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

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

DOI QR Code

Effects of Stroke Prevention Education Program of Oriental Nursing on Self-Health Perception Change, Health Behavior Change, Self-Care and Physiological Index of adult and elderly people

한방간호 중풍예방교육프로그램이 성인 및 노인의 자가 건강인식 변화, 건강 행태변화, 자가관리와 생리적 지수에 미치는 영향

  • Chang, Koung-Oh (Department of Nursing Science, Youngsan University) ;
  • Oh, Mi-Jung (Department of Nursing Science, Youngsan University)
  • Received : 2018.11.09
  • Accepted : 2019.01.04
  • Published : 2019.01.31
Download PDF
⟨ Previous Next ⟩

Abstract

This study is a quasi experimental study to investigate the effects of stroke prevention education program of Oriental Nursing on self-health perception, health behavior change, self-care and physiological index of adults over 55 years old and elderly people. The data were collected from August 12 to November 29, 2017. The 53 study subjects comprised 26 experimental subjects who agreed to participate in the education program and 27 control subjects. In the results, there was no statistically significant difference between the experimental group and the control group in general characteristics and research variables before the program; further, the two groups were homogenous. In the hypothesis test, the change in self-health perceptions of the experimental and control groups was t = -5.28 (p <.001), health behavior change was t = -4.24 (p <.001), self-care was t = -5.28 (p <.05), systolic blood pressure was t = 2.48 (p <.05), diastolic blood pressure was t = 2.78 (p <.05), and cholesterol was t = -3.94 (p <.001). There were statistically significant differences between the two groups and all four hypotheses were supported, which demonstrated the effectiveness of the program. These study results suggest that it is an effective program to change the self-perception of health and health behavior, improve self-care ability, and control the physiological index. It is expected that these findings will be useful in developing a future effective oriental nursing intervention. The education program should be continuously carried out, and the area needs to be expanded.

본 연구는 55세 이상의 성인 및 노인인구를 대상으로 한방간호 중풍 예방교육 프로그램을 적용하여 연구대상자의 자가 건강인식 변화, 건강 행태변화, 자가관리와 생리적 지수에 미치는 효과를 보기 위한 유사실험연구이다. 자료수집은 2017년 8월 12일~11월 29일까지이며 교육 프로그램에 참여할 것을 동의한 실험군 26명과 대조군 27명 등 총 53명을 연구대상으로 하였다. 연구결과, 교육프로그램 실시 전 실험군과 대조군의 일반적 특성 및 연구변수 등이 통계적으로 유의한 차이가 없어 두 집단은 동질하다고 볼 수 있었다. 가설검정에서 두 집단의 건강인식변화 t=-5.28(p<.001), 건강행태변화 t=-4.24(p<.001), 자가관리 t=-5.28(p<.05), 수축기혈압 t=2.48(p<.05), 이완기혈압 t=2.78(p<.01), 혈당 t=5.91(p<.001), 콜레스테롤 t=-3.94(p<.001) 등은 두 집단 간 통계적으로 유의한 차이를 보여 4가지 가설 모두 지지되어 교육프로그램이 효과가 높은 것으로 나타났다. 이상의 연구결과에서 한방간호 중풍교육은 건강에 대한 인식과 건강행동을 변화시키고, 자가관리 능력을 향상시키며, 생리적 지수를 조절하는데 효과적인 프로그램으로 규명되었으며 차후 효과적인 한방간호중재로서 잘 활용될 수 있을 것으로 기대되며, 지속적인 교육프로그램의 운영과 지역을 확대시켜 교육할 필요가 있다고 보아진다.

