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The Korea Academia-Industrial cooperation Society (한국산학기술학회)
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Effects of an Experiences Sharing Self-management Program for Hypertension and Diabetes Patients in Primary Public Health Center

보건진료소 중심 고혈압, 당뇨병 환자의 경험공유 자가관리 프로그램 효과

  • Received : 2020.04.21
  • Accepted : 2020.07.03
  • Published : 2020.07.31
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Abstract

This study examined the effects of an Experience Sharing Self-management Program (ESSP) on physiological indexes, knowledge, and self-management implementation among hypertension and diabetes patients in a primary public health center in G city. A quasi-experimental research was conducted with a non-equivalent control group pretest-posttest design. The experimental group (n=30) participated in a 12-week ESSP, and the control group (n=25) received only general services of a primary public health center between May 1 and October 31 in 2018. Data were analyzed with x2 test (Fisher's exact test), Mann-Whitney test, and Ranked ANCOVA using SPSS/WIN 22.0 program. The results showed significant differences in systolic blood pressure (F=14.56, p<.001), diastolic blood pressure (F=7.05, p=.012), knowledge (F=14.30, p=.001), self-management implementation (F=29.73, p<.001) of hypertension patients, knowledge (F=7.92, p=.010), and self-management implementation (F=4.54, p=.044) of diabetes patients between the two groups. Therefore, the ESSP was effective for reducing the blood pressure of hypertension patients and improving the knowledge and self-management implementation among hypertension and diabetes patients in a primary public health center.

본 연구는 고혈압, 당뇨 환자를 대상으로 경험공유 자가관리 프로그램을 시행하여 대상자들의 생리적 지수, 지식, 자가관리 이행도에 미치는 효과를 파악하기 위해 시도된 비동등성 유사실험연구이다. 2018년 5월 1일부터 10월 31일까지 G시 보건진료소에 등록된 고혈압, 당뇨병 환자 실험군 30명, 대조군 25명을 대상으로 시행하였다. 실험군은 12주간의 경험공유 자가관리 프로그램에 참여하였고 대조군은 일반적인 보건진료소의 서비스를 제공하였다. 자료분석은 SPSS/WIN 22.0 프로그램을 이용하여 x2 test (Fisher's exact test), Mann-Whitney test, Ranked ANCOVA로 분석하였다. 연구결과 경험공유 자가관리 프로그램 적용 후 고혈압환자의 수축기혈압(F=14.56, p<.001), 이완기혈압((F=7.05, p=.012), 지식(F=14.30, p=.001), 자가관리 이행도(F=29.73, p<.001)에서 두 군간에 유의한 차이가 있었고, 당뇨병 환자의 지식(F=7.92, p=.010), 자가관리 이행도(F=4.54, p=.044)에서 두 군간에 유의한 차이가 있었다. 따라서 지역사회 고혈압 환자의 혈압감소와 고혈압, 당뇨병 환자의 지식향상, 자가관리 이행증진을 위해 경험공유를 활용한 자가관리 프로그램은 효과적이라 생각된다.

Keywords

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