Korean Journal of Adult Nursing (성인간호학회지)

Korean Society of Adult Nursing (한국성인간호학회)
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Knowledge on Cardio-cerebrovascular Disease and Health Behaviors among Middle-aged Postmenopausal Women at Risk

심뇌혈관질환 위험인자를 가진 폐경 중년여성의 질환예방 지식과 건강행위

  • 김경애 (강남세브란스병원.한양대학교 대학원) ;
  • 황선영 (한양대학교 간호학부)
  • Received : 2016.05.13
  • Accepted : 2016.08.23
  • Published : 2016.08.31
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Abstract

Purpose: This study examined knowledge about cardio-cerebrovascular disease (CVD) and its relationship to health behaviors among middle-aged postmenopausal women with CVD risk factors. Methods: The study was a cross-sectional descriptive study. One hundred and thirty-six postmenopausal women were recruited from outpatient departments of four hospitals. The women were $60.69{\pm}6.5$ years old. Self-reported questionnaires were administered, and waist-hip ratios (WHR) were measured. Results: Among the women, 72.8% reported hypertension, 19.1% reported diabetes, 33.8% reported hypercholesterolemia, and 24.2% reported angina pectoris. Moreover, 73.9% of the women reported not knowing of CVD prevention, and only 26.1% reported exercising regularly. A majority of the women (80.9%) had a WHR > 0.85. Multiple linear regression analysis after adjusting for age and marital status indicated that the risk of myocardial infarction and stroke increased (p<.001). Waist-hip ratio${\leq}0.85$ (p=.022) and living with family members (p=.006) were significant predictors of healthier behaviors ($R^2$=0.21, p<.001). Knowledge of CVD and health behaviors were not correlated. Conclusion: Obese women and women who live alone are no more likely to practice health behaviors aimed at CVD prevention than their counterparts in the sample. Education and exercise interventions are needed, especially for obese women, to promote healthy behaviors among middle-aged postmenopausal women with CVD risk factors.

