was on the evidence of Orem's self-care theory and Ford's Motivational system theory which consists of group education and tele-coaching conducted 12-week. The program evaluation was done by structured questionnaires of motivation (self-efficacy, perceived benefit, perceived barrier and emotional salience), self-care and blood pressure. There were totally 31 aged with hypertension in 2 rural areas enrolled in the program. Results: There was only perceived benefit statistically significant between the intervention and control group (t=2.05, p=.04) and self-care level was no difference between the two groups (t=0.21, p=.84) after program. But there are statistically significant differences of systolic blood pressure between the intervention and control group(t=-2.62, p=.01). Conclusion: The motivation-enhancing self-management program is necessary for the rural aged with hypertension, but it's needed modify and revise in the future study.

키워드

참고문헌

  1. National Health Insurance Service. Symposium of Medical expenditure for the elderly. [cited 2015 Aug 31];p.2. Available from: http://www.nhis.or.kr/bbs7/boards/B0039/14883.
  2. Ministry of Health and Welfare & Korea Centers for Disease Control and Prevention. 2014 National health staticsII[Internet]. The 6th 2nd year National Health and Nutrition Examination Survey. [cited 2015 Dec 23];p.52. Available from: https://knhanes.cdc.go.kr/knhanes/index.do.
  3. Korea Centers for Disease Control and Prevention. The 6th 2nd year National Health and Nutrition Examination Survey. [cited 2015 Oct 6];p.14. Available from: http://cdc.go.kr/CDC/cms/cmsFileDownload.jsp?fid=21&cid=65846&fieldName=attachGrp&index=1.
  4. Kang KH, Kim J. Predictors of Participation in Hypertension Management Education Programs Using Data From the 2008 Korea National Health and Nutrition Examination Survey. Korean J of Health Policy & Administration 2011;21(3):414-424 (Korean) https://doi.org/10.4332/KJHPA.2011.21.3.414
  5. Paek HH, Lee SG. Factors related to physical 6activities of elderly with hypertension between urban and rural areas. J Agric Med Community Health 2015;40(2):62-71 (Korean) https://doi.org/10.5393/JAMCH.2015.40.2.062
  6. Kim HJ, Jeon JI, Song GS. The literature review of intervention program with hypertension. J of Korean Society for Wellness 2015;10(3):197-212 (Korean)
  7. Faul F, Erdfelder E, Buchner A, Lang AG. Statistical power analyses using G*Power 3.1: Tests for correlation and regression analyses. Behav Res Methods 2009;41(4):1149-1160. https://doi.org/10.3758/BRM.41.4.1149
  8. Lee HJ. Effect of Individual Health Education the Medical Clinic of Public Health Centers on Knowledge, Self-efficacy, and Self-care behavior in Clients with Hypertension. J Korean Public Health Nurs 2004,18(1):80-84 (Korean)
  9. Orem DE. Nursing: Concepts of Practice, Second Edition. New York, McGraw-Hill, 1980, p.35
  10. Ford ME. Motivating humans: Goals, emotions, and personal agency beliefs. Newbury Park, CA: Sage Publications, 1992, p.5
  11. Song RY, Lee HJ. Effects of the inpatient cardiac rehabilitation program on behavioral modification and quality of life in patients with coronary artery disease. J Korean Acad Nurs 2000;30(2):463-475 (Korean) https://doi.org/10.4040/jkan.2000.30.2.463
  12. Lee HJ. The effects of hypertensive education on knowledge, self-efficacy, self care behavior in clients with coronary artery disease[dissertation]. Gyeonggi, Ajou University, 2007 (Korean)
  13. Kim HS. A study of influential factors on health promoting behavior among Korean seniors in community[dissertation]. Seoul, Soongsil University, 2009 (Korean)
  14. Joho AA. Factor affecting treatment compliance among hypertension patients in three district hospitals-Dar es Salaam[dissertation]. Tanzania, Muhimbili University of Health and Allied Sciences, 2012 (Korean)
  15. Park YI, Jun MH. A study on the factor affection self-regulation program for the hypertensive in rural area. J Korean Acad Community Health Nurs 2000;12(1):202-216 (Korean)
  16. Kang KJ, Song MS. Development and evaluation of motivational enhancement therapy for patients with coronary artery disease. J Korean Clin Nurs Res 2010;16(2):5-16 (Korean)
  17. Bennett JA, Young HM, Nail LM, Winters-Stone K, Hanson G. A telephone-only motivational intervention to increase physical activity in rural adults: a randomized controlled trial. Nurs Res 2008;57(1):24-32. https://doi.org/10.1097/01.NNR.0000280661.34502.c1
  18. Park NH, Lee HJ, Kim JS. Effects of the Elderly Health Promotion Behavior Program on Motivation, Health Behaviors and Depression. J Korean Gerontol Nurs 2001;3(2):186-195 (Korean)
  19. Kang HY, Gu MO. Development and Effects of a Motivational Interviewing Self-management Program for Elderly Patients with Diabetes Mellitus. J Korean Acad Nurs 2015;45(4):533-543 (Korean) https://doi.org/10.4040/jkan.2015.45.4.533
  20. Kim SM, Lee HJ. Effects of Motivational Interviewing on Disease-related Knowledge, Depression, Self-care, and Quality of Life in Patients with Heart Failure. J Korean Gerontol Nurs 2013;15(2):143-154 (Korean)
  21. Seo GS. The effects of a group motivational interviewing for older adults in a senior center to improve physical activity : a randomized controlled trial[dissertation]. Seoul, Seoul National University, 2014 (Korean)
  22. Peters RM, Templin TN. Theory of planned behavior, self-care motivation, and blood pressure self-care. Res Theory Nurs Pract 2010;24(3):172-186. https://doi.org/10.1891/1541-6577.24.3.172
  23. Ma C, Zhou Y, Zhou W, Huang C. Evaluation of the effect of motivational interviewing counselling on hypertension care. Patient Educ Couns 2014;95(2):231-237. https://doi.org/10.1016/j.pec.2014.01.011

피인용 문헌

  1. Testing a Middle-Range Theory of Self-Care of Chronic Illness: A Validation for Korean Adult Patients with Severe Hypertension vol.48, pp.5, 2018, https://doi.org/10.4040/jkan.2018.48.5.521