DOI QR코드

DOI QR Code

Effect of Stroke Prevention Program for The Elderly in The Rural Area

농촌지역 노인을 위한 중풍예방 프로그램의 효과

  • 강말순 (진주보건대학교 간호학부)
  • Received : 2015.01.05
  • Accepted : 2015.04.09
  • Published : 2015.04.30

Abstract

The goal of this study was to examine how effective stroke prevention program is for body mass index, blood pressure, blood glucose, and serum lipids of the elderly in the rural areas. The stroke prevention program included health care education, nutrition guidance and exercise. The program was provided for 12 weeks(36 sessions) from May to August, 2014. Participants were 55 elderly people in the rural areas; 28 people in the experimental group and 27 in the control group. The results of before and after the experiment showed that body mass index(p<.001), TC(p<.001), TG(p=.047), and LDL(p=.010) were significantly better in the experimental group compared to the control group. Also, after the program, the figures of body mass index, fasting blood glucose, TC, TG, and HDL in the control group were decreased, while those of LDL were increased. Study findings indicate that the stroke prevention program is effective and can be recommended as a precaution against the stroke of the elderly in the rural area by preventing risk factors beforehand.

본 연구는 농촌지역 노인의 중풍을 예방하기 위해 건강관리교육, 영양지도, 운동으로 구성된 중풍예방 프로그램이 체질량지수, 혈압, 혈당, 혈청지질에 미치는 효과를 검증하기 위해 2014년 5월부터 8월까지 1주 3회 1회 50분 총 12주 동안 실험군 28명, 대조군 27명을 대상으로 실시하였다. 중풍예방 프로그램 전과 후의 차이를 비교한 결과, 실험군은 대조군보다 실험 전보다 실험 후에 체질량지수(p<.001), 총콜레스테롤(p<.001), 중성지방(p=.047), 저밀도인지질단백질(p=.010)이 유의하게 감소하였다. 또한 실험군은 실험 전보다 후에 체질량지수, 공복시 혈당, 총콜레스테롤, 중성지방, 고밀도인지질단백질이 감소하였으며 저밀도인지질단백질이 증가하였다. 이는 중풍예방 프로그램이 중풍의 위험요인을 감소시켜 중풍을 예방 할 수 있음을 의미한다.

