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

The Korea Academia-Industrial cooperation Society (한국산학기술학회)
권호 표지
DOI QR코드

DOI QR Code

Development and Evaluation of Cardiocerebrovascular Disease Prevention Program for Taxi Drivers

택시 운전자를 위한 심뇌혈관질환 예방 프로그램 개발 및 효과

  • Received : 2013.08.16
  • Accepted : 2013.09.06
  • Published : 2013.09.30
Download PDF
⟨ Previous Next ⟩

Abstract

The purpose of this study was to development and evaluate the effects of cardiocerebrovascular disease prevention program for taxi drivers on physiological variables(blood pressure, blood sugar, serum lipids) and physical variables(body fat, muscle endurance, cardiopulmonary endurance, balance). This study consisted of two phases: developing the program and evaluating its effectiveness. 1 phase, 321 taxi drivers investigated a health condition and a life habit and an educational need and developed a program with the ground which will reach. 2 phases, The effectiveness of the program was tested in October 2011, with 51 taxi driver. The experimental group was given 12 weeks period exercise 1 weeks 3 time, disease education 4 time, 2 nutrition consultations. Although there was no significant reduction in blood pressure, heart rate, blood sugar, serum lipids, there were statistically significant increases in muscle endurance (t=-7.62 p<.001), cardiopulmonary endurance (t=-3.39, p<.001), balance(t=-4.13, p<.001) and decreased body fat (t= -3.11, p<.015) in before compared to after. These findings suggest that an integrated cardiocerebro-vascular disease prevention program improves physical fitness.

본 연구의 목적은 택시운전자를 위한 심뇌혈관질환 예방 프로그램을 개발하고 생리적 변수(혈압, 혈당, 혈청 지질), 신체적 변수(체지방율, 근지구력, 심폐지구력, 균형)에 미치는 효과를 검증하고자 시도하였다. 본 연구는 프로그램 개발과 효과 평가의 2단계로 진행하였다. 1단계는 택시 운전자를 위한 심뇌혈관질환 예방 프로그램을 개발하기 위해 2011년 3월 2일부터 4월 30일까지 택시 운전자 321명을 대상으로 건강상태 및 생활습관, 건강관리 요구도를 설문조사하였으며 이를 근거로 프로그램을 개발하였다. 2단계는 개발된 프로그램의 효과를 검증하기 위해 2011년 6월 1일부터 10월 5일까지 택시 운전자 51명에게 12주 동안 운동 1주 3회, 질병교육 4회, 영양 상담 2회 실시하였다. 연구결과는 프로그램 전보다 후에 혈압, 혈당, 혈청지질은 통계적으로 유의하게 감소하지 않았으나 체지방율은 유의하게 감소하였으며(t=3.108, p=.003), 근지구력(t=-7.621, p<.001), 심폐지구력(t=-3.388, p=.001), 균형(t=-4.133, p<.001)은 통계적으로 유의하게 증가한 것으로 나타났다. 이와 같은 결과를 근거로 운동, 질환교육, 영양상담으로 구성된 프로그램을 고혈압, 당뇨, 비만 등 심뇌혈관질환 선행질환 유병율이 높은 택시 운전자를 위한 심뇌혈관질환 예방프로그램으로 제안하고자 한다.

