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Effects of Web-based Health Education on Blood Glucose and Blood Pressure Improvement in Postmenopausal Women with Impaired Fasting Blood Glucose

공복혈당장애 폐경여성을 위한 웹기반 건강교육의 혈당과 혈압 개선 효과

  • Oh, Jeong-Ah (The Catholic Institute of Ubiquitous Health Care, The Catholic University of Korea) ;
  • Kim, Hee-Seung (College of Nursing, The Catholic University of Korea) ;
  • Park, Min-Jeong (National Health Insurance Corporation, Health Insurance Policy Research Institute) ;
  • Shim, Hye-Sun (CHA University)
  • 오정아 (가톨릭대학교 가톨릭U헬스케어사업단 유헬스관리팀) ;
  • 김희승 (가톨릭대학교 간호대학) ;
  • 박민정 (국민건강보험공단) ;
  • 심혜선 (차의과학대학교 간호학과)
  • Received : 2011.04.26
  • Accepted : 2011.10.24
  • Published : 2011.10.31

Abstract

Purpose: The purpose of this study was to investigate the effectiveness of an educational intervention that used both cellular phones and the Internet to provide a short messaging service (SMS) relating to blood glucose, blood pressure, and serum lipid levels in postmenopausal women with impaired fasting glucose (IFG). Methods: Twenty-eight postmenopausal women were assigned to an intervention group and twenty-one postmenopausal women to a control group. The intervention was provided for 12 weeks. Patients in the intervention group were asked to access a web site by using a cellular phone or to use the Internet directly and input their blood glucose and blood pressure levels weekly. Participants were sent the optimal recommendations weekly by both cellular phone and Internet. Results: The intervention group had a mean decrease in systolic blood pressure (SBP) level of 8.1 mmHg but changes for the control group were not significant. There was a significant mean change in diastolic blood pressure (DBP) level for the intervention group (-7.7 mmHg). The mean change in the control group was not significant. Conclusion: This educational intervention using the Internet and a SMS by cellular phone improved levels of SBP and DBP in postmenopausal women with IFG.

