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심뇌혈관질환 위험요인을 가진 중년여성을 위한 통합적 생활습관개선 프로그램의 효과

Effects of a Comprehensive Lifestyle Improvement Program for Middle-aged Women with Cardio-cerebrovascular Disease-related Risk Factors

  • 투고 : 2012.12.24
  • 심사 : 2013.05.27
  • 발행 : 2013.06.30

초록

Purpose: This study was conducted to evaluate effects of a comprehensive lifestyle improvement program for middle-aged women with cardio-cerebrovascular disease (CVD)-related risk factors. Methods: The research adopted a non-equivalent control group pretest-posttest design. The number of participants was 18 in the experimental group and 16 in the control group sampled among middle-aged women who had CVD-related risk factors residing in a community. The experimental group participated in a four-session comprehensive lifestyle promotion program, which consisted of lectures, demonstrations, small-group meetings and telephone-counseling. The effects of the program were evaluated by measuring knowledge, attitude, health behavior, and self-efficacy for CVD prevention. Results: The experimental group showed a significant increase in self-efficacy for CVD prevention compared to the control group. There was no significant increase in knowledge, attitude, and health behavior. Conclusion: The results suggest that the comprehensive lifestyle improvement program was effective in improving self-efficacy for CVD prevention. There is a need to develop more effective lifestyle improvement programs designed to improve knowledge, attitude, and health behavior for CVD prevention. In further research, a follow-up evaluation is also needed to investigate any delayed effects on targeted variables among which no significant differences emerged immediately after the completion of the program.