Keywords

References

  1. National tatistical Office. 2011 The state of a registered automobile. 2012. From : http://www.index.go.kr/egams/stts/jsp/potal/stts/PO_STTS_IdxMain.jsp? idx_cd=1257&bbs=INDX_001&clas_div=A (accessed Aug., 10, 2013)
  2. Korean Transpertation Safety Authority. 2013 The state of a driver. 2013.
  3. K. O. Lim, Work ability and fatigability of taxi and bus drivers according to health states. Unpublished doctoral dissertation, Kyungpook National University, Daegu. 2007.
  4. U. T. Shim, J. Y. Lee, J. K. Oh, & Y. C. Cho, A study on the disease complaints by the taxi drivers, Chungnam Medical Journal, Vol. 18, No. 1, pp. 127-135, 1991.
  5. C. H. Jang, Y. A. Choi, H. M. Lee, Y. S. Kang, C. H. Kim, S. Y. Noh, et al. "A study on the relationship between obesity and life style among cab drivers in Gyeongju. Dongguk", Journal of Medicine, Vol. 11, No. 2, pp. 62-73, 2004.
  6. I. S. Kim, K. J. Lee, J. Roh, & Y. H. Moon, "Human health factors and traffic accidents among taxi drivers in the seoul ares", Korean Journal of Preventive Medicine, Vol. 22, No. 3, pp. 313-322, 1989.
  7. S. H. Chon, J. Y. Kim, J. J. Cho, & J. G. Ryoo, "Job characteristics and occupational stress on health behavior in Korean workers", Korean Journal of Family Medicine, Vol. 31, pp. 444-452, 2010. DOI: http://dx.doi.org/10.4082/kjfm.2010.31.6.444
  8. C. M. Haupt, D. Alte, M. Dorr, D. M. Robinson, S. B. Felix, U. John, et al. "The relation of exposure to shift work with atherosclerosis and myocardial infarction in a general population", Atherosclerosis, Vol. 201, pp. 205-211, 2008. DOI: http://dx.doi.org/10.1016/j.atherosclerosis.2007.12.059
  9. B. Karlsson, L. Alfredsson, A. Knutsson, E. Andersson, & K. Toren, "Total mortality and cause-specific mortality of Swedish shiftand dayworkers in the pulp and paper industry in 1952-2001", Scandinavia Journal of Work, Environment & Health, Vol. 31, pp. 30-35, 2005. DOI: http://dx.doi.org/10.5271/sjweh.845
  10. C. Bigert, K. Klerdal, N. Hammar, J. Hallqvist, & P. Gustavsson, "Time trends in the incidence of myocardial infarction among professional drivers in Stockholm 1977-1996", Occupational and Environmental Medicine, Vol. 61, pp. 987-991, 2004. DOI: http://dx.doi.org/10.1136/oem.2004.012781
  11. J. K. Ko, "Analysis of Factors Affecting the Health Behavior of Taxi-drivers", Journal of east-west nursing research, Vol. 15, No. 2, pp. 71-81, 2009.
  12. W. S. Kwak, J. U. Won, J. B. R, M. S. Lee, E. J. Kang, & J. H. Roh, "Workplace Cardiovascular Health Promotion Program and its Short-term Health Effects", Korean Journal of Occupational Environmental Medicine, Vol. 21, No. 1, pp. 46-52, 2009.
  13. T. Arao, Y. Oida, C. Maruyama, T. Mutou, S. Sawada, H. Matsuzuki, et al., "Impact of lifestyle intervention on physical activity and diet of Japanese workers", Preventive Medicine, Vol. 45, No. pp. 146-152, 2007. DOI: http://dx.doi.org/10.1016/j.ypmed.2007.05.004
  14. E. Y. Kim, & S. Y. Hwang, "Development and Evaluation of a Small Group-based Cardiocerebrovascular Disease Prevention Education Program for Male Bus Drivers", Journal of Korean Academy of Nursing, Vol. 42, No. 3, pp. 322-332, 2012. DOI: http://dx.doi.org/10.4040/jkan.2012.42.3.322
  15. National Heart Lung and Blood Institute. Coronary heart disease risk factors, 2001. From http://www.nhlbi.nih.gov/health/health-topics/topics/hd/atrisk.html (accessed May, 2011)
  16. C. Stirrat, & S. Mann, "Perceptions of cardiovascular risk factors among cardiology outpatients", Heart, Lung & Circulation, 17S, pp. S22-S23. 2008. DOI: http://dx.doi.org/10.1016/j.hlc.2008.03.051
  17. Ministry of Health & Welfare, Korea Health Statistics 2011 : Korea National Health and Nutrition Examination Survey (KNHANESV-2), pp. 22, 2012. From: http://knhanes.cdc.go.kr. (accessed Aug., 10, 2013)
  18. C. M. Kim, & H. M. Son, A study on taxi drivers' smoking behavior, self-efficacy and expectation level of success in smoking cessation, Journal of Korean Academy of Community Health Nursing, Vol. 15, No. 4, pp. 517-526, 2005.
  19. H. J. Lee, J. J. Lee, T. Y. Hwang, S. Kam. "Development and Evaluation of a Community Staged Education Program for the Cardiocerebrovascular Disease High-risk Patients", Journal of Agricultural Medicine and Community Health, Vol. 37, No. 3, pp. 167-180, 2012. DOI: http://dx.doi.org/10.5393/JAMCH.2012.37.3.167
  20. J. O. Prior, G van Melle, A. Crisinel, B Burnand, J. Cornuz, & R. "Darioli, "Evaluation of a multicomponent worksite health promotion program for cardiovascular risk factors- correcting for the regression towards the mean effect", Preventive Medicine, Vol. 40, No. 3, pp. 259-267, 2005. DOI: http://dx.doi.org/10.1016/j.ypmed.2004.05.032