Keywords

References

  1. Avignon, A., Radauceanu, A., & Monnier, L. (1997). Nonfasting plasma glucose is a better marker of diabetic control than fasting plasma glucose in type 2 diabetes. Diabetes Care, 20, 1822-1826. https://doi.org/10.2337/diacare.20.12.1822
  2. Fleischmann, E. H., Friedrich, A., Danzer, E., Gallert, K., Walter, H., & SchmiederR. E. (2004). Intensive training of patients with hypertension is effective in modifying lifestyle risk factors. Journal of Human Hypertension, 18, 127-131. doi:10.1038/sj.jhh.1001648
  3. Folsom, A. R., Szklo, M., Stevens, J., Liao, F., Smith, R., & Eckfeldt, J. H. (1997). A prospective study of coronary heart disease in relation to fasting insulin, glucose, and diabetes: The Atherosclerosis Risk in Communities (ARIC) study. Diabetes Care, 20, 935-942. https://doi.org/10.2337/diacare.20.6.935
  4. Isomaa, B., Almgren, P., Tuomi, T., Forsen, B., Lahti, K., Nissen, M., et al. (2001). Cardiovascular morbidity and mortality associated with the metabolic syndrome. Diabetes Care, 24, 683-689. doi:10.2337/diacare. 24.4.683
  5. Jeong, I. K., Moon, M. K., Kim, S. W., Park, Y. J., Kim, S. Y., Park, D. J., et al. (2000). Comparison of clinical characteristics of impaired fasting glucose with impaired glucose tolerance in Yonchon county. Diabetes & Metabolism Journal, 24, 71-77.
  6. Joint National Committee. (1997). The sixth report of the Joint National Committee on prevention, detection, evaluation, and treatment of high blood pressure. Archives of Internal Medicine, 157, 2413-2448. https://doi.org/10.1001/archinte.1997.00440420033005
  7. Kim, C. S., Jeong, E. K., Park, J. A., Cho, M. H., Nam, J. S., Kim, H. J., et al. (2005). Prevalence of diabetes mellitus (fasting plasma glucose by the ADA criteria) and impaired fasting glucose according to anthropometric characteristics and dietary habits - 1998 National Health and Nutrition Survey. Diabetes & Metabolism Journal, 29, 1-16.
  8. Kim, H. M., Park, J., Ryu, S. Y., & Kim, J. O. (2007). The effect of menopause on the metabolic syndrome among Korean women. Diabetes Care, 30, 701-706. doi:10.2337/dc06-1400
  9. Kim, H. S. (2005). Effects of web-based diabetic education in obese diabetic patients. Journal of Korean Academy of Nursing, 35, 924-930.
  10. Kim, H. S., & Oh, J. A. (2007). Comparison of the metabolic syndrome risk factor prevalence in the age of forties and fifties women. Journal of Korean Academy of Nursing, 37, 453-458.
  11. Kim, M. H., Kim, M. K., Choi, B. Y., & Shin, Y. J. (2004). Prevalence of metabolic syndrome and its association with cardiovascular diseases in Korea. Journal of Korean Medical Science, 19, 195-201. doi:10.3346/jkms. 2004.19.2.195
  12. Kim, S. M. (2001). Postmenopausal obesity. Journal of Korean Society for the Study of Obesity, 10, 217-226.
  13. Koh, J. H., Lee, M. Y., Nam, S. M., Sung, J. K., Jung, P. M., Noh, J. K., et al. (2008). Relationship between menopausal status and metabolic syndrome components in Korean women. Korean Diabetes Journal, 32, 243-251. doi:10.4093/kdj.2008.32.3.243
  14. Lee, H. J., Kwon, H. S., Park, Y. M., Chun, H. N., Choi, Y. H., Ko, S. H., et al. (2005). Waist circumference as a risk factor for metabolic syndrome in Korean adult: Evaluation from 5 different criteria of metabolic syndrome. Diabetes & Metabolism Journal, 29, 48-56.
  15. Lee, S. W., Kim, M. R., Kwon, D. J., Kim, J. H., Kim, J. H., & You, O. U. (2009). Relationship between metabolic syndrome and bone mineral density in the postmenopausal women. Korean Journal of Obstetrics and Gynecology, 52, 835-842.
  16. Lopez-Candales, A. (2001). Metabolic syndrome X: A comprehensive review of the pathophysiology and recommended therapy. Journal of Medicine, 32, 283-300.
  17. Park, M. J., Kim, H. S., & Kim, K. S. (2009). Cellular phone and internet-based individual intervention on blood pressure and obesity in obese patients with hypertension. International Journal of Medical Informatics, 78, 704-710. doi:10.1016/j.ijmedinf.2009.06.004
  18. Park, M. J., & Kim, H. S. (2011). Mobile phone and internet intervention on waist circumference and blood pressure in post-menopausal women with abdominal obesity. International Journal of Medical Informatics, in press.
  19. Piette, J. D., Weinberger, M., Kraemer, F. B., & McPhee, S. J. (2001). Impact of automated calls with nurse follow-up on diabetes treatment outcomes in a department of Veterans Affairs Health Care System: A randomized controlled trial. Diabetes Care, 24, 202-208. doi:10.2337/diacare.24.2.202
  20. Rudd, P., Miller, N. H., Kaufman, J., Kraemer, H. C., Bandura, A., Greenwald, G., et al. (2004). Nurse management for hypertension: A systems approach. American Journal of Hypertension, 17, 921-927. doi:10.1016/j.amjhyper.2004.06.006
  21. Underbakke, G., McBride, P. E., & Spencer, E. (2006). Web-based resources for medical nutrition education. The American Journal of Clinical Nutrition, 83, 951S-955S.
  22. Wedisinghe, L., & Perera, M. (2009). Diabetes and the menopause. Maturitas, 63, 200-203. doi:10.1016/j.maturitas.2009.04.005
  23. Welty, F. K., Nasca, M. M., Lew, N. S., Gregoire, S., & Ruan, Y. (2007). Effect of onsite dietitian counseling on weight loss and lipid levels in an outpatient physician office. The American Journal of Cardiology, 100, 73-75. doi:10.1016/j.amjcard.2007.02.056
  24. Yu, S. J., Song, M. S., & Lee, Y. J. (2001). The effects of self-efficacy promotion and education program on self-efficacy, self-care behavior, and blood pressure for elderly hypertensives. Journal of Korean Academy of Adult Nursing, 13, 108-122.
  25. Zimmet, P., & Alberti, G. (2006). The IDF definition: Why we need a global consensus. Diabetes Voice, 51, 11-14.

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