Keywords

Table 1. Lesson Subjects of the Stroke Prevention Education Program

SHGSCZ_2019_v20n1_111_t0001.png 이미지

Table 2. Homogeneity Test of Subjects Characteristics

SHGSCZ_2019_v20n1_111_t0002.png 이미지

Table 3. Homogeneity Test of Outcome Variables

SHGSCZ_2019_v20n1_111_t0003.png 이미지

Table 4. Dependent Variables Score between Experimental and Control Group

SHGSCZ_2019_v20n1_111_t0004.png 이미지

References

  1. National Health Insurance Press Release, 4 out of 5 patients with stroke were over 60 years old, 2017. http://www.mohw.go.kr/react/al/
  2. Wang, D. et al., Oriental Internal Medicine, p. 269-279, Chinese Traditional Chinese Medicine Publishing Co., Peking in China, 2002.
  3. Statistics Korea, Cause of Death in 2016(Press Releases), 2017. http://kostat.go.kr/wnsearch/search.jsp
  4. Y.M. Kim, Trends of Elderly Stroke Disease, 2017. http://www.kiri.or.kr/pdf/
  5. Korea Centers for Disease Control and Prevention, 2011 Public health statistics. Seoul: Author, 2012. DOI: https://chs.cdc.go.kr/chs/sub03/sub03_01.do
  6. 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, pp.630-635, 1997 DOI: http://www.riss.kr/link?id=O11724509 https://doi.org/10.1016/S0003-9993(97)90429-9
  7. lsen, N., M., & Lauritzen, L., Risk factors for post-stroke depression. Acta psychiatrica Scandinavica, 92(3), pp.193-198, 1995. DOI: http://www.riss.kr/link?id=O11749761 https://doi.org/10.1111/j.1600-0447.1995.tb09567.x
  8. W..B. Kannel et al, "Serum cholesterol lipoproteins, and the risk of coronary heart disease, Annuals of International Medicine, 74, pp.1-12, 1971. https://doi.org/10.7326/0003-4819-74-1-1
  9. Y.S. Choi, Medical treatment of stroke, Korean Journal of Nursing, 28 (4), p.315, 1985.
  10. E. T. Miller, J. Spilker, "Readiness to change and brief educational interventions: successful strategies to reduce stroke risk", Journal of Neuroscience Nursing, 35(5), pp. 215-222, 2011. DOI: http://www.riss.kr/link?id=O34664273 https://doi.org/10.1097/01376517-200308000-00009
  11. M..S. Kang, Effect of Stroke Prevention Program for The Elderly in The Rural Area, Journal of the Korea Academia-Industrial cooperation Society, 16(4), pp. 2620-2627, 2015. DOI: http://dx.doi.org/10.5762/KAIS
  12. J.R. Lee, S.H. Kim, J.H. Ahn, Effect of Stroke Prevention Program for the Community Dwelling Elderly, Asia-pacific Journal of Multimedia Services Convergent with Art, Humanities, and Sociology Vol.8, No.1, January, pp. 657-668, 2018. DOI: http://dx.doi.org/10.21742/AJMAHS.2018.01.52
  13. S.S. Bae, A Research of Workers' Knowledge and Educational Needs on Stroke, The nursing Graduate School Gachon Medical and Science School, 2007.
  14. K. H. Roh, The effect of home rehabilitation exercise program of home stayed chronic hemiplegic stroke patients. Unpublished doctoral dissertation, Catholic University, Seoul, 2002.
  15. K. S. Kim, H. M. Seo & J. Y. Kang, 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.
  16. H. J. Kim & O. S. Kim, 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
  17. J.A. Lee, Effects of Korean Traditional of Medical Stroke Prevention Education Program on Attitude and Awareness in People of Eums ung Province, Traditional Korean Medicine Semyung University Graduate School, 2010.
  18. Y.H. Choi, Is Subjective Health Reliable as a Proxy Variable for True Health? A Comparison of Self-rated Health and Self-assessed Change in Health among Middle-aged and Older South Koreans, Health and Social Welfare Review 36(4), pp. 431-459, 2016. DOI: http://dx.doi.org/10.15709/hswr.2016.36.4.431
  19. Y.I. Park, (An) Effect of the self-regulation program for hypertensives : synthesis and testing of Orem and Bandura's theory, Doctoral dissertation. Seoul University, Seoul, 1994.
  20. Y.W. Lee, (A) study on the effect of efficacy expectation promoting program on self-efficacy and self-care behavior, Doctoral dissertation. Yonsei University, Seoul, 1994.
  21. Y.M. Zang, Clinical Pharmacy of Oriental Medicine, pp. 101-537. People's Health Publishing Co., Peking in China, 2010.
  22. S.H. Cho et. al, Understanding of Oriental Medicine for Health Manager, pp. 145-247. Soo Moon Sa, 2015.
  23. Gunasekara, F. I., Carter, K., & Blakely, T., Comparing self-rated health and self-assessed change in health in a longitudinal survey: Which is more valid? Social science & medicine, 74(7), pp.1117-1124, 2012. DOI: https://doi.org/10.1016/j.socscimed.2011.11.038
  24. Benitez-Silva, H., & Ni, H., Health status and health dynamics in an empirical model of expected longevity. Journal of Health Economics, 27(3), pp.564-584, 2008. DOI: https://doi.org/10.1016/j.jhealeco.2007.09.008
  25. H.Y. Song, Effects of a Physical Activity and Diet Self-management Intervention for Stroke Prevention in Community-dwelling Women, Korean J Health Promot, 10(2), pp. 86-96, 2010.
  26. K.R. Im, Effects of the Secondary Stroke Prevention Education Program on Knowledge, Self-efficacy and Self-management for Acute Stroke Patients, Dept. of Nursing The Graduate School Yonsei University, Seoul, 2017.