Keywords

References

  1. Statistics Korea. 2013 Annual report on the causes of death statistics [Internet]. Daejeon: Statistics Korea; 2014 [cited 2014 September 23]. Available from: http://kostat.go.kr/portal/korea/kor_nw/2/1/index.board?bmode=read&aSeq=330181
  2. Worrall Carter L, Ski C, Scruth E, Campbell M, Page K. Systematic review of cardiovascular disease in women: assessing the risk. Nursing & Health Sciences. 2011;13(4):529-35. http://dx.doi.org/10.1111/j.1442-2018.2011.00645.x
  3. Mosca L, Benjamin EJ, Berra K, Bezanson JL, Dolor RJ, Lloyd-Jones DM, et al. Effectiveness-based guidelines for the prevention of cardiovascular disease in women-2011 update: a guideline from the American Heart Association. Journal of the American College of Cardiology. 2011;57(12):1404-23. http://dx.doi.org/10.1016/j.jacc.2011.02.005
  4. Joo JK, Son JB, Jung JE, Kim SC, Lee KS. Differences of prevalence and components of metabolic syndrome according to menopausal status. Journal of Korean Society of Menopause. 2012;18(3):155-62. http://dx.doi.org/10.6118/jksm.2012.18.3.155
  5. Bang SY, Cho IG. The effects of menopause on the metabolic syndrome in Korean women. Journal of the Korea Academia- Industrial cooperation Society. 2015;16(4):2704-12. http://dx.doi.org/10.5762/KAIS.2015.16.4.2704
  6. Shin HM, Jee SH, Kim JH, Kim MR. The influence on cardiovascular mortality of the metabolic syndrome in Korean postmenopausal women. Journal of Korean Society of Menopause. 2012;18(1):6-14. http://dx.doi.org/10.6118/jksm.2012.18.1.6
  7. Statistics Korea, The lives of women looking to 2014 statistics [Internet]. Daejeon: Statistics Korea; 2014 [cited 2014 June 26]. Available from:http://kostat.go.kr/portal/korea/kor_nw/2/1/index.board ?bmode=read&aSeq=346959
  8. Muñoz D, Granger CB. ST-segment-elevation myocardial infarction treatment and the seductive lure of observational analyses. Circulation. 2011;124(23):2477-9 http://dx.doi.org/10.1161/circulationaha.111.068676
  9. Lee DH, Seo JM, Choi JH, Cho YR, Park K, Park TH, et el. Early experience of Busan -Ulsan regional cardiocerebrovascular center project in the treatment of ST elevation myocardial infarction. Korean Journal of Medicine. 2013;85(3):275-84. http://dx.doi.org/10.3904/kjm.2013.85.3.275
  10. Bushnell C, McCullough LD, Awad IA, Chireau MV, Fedder WN, Furie KL, et al. Guidelines for the prevention of stroke in women a statement for healthcare professionals from the American Heart Association/American Stroke Association. Stroke. 2014;45(5):1545-88. http://dx.doi.org/10.1161/01.str.0000442009.06663.48
  11. Lee YH, Shin MH, Kweon SS, Choi JS, Park MS, Cho KH, et al. Awareness of stroke warning signs and risk factors: result of a 2010 community survey in Gwangju metropolitan city. Journal of the Korean Neurological Association. 2010;30(1):26-32.
  12. Hwang SY. Comparison of clinical manifestations and treatment- seeking behavior in younger and older patients with firsttime acute coronary syndrome. Journal of Korean Academy of Nursing. 2009;39(6):888-98. http://dx.doi.org/10.4040/jkan.2009.39.6.888
  13. Diercks DB, Owen KP, Kontos MC, Blomkalns A, Chen AY, Miller C, et al. Gender differences in time to presentation for myocardial infarction before and after a national women's cardiovascular awareness campaign: a temporal analysis from the Can Rapid Risk Stratification of Unstable Angina Patients Suppress Adverse Outcomes with Early Implementation (CRUSADE) and the National Cardiovascular Data Registry Acute Coronary Treatment and Intervention Outcomes Network-Get with the Guidelines (NCDR ACTION RegistryGWTG). American Heart Journal. 2010;160(1):80-7. http://dx.doi.org/10.1016/j.ahj.2010.04.017
  14. Nguyen HL, Saczynski JS, Gore JM, Goldberg RJ. Age and sex differences in duration of prehospital delay in patients with acute myocardial infarction a systematic review. Circulation: Cardiovascular Quality and Outcomes. 2010;3(1):82-92. http://dx.doi.org/10.1161/circoutcomes.109.884361
  15. Lee JJ, Choo IS, Kim HW, Kim JH, Ahn SH. Influence of stroke knowledge on pre- hospital delay of acute ischemic stroke patients. Journal of the Korean Neurological Association. 2009;27(2):123-8.
  16. Lee SO, Oh SE, Jeong MH, Kim HK, Jeon HJ, Choi YJ, et al. Clinical impact of symptom-to-door time on 1-year mortality in patients with non-ST segment elevation acute myocardial infarction. Korean Journal of Medicine. 2010;78(6):717-24.
  17. Sharma S, Batsis JA, Coutinho T, Somers VK, Hodge DO, Carter RE, et al. Normal-weight central obesity and mortality risk in older adults with coronary artery disease. Mayo Clinic Proceedings. 2016;91(3):343-51. http://dx.doi.org/10.1016/j.mayocp.2015.12.007
  18. Egeland GM, Igland J, Vollset SE, Sulo G, Eide GE, Tell GS. High population attributable fractions of myocardial infarction associated with waist-hip ratio. Obesity. 2016;24(5):1162-69. http://dx.doi.org/10.1002/oby.21452
  19. Kim YJ, Kwak C. Prevalence and associated risk factors for cardiovascular disease: findings from the 2005, 2007 Korea National Health and Nutrition Examination Survey. Korean Journal of Health Promotion. 2011;11(3):169-76.
  20. Yun KS, Cho SH. Association of waist circumference with risk factors for coronary artery diseases in women patients with chest pain. Journal of Korean Academy of Fundamentals of Nursing. 2013;20(3):248-58. https://doi.org/10.7739/jkafn.2013.20.3.248
  21. Kling JM, Miller VM, Mankad R, Wilansky S, Wu Q, Zais TG, et al. Go Red for Women cardiovascular health-screening evaluation: The dichotomy between awareness and perception of cardiovascular risk in the community. Journal of Women's Health. 2013;22(3):210-18. http://dx.doi.org/10.1089/jwh.2012.3744
  22. Haidinger T, Zweimuller M, Stutz L, Demir D, Kaider A, Strametz-Juranek J. Effect of gender on awareness of cardiovascular risk factors, preventive action taken, and barriers to cardiovascular health in a group of Austrian subjects. Gender Medicine. 2012;9(2):94-102. http://dx.doi.org/10.1016/j.genm.2012.02.001
  23. Noh JH, Shin YH. Probability of stroke, knowledge of stroke, and health-promoting lifestyle in stroke risk groups. Journal of Korean Academy of Fundamentals of Nursing. 2014;21(2):174-82. http://dx.doi.org/10.7739/jkafn.2014.21.2.174
  24. Kang YO, Cho YC. Factors related to knowledge, health belief and sick role behavior to the coronary artery disease among patients with coronary artery disease. Journal of the Korea Academia- Industrial Cooperation Society. 2011;12(11):4985-94. http://dx.doi.org/10.5762/KAIS.2011.12.11.4985
  25. Kim S, Lee S. Influences of knowledge, self-efficacy, and social support on sick role behavior in patients with coronary artery disease. Journal of Korean Public Health Nursing, 2014;28(2):228-40. http://dx.doi.org/10.5932/jkphn.2014.28.2.228
  26. Lee EK, Son YJ. Gender differences in cardiac knowledge and symptoms recognition in patients with acute coronary syndromes. Journal of Korean Biological Nursing Science. 2010;12(3):166-74.
  27. Park MK, Kim JH. Effects of a comprehensive lifestyle improvement program for middle- aged women with cardio-cerebrovascular disease-related risk factors. Journal of Korean Academy of Community Health Nursing. 2013;24(2):111-22. http://dx.doi.org/10.12799/jkachn.2013.24.2.111
  28. Choi SK, Kim IS. Effects of cardiocerebrovascular disease prevention education program for post menopausal middle-aged women. Journal of Korean Academy of Nursing 2015;45(1):25-34. http://dx.doi.org/10.4040/jkan.2015.45.1.25
  29. Slark J, Bentley P, Majeed A, Sharma P. Awareness of stroke symptomatology and cardiovascular risk factors amongst stroke survivors. Journal of Stroke and Cerebro- vascular Diseases. 2012;21(5):358-62. http://dx.doi.org/10.1016/j.jstrokecerebrovasdis.2010.09.010
  30. Kim EY, Hwang SY. Incidence risk of cardiocerebrovascular disease, preventive knowledge, stage of change and health behavior among male bus drivers. Korean Journal of Adult Nursing. 2011;23(4):321-31.

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