Journal of Korean Academy of Nursing (대한간호학회지)

Korean Society of Nursing Science (한국간호과학회)
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Effects of BeHaS Program on Health Behavior, Physiologic Index and Self-Esteem of the Elderly Living Alone with Metabolic Syndrome Based on Community Based Participatory Research

지역사회기반 참여연구를 활용한 베하스(BeHaS) 프로그램이 대사증후군 독거노인의 건강행위, 생리적 지수 및 자아존중감에 미치는 효과

  • Kim, Jong Im (College of Nursing, Chungnam National University) ;
  • Kim, Sun Ae (Department of Nursing, Korea National University of Transportation) ;
  • Park, Keumok (Department of Nursing, The College of Health and Welfare Woosong University) ;
  • Kim, Jiyoung (College of Nursing, Chungnam National University) ;
  • Lee, Lina (College of Nursing, Chungnam National University) ;
  • Choi, Si Wan (Department of Internal Medicine, College of Medicine, Chungnam National University) ;
  • Ku, Bon Jeong (Department of Internal Medicine, College of Medicine, Chungnam National University)
  • 김종임 (충남대학교 간호대학) ;
  • 김선애 (한국교통대학교 간호학과) ;
  • 박금옥 (우송대학교 보건복지대학 간호학과) ;
  • 김지영 (충남대학교 간호대학) ;
  • 이리나 (충남대학교 간호대학) ;
  • 최시완 (충남대학교 의과대학 내과학교실) ;
  • 구본정 (충남대학교 의과대학 내과학교실)
  • Received : 2019.12.26
  • Accepted : 2020.06.18
  • Published : 2020.08.31
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Abstract

Purpose: This study aimed to determine the effects of a 12-week metabolic syndrome BeHaS (Be Happy and Strong) program in elderly people with metabolic syndrome living alone, based on a community-based participatory research (CBPR). Methods: A nonequivalent control group pre-posttest design was used, and the participants were 43 elderly people living alone (experimental group 24, control group 19). The experimental group received a one-hour program per week and two individual health consultations during 12 weeks. The control group received two sessions about the metabolic syndrome and two individual health consultations. The effects of health behavior, blood pressure, blood sugar levels, abdominal circumference, triglycerides, and self-esteem were evaluated. The data were analyzed using the independent t-test and Mann-Whitney U test. Results: The health behavior with respect to the metabolic syndrome in the experimental group increased significantly (t = - 3.19, p = .002). Both diastolic blood pressure and abdominal circumference decreased in the experimental group (t = 2.00, p = .028 and t = 3.91, p < .001). No significant differences were observed between the groups in systolic blood pressure, fasting blood sugar levels, triglycerides, and self-esteem. Conclusion: The 12-week metabolic syndrome BeHaS program using community resources improves the health of elderly people with metabolic syndrome living alone. Based on these findings, further studies on the effectiveness of the metabolic syndrome BeHaS program and the experiences of those who participated in the CBPR are warranted.