키워드

참고문헌

  1. American Heart Association. (2012, August 8). Understand your risk of heart attack: Risk factors and coronary heart disease. Retrieved November 20, 2012, from http://www.heart.org/ HEARTORG/Conditions/HeartAttack/UnderstandYourRis kofHeartAttack/Understand-Your-Risk-of-Heart-Attack_U CM_002040_Article.jsp
  2. Aldana, S. G., Greenlaw, R. L., Diehl, H. A., Salberg, A., Merrill, R. M., Ohmine, S., et al. (2006). The behavioral and clinical effects of therapeutic lifestyle change on middle-aged adults. Preventing Chronic Disease, 3(1), 1-6. Retrieved October 20, 2012, from http://www.ncbi.nlm.nih.gov/pmc/articles/ PMC1500954/pdf/PCD31A05.pdf
  3. Artinian, N. T., Fletcher, G. F., Mozaffarian, D., Kris-Etherton, P., Van Horn, L., Lichtenstein, A. H., et al. (2010). Interventions to promote physical activity and dietary lifestyle changes for cardiovascular risk factor reduction in adults. Circulation, 122, 406-441. http://dx.doi.org/10.1161/CIR.0b013e3181e8 edf1
  4. Bandura, A. (1995). Exercise of personal and collective efficacy in changing societies. In A. Bandura(Ed.), Self efficacy in changing societies (pp. 1-45). New york: Cambridge University Press.
  5. Gu, M. O. (2006). A review of research on health promoting behaviors of Korean older adults. Perspectives in Nursing Science, 3(1), 17-34.
  6. Hyun, I. S., Park, M. H., Park, K. M., &Kim, C. N. (2010). The effects of a fall prevention program on the low-income elderly at risk of falls. Journal of Korean Academy of Community Health Nursing, 21(2), 200-209.
  7. Ju, K., &So, H. (2008). Effects of the nutrition education program on self-efficacy, diet behavior pattern and cardiovascular risk factors for the patients with cardiovascular disease. Journal of Korean Academy of Nursing, 38(1), 64-73. https://doi.org/10.4040/jkan.2008.38.1.64
  8. Jun, J. S. (2005). The effect of telephone consulting program upon the uncertainty of the patients, the level of self-efficiency and self-care ability in CABG surgery patients. Unpublished master's thesis, Yonsei University, Seoul.
  9. Kim, E. Y., &Hwang, S. Y. (2012). Development and evaluation of a small group-based cardiocerebrovascular disease prevention education program for male bus drivers. Journal of Korean Academy of Nursing, 42(3), 322-332. http://dx.doi. org/10.4040/jkan.2012.42.3.322
  10. Kim, M. Y. (2011). The effect of the combined exercise on body composition, atheriosclerosis indics and inflammation markers response in the elderly women with cardiovascular disease. The Korean Journal of Sport, 9(2), 407-418.
  11. Kim, S. K., &Lee, B. S. (2006). Knowledge, attitude, and preventive health behavior of high school students on the six most common cancers in Korea. Keimyung Journal of Nursing Science, 10(1), 135-148.
  12. Korea Institute for Health and Social Affairs. (2007, April). In-depth analyses of the third national health and nutrition examination survey: The health interview and health behavior survey part (Issue Brief No. Policy 2007-07). Seoul: Author. Retrieved 5, 2011, from http://www.kihasa.re.kr/ html/jsp/
  13. Lee, H. J. (2004). Effect of individual health education the medical clinic of public health centers on knowledge, self-efficacy, and self-care behavior in clients with hypertension. Journal of Korean Public Health Nursing, 18(1), 80-89.
  14. Lee, H. J., &Kam, S. (2010). Educational needs of elderly hypertensive or diabetes patients and educators for education program development of cardiocerebrovascular high-risk group. Journal of Agricultural Medicine and Community Health, 35 (2), 177-192. https://doi.org/10.5393/JAMCH.2010.35.2.177
  15. Lee, S. Y., Lee, K. S., Koo, J., Yim, H. Y., Kim, H. R., Park, C., et al. (2006). Effectiveness of tailored health promotion program for reducing cardiovascular risk factors in subway workers. Korean Journal of Occupational and Environmental Medicine, 18(1), 15-24.
  16. Ministry of Health &Welfare. (2007, April). Guidelines for the check ups for transitional periods of life (Issue No. 111460000-003066-01). Seoul: Author. Retrieved May 5, 2011, from http://www.mohw.go.kr/front/jb/sjb030301vw.jsp? PAR_MENU_ID=03&MENU_ID=030503&page=1&CONT_ SEQ=178431
  17. Ministry of Health and Welfare, &Korea Centers for Disease Control and Prevention. (2011, December). 2010 Korean health statistics: Korea national health and nutrition examination survey (Issue No. 11-1351159-000027-10). Seoul: Author. Retrieved October 30, 2012, from http://knhanes.cdc. go.kr/knhanes/index.do
  18. Moon, E. H., &Kim, K. W. (2011). Evaluation of nutrition education for hypertension patients aged 50 years and over. Korean Journal of Community Nutrition, 16(1), 62-74. https://doi.org/10.5720/kjcn.2011.16.1.62
  19. National Health Insurance. (2011, August 15). More than 80 women's cardiovascular disease 2.5 times more than men. Retrieved December 12, 2011, from http://www.nhic.o.kr/ portal/site/main/MENU_WBDCC01
  20. Panagiotakos, D. B., Kromhout, D., Menotti, A., Chrysohoou, C., Dontas, A., Pitsavos, C., et al. (2005). The relation between pulse pressure and cardiovascular mortality in 12,763 middle-aged men from various parts of the world: A 25-year follow-up of the seven countries study. Archives of Internal Medicine, 165(18), 2142-2147. http://dx.doi.org/10.1001/ archinte.165.18.2142
  21. Park, B. Y. (2008). Factors influencing the health promotion behaviors among middle-aged women. Unpublished master's thesis, Ewha Womans University, Seoul.
  22. Park, H. J. (2008). The effects of lifestyle modification education program on the workers' knowledge, attitude, and behavior to prevent cerebrocardiovascular diseases in middle and small-sized industries. Unpublished master's thesis, Dongguk University, Seoul.
  23. Park, J., Kim, Y., &Kim, G. (2002). Effects of a occupational health promotion program for prevention of cardiovascular disease. Journal of Korean Academy of Nursing, 32(3), 196-205.
  24. Park, J. S., Lee, C., &Yoo, Y. G. (2004). Study on the correlation between junior college physical education majors' levels of health information and attitudes/behaviors to good health. Journal of Arts &Physical education, 15, 95-124.
  25. Park, S. Y., Park, C. J., &Park J. S. (2001). The effects of cancer prevention and early detection education on cancer-related knowledge, attitudes, and preventive health behavior of middle-aged women in Korea. Korean Journal of Adult Nursing, 13(3), 441-450.
  26. Ryan, P. (1992). Facilitating behavior change in the chronically ill. In J. F. Miller (Ed.), Coping with chronic illness overcoming powerlessness (pp. 376-396). Philadelphia, PA: Davis Company.
  27. Smith, J. R., &Sideney, C. (2006). Current and future direction of cardiovascular risk prediction. The American Journal of Cardiology, 97(2), 28-32. http://dx.doi.org/10.1016/j.am jcard.2005.11.013
  28. Stirrat, C., &Mann, S. (2008). Perceptions of cardiovascular risk factors among cardiology outpatients. Heart, Lung &Circulation, 17S2, S22-S23.
  29. World Health Organization. (2011, April). Global status report on noncommunicable diseases 2010. Geneva, Switzerland: Author. Retrieved November 20, 2012, from http://whqlibdoc.who.int/publications/2011/9789240686458_eng.pdf

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