Keywords

References

  1. Statistics Korea. 2011 Report on the cause of death statistics. Retrieved March 28, 2013, from http://www.index.go.kr/egams/stts/jsp/potal/stts/ PO_STTS_IdxMain.jsp?idx_cd=1438&bbs=INDX_001& clas_div=C&rootKey=1.48.0
  2. National Health Insurance Corporation. Disease statistics. Retrieved March 28, 2013, from http://stat. kosis.kr/nsikor_h/ view/stat10.do
  3. Korea Centers for Disease Control and Prevention. (2012). 2011 Public health statistics. Seoul: Author.
  4. Ring, H., Feder, M., Schwartz, J., & Samuels, G. Functional measures of first-stroke rehabilitation in patients: Usefulness of the functional independence measure total score with a clinical rationale. Archives of physical medicine and rehabilitation, 78, p.630-635, 1997. DOI: http://dx.doi.org/10.1016/S0003-9993(97)90429-9
  5. lsen, N., M., & Lauritzen, L. Risk factors for post-stroke depression. Acta psychiatrica Scandinavica, 92(3), p.193-198, 1995. DOI: http://dx.doi.org/10.1111/j.1600-0447.1995.tb09567.x
  6. Ham, M. Y. An effects of individualized early rehabilitation education program for patients acute ischemic cerebrovascular disease. Unpublished doctoral dissertation, Chung-Ang University, Seoul, 2001.
  7. Lee, H. J., & Rhee, H. Y. The effect of the structured education on the early rehabilitation knowledge and activity performance of the C.V.A. patients. Journal of Korean Academy of Nursing, 27(1), p.109-119, 1997.
  8. Roh, K. H. The effect of home rehabilitation exercise program of home stayed chronic hemiplegic stroke patients. Unpublished doctoral dissertation, Catholic University, Seoul, 2002.
  9. Suh, H. J. (1989). A study on factors influencing the state of adaptation of tthe hemiplegic patients. Doctoral dissertation. Seoul University, Seoul, 1989.
  10. Yu, S. J., Kim, H. S., Kim, K. S., & Baik, H. G. The effects of community-based self-help management program by strengthening self-efficacy of post stoke elderly patients. Journal of Korean Rehabilitation Nursing, 4(2), p.187-197, 2001.
  11. Kim, K. S., Seo, H. M., & Kang J. Y. The effects of community based self-help management program on the activity of daily life, muscle strength, depression and life satisfaction of post-stroke patients. Journal of Korean Rehabilitation Nursing, 3(1), p.108-117, 2000.
  12. Kim, H. J., & Kim, O. S. The Lifestyle Modification Coaching Program for Secondary Stroke Prevention. Journal of Korean Academy of Nursing. 43(3), p.331-340, 2013. DOI: http://dx.doi.org/10.4040/jkan.2013.43.3.331
  13. Kim, C. G., & Park, H. A. Development and evaluation of a Web-based education program to prevent secondary strocke. Journal of Korean Academy of Nursing, 41(1), p.47-60, 2011. DOI: http://dx.doi.org/10.4040/jkan.2011.41.1.47
  14. Kang, S. M. An effect of the secondary stroke prevention education program on self-care of acute ischemic stroke patients. Unpublished master's thesis, Konkuk University, Chungju, 2005
  15. Park, H. G. The effects of the health promotion program on functional status of the in-house stroke patients. The Korean Journal of Rehabilitation Nursing, 6, p.213-225, 2003.
  16. Lee C. H. Case study of the Stroke Challenge Exercise program Body composition, on baPWV and Gait Pattern of the elderly stroke patients Journal of Welfare for the Aged, 65, p185-205, 2014.
  17. Cha, K. S., Sung, D. J. Changes of Body Composition and Aging-related Hormones by Rhythmic Exercise Program in Elderly Women. Journal of The Korean Gerontological Society, 30(3), p933-946. 2010.
  18. Kerry, J. S., Anita, C. B., Katherine, L. T., Jerome, L. F., Paul, S. H., Edward, P. S. M., & Tayback, P. O. Effect of exercise on blood pressure in older persons. Archives of internal medicine. 165, p756-762, 2005. DOI: http://dx.doi.org/10.1001/archinte.165.7.756
  19. Halliwii, J. R., Taylor, J. A., & Eckberg, D. L. (1996). Impaired sympathetic vascular regulation in humans after acute dynamic exercise. Journal of Physiology, 495(1), p279-288. DOI: http://dx.doi.org/10.1113/jphysiol.1996.sp021592
  20. Chobanian, A. V., Bakris, G. L., Black, H. R., Cushman, W. C., Green, L. A., Izzo, J. L., Jones, D. W., Materson, B. J., Oparil, S., Wright, J. T. Jr., & Roccella, E. J. Seventh Report of the Joint National Committee on Prevention. Detection. Evaluation and Treatment of high blood pressure. 42(6), p1206-1252, 2003. https://doi.org/10.1161/01.HYP.0000107251.49515.c2
  21. Jin, E. H. The effect of low intensity resistance exercise with elastic band on blood glucose and physical function in elderly women hyperglycemia. Unpublished master's thesis, Konkuk University, Seoul, 2014.
  22. Ivy, J. L. (1998). Role of exercise training in the prevention and treatment of insulin resistance and non-insulin dependent diabetes mellitus. Sports Medicine, 24, p321-336. DOI: http://dx.doi.org/10.2165/00007256-199724050-00004
  23. Kim, D. Y., Jung S. Y., & Seo, B. D. Effect of Exercise Intervention on Changes in Free Fatty Acid Levels and Metabolic Risk Factors in Stroke Patients. Journal of Physical Therapy Science., 26(2), p275-279, 2014. DOI: http://dx.doi.org/10.1589/jpts.26.275
  24. James, M, D., Manning, C. R., White, K. Effects of a resistive training program lipoprotein lipid levels in obese women. Medicine and science in sports and exercise. 23(11), p1222-1226, 1991.
  25. Tuomilehto, J. (2005). Cardiovascular risk: prevention and treatment of the metabolic syndrome. Diabetes research and clinical practice. 68(Suppl2), pS28-35 DOI: http://dx.doi.org/10.1016/j.diabres.2005.03.018