Keywords

References

  1. Statistics Korea. Population projections for Korea: 2017-2067 (based on the 2017 population census). Daejeon: Statistics Korea; 2019 Jun. Report No.: 11-1240000-000125-13.
  2. Statistics Korea. Household projections by province: 2015-2045. Daejeon: Statistics Korea; 2017 Sep. Report No.: 11-1240000-000346-14.
  3. Joo CL, Park JJ, Kim A, Park NL, Lim J, Park HS. Health behaviors and lifestyle patterns of elderly living alone in Korea. Korean Journal of Family Practice. 2019;9(3):247-253. https://doi.org/10.21215/kjfp.2019.9.3.247
  4. Seo H, Yoon SJ, Yoon J, Kim D, Gong Y, Kim AR, et al. Recent trends in economic burden of acute myocardial infarction in South Korea. PLoS One. 2015;10(2):e0117446. https://doi.org/10.1371/journal.pone.0117446
  5. National Cholesterol Education Program (NCEP) Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel III). Third report of the National Cholesterol Education Program (NCEP) Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel III) final report. Circulation. 2002;106(25):3143-3421. https://doi.org/10.1161/circ.106.25.3143
  6. Ju SY, Lee JY, Kim DH. Association of metabolic syndrome and its components with all-cause and cardiovascular mortality in the elderly: A meta-analysis of prospective cohort studies. Medicine. 2017;96(45):e8491. https://doi.org/10.1097/MD.0000000000008491
  7. Wu TT, Chen IJ, Cho SL, Chiou AF. The relationship between health-promoting behaviors and metabolic syndrome in community-dwelling older adults. Biological Research for Nursing. 2016;18(5):549-557. https://doi.org/10.1177/1099800416655882
  8. Park J, Kweon S, Kim Y, Jang MJ, Oh K. Dietary behaviors related to metabolic syndrome in Korean adults. Korean Journal of Community Nutrition. 2012;17(5):664-675. https://doi.org/10.5720/kjcn.2012.17.5.664
  9. Bambs C, Kip KE, Dinga A, Mulukutla SR, Aiyer AN, Reis SE. Low prevalence of "ideal cardiovascular health" in a community-based population: The heart strategies concentrating on risk evaluation (Heart SCORE) study. Circulation. 2011;123(8):850-857. https://doi.org/10.1161/CIRCULATIONAHA.110.980151
  10. Korea Institute for Health and Social Affairs. 2014 survey of the elderly. Sejong: Korea Institute for Health and Social Affairs; 2014 Dec. Report No.: 2014-22-8.
  11. Kim HS, Yoon SJ, Lee KS, Kim HS, Oh SW, Ryu HS, et al. Effects of a self-management program for metabolic syndrome: A metabolic syndrome management program in Seoul. Korean Journal of Health Education and Promotion. 2011;28(2):51-62.
  12. Lee G, Choi HY, Yang SJ. Effects of dietary and physical activity interventions on metabolic syndrome: A meta-analysis. Journal of Korean Academy of Nursing. 2015;45(4):483-494. https://doi.org/10.4040/jkan.2015.45.4.483
  13. Kim JI. BeHaS exercise program. Daejeon: Chungnam Natioanl University Press; 2006. p. 1-73.
  14. Kim JI, Kim SA, Kim JH, Song HY, Moon YS. Effects of a BeHaS(Be Happy and Strong) exercise program on pain, health status and weight in middle aged women with osteoarthritis of the knee. Journal of Korean Academy of Fundamentals of Nursing. 2006;13(2):242-248.
  15. Kim SA. The effects of BeHaS exercise program on muscle strength and flexibility in institutionalized elders. Journal of Muscle and Joint Health. 2011;18(1):93-102. https://doi.org/10.5953/JMJH.2011.18.1.093
  16. Seo EH, Park SI, Kim JI. Effects of the BeHaS exercise program on hand strength, depression and life satisfaction in institutionalized elders with CVA. Journal of Korean Academy of Fundamentals of Nursing. 2012;19(4):416-424. https://doi.org/10.7739/jkafn.2012.19.4.416
  17. Kim H, Kim SK, Kim JI, Kim S, Jun YS, Park K. The converge effects of the BeHaS exercise program on health status, depression and suicidal ideation in female elderly who live alone in community. Journal of the Korea Convergence Society. 2018;9(3):111-119. https://doi.org/10.15207/JKCS.2018.9.3.111
  18. Kim JI, Kim SK, Kim H, Kim S, Kim T, Park K, et al. Effects of a peer-delivered health-promoting exercise program for community-dwelling elders. Research Journal of Pharmacy and Technology. 2017;10(9):3069-3073. https://doi.org/10.5958/0974-360X.2017.00544.3
  19. Park K. Development and evaluation of diabetes BeHaS program for older adults with diabetes [dissertation]. Daejeon: Chungnam National University; 2019. p. 1-113.
  20. Kim T. Effects of BeHaS program on physiological, psychological factor, self-efficacy, and self care behavior in older adults with hypertension [dissertation]. Daejeon: Chungnam National University; 2019. p. 1-104.
  21. Kim YB, Lee SH. Effects of the elderly's health statuses, health behavior, and social relations on their health-related quality of life: Focusing on family types. Journal of Korean Academy of Community Health Nursing. 2018;29(3):310-321. https://doi.org/10.12799/jkachn.2018.29.3.310
  22. Shimada K, Yamazaki S, Nakano K, Ngoma AM, Takahashi R, Yasumura S. Prevalence of social isolation in community-dwelling elderly by differences in household composition and related factors: From a social network perspective in urban Japan. Journal of Aging and Health. 2014;26(5):807-823. https://doi.org/10.1177/0898264314531616
  23. Yoo SH. Community participation for health promotion: Definitions and applications. Korean Journal of Health Education and Promotion. 2012;29(4):57-66.
  24. Berkley-Patton J, Bowe-Thompson C, Bradley-Ewing A, Hawes S, Moore E, Williams E, et al. Taking it to the pews: A CBPR-guided HIV awareness and screening project with black churches. AIDS Education and Prevention. 2010;22(3):218-237. https://doi.org/10.1521/aeap.2010.22.3.218
  25. Yoo SH. Using community-based participatory research(CBPR) for health promotion. Korean Journal of Health Education and Promotion. 2009;26(1):141-158.
  26. Won YH, Ahn JS. A study on project adjustments based on service needs of senior welfare center: Focusing on A-gu in Seoul. Journal of Welfare for the Aged. 2014;65:83-108. https://doi.org/10.21194/kjgsw..65.201409.83
  27. Fitch KV, Anderson EJ, Hubbard JL, Carpenter SJ, Waddell WR, Caliendo AM, et al. Effects of a lifestyle modification program in HIV-infected patients with the metabolic syndrome. AIDS. 2006;20(14):1843-1850. https://doi.org/10.1097/01.aids.0000244203.95758.db
  28. Pfeiffer E. A short portable mental status questionnaire for the assessment of organic brain deficit in elderly patients. Journal of the American Geriatrics Society. 1975;23(10):433-441. https://doi.org/10.1111/j.1532-5415.1975.tb00927.x
  29. Kim SJ. Interpersonal caring. Paju: Soomoonsa; 2017. p. 116.
  30. Cha DY. Powerful pray method. Seoul: Wisdom & Vision Co; 2008. p. 225-232.
  31. Song R, June KJ, Kim CG, Jeon MY. Comparisons of motivation, health behaviors, and functional status among elders in residential homes in Korea. Public Health Nursing. 2004;21(4):361-371. https://doi.org/10.1111/j.0737-1209.2004.21410.x
  32. Song R, Park M. Motivation factors for stages of behavioral change among individuals with metabolic syndrome. Korean Journal of Adult Nursing. 2018;30(1):60-69. https://doi.org/10.7475/kjan.2018.30.1.60
  33. Rosenberg M. Society and the adolescent self-image. Princeton (NJ): Princeton University Press; 1965. p. 340.
  34. Jon BJ. Self-esteem: A test of its measurability. Yonsei Nonchong. 1974;11(1):107-130
  35. Song R, June KJ, Ro YJ, Kim CG. Effects of motivation-enhancing program on health behaviors, cardiovascular risk factors, and functional status for institutionalized elderly women. Journal of Korean Academy of Nursing. 2001;31(5):858-870. https://doi.org/10.4040/jkan.2001.31.5.858
  36. Kong KR, Lee EN, Hwang HJ. A pilot study examining the effects of 12-week tai chi exercise on the activity of autonomic nervous system and risk factors of metabolic syndrome in patients with metabolic syndrome. Journal of Muscle and Joint Health. 2016;23(1):1-8. https://doi.org/10.5953/JMJH.2016.23.1.1
  37. Eom AY. The Effects of the tai chi exercise on metabolic syndrome and health-related quality of life in middle-aged women. Journal of Muscle and Joint Health. 2012;19(2):152-160. https://doi.org/10.5953/JMJH.2012.19.2.152
  38. Després JP, Lemieux I, Bergeron J, Pibarot P, Mathieu P, Larose E, et al. Abdominal obesity and the metabolic syndrome: Contribution to global cardiometabolic risk. Arteriosclerosis, Thrombosis, and Vascular Biology. 2008;28(6):1039-1049. https://doi.org/10.1161/ATVBAHA.107.159228
  39. Park NH. Effects of lifestyle modification program on body composition, metabolic syndrome markers, and depression in obese postmenopausal women. Journal of Korean Public Health Nursing. 2013;27(2):313-326. https://doi.org/10.5932/JKPHN.2013.27.2.313
  40. Kang Y. Glucose management using continuous glucose monitors. The Journal of Korean Diabetes. 2019;20(1):42-46. https://doi.org/10.4093/jkd.2019.20.1.42
  41. Baldoni NR, Aquino JA, Sanches-Giraud C, Di Lorenzo Oliveira C, de Figueiredo RC, Cardoso CS, et al. Collective empowerment strategies for patients with Diabetes mellitus: A systematic review and meta-analysis. Primary Care Diabetes. 2017;11(2):201-211. https://doi.org/10.1016/j.pcd.2016.09.006
  42. Bezo BH, Huang YT, Lin CC. Factors influencing self-management behaviours among patients with type 2 diabetes mellitus in the Solomon Islands. Journal of Clinical Nursing. 2020;29(5-6):852-862. https://doi.org/10.1111/jocn.15139
  43. Earnest CP, Artero EG, Sui X, Lee DC, Church TS, Blair SN. Maximal estimated cardiorespiratory fitness, cardiometabolic risk factors, and metabolic syndrome in the aerobics center longitudinal study. Mayo Clinic Proceedings. 2013;88(3):259-270. https://doi.org/10.1016/j.mayocp.2012.11.006
  44. Funnell MM, Brown TL, Childs BP, Haas LB, Hosey GM, Jensen B, et al. National standards for diabetes self-management education. Diabetes Care. 2012;35(Suppl 1):S101-S108. https://doi.org/10.2337/dc12-s101
  45. Dekker MJ, Graham TE, Ooi TC, Robinson LE. Exercise prior to fat ingestion lowers fasting and postprandial VLDL and decreases adipose tissue IL-6 and GIP receptor mRNA in hypertriacylglycerolemic men. The Journal of Nutritional Biochemistry. 2010;21(10):983-990. https://doi.org/10.1016/j.jnutbio.2009.08.004
  46. Kim JI, Kim SK. Effects of the BeHaS exercise program on self-esteem, balance, and flexibility in community-dwelling adults experiencing pain. Indian Journal of Science and Technology. 2015;8(Suppl 7):624-629. https://doi.org/10.17485/ijst/2015/v8iS7/70523
  47. Kim JI, Won HJ, Kim SA, Lee JH. The effect of the BeHaS exercise program on closeness, self-esteem and the intention of exercise maintenance in elderly. Journal of Muscle and Joint Health. 2016;23(3):206-213. https://doi.org/10.5953/JMJH.2016.23.3.206
  48. Kim HG, Nam HK. The effect of thera band exercise on muscle flexibility, balance ability, muscle strength in elderly women. Journal of Korean Academy of Community Health Nursing. 2011;22(4):451-457. https://doi.org/10.12799/jkachn.2011.22.4.451
  49. Shin MK, Shin SJ. Effects of group exercise program tailored by physical fitness on perceived health status, physical strength, depression and cognitive function of the elderly. Journal of Korean Academy of Adult Nursing. 2008;20(4):613-625.
  50. Park SY, Kim JI. Effects of BeHaS exercise program on flexibility, grip strength, stress and self-esteem in breast cancer survivors. Journal of Muscle and Joint Health. 2013;20(3):171-179. https://doi.org/10.5953/JMJH.2013.20.3.171

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