• Title/Summary/Keyword: 고혈압환자관리

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A Hypertension Management Healthcare System in Mobile Environment (모바일 환경에서의 고혈압관리 헬스케어 시스템)

  • Lee, Mal-Rey;Kim, Eun-Gyung;Lee, Jae-Wan;Zang, Yu-Peng
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.14 no.3
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    • pp.552-558
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    • 2010
  • This is an example of ABSTRACT format. This study proposes a hypertension management system that implements a signal collision avoidance algorithm for RFID tags and enables accurate medical services for hypertension patients. The proposed system enables the mobile RFID reader to accurately recognize the RFID tag signals emitted from the patient by using OR logic. Moreover, the system adopts a multi-agent approach to provide and manage information on patient condition and automated medical service in a mobile environment.

Design and Implementation of Hypertension HealthCare App. Using the N-Screen (N-Screen 고혈압환자 건강관리 앱 설계 및 구현)

  • Park, Jin-Woong;Choi, Jin-Woo;Kim, Tae-Min;Kim, Hyo-Min;Yang, Young-Kyu
    • Proceedings of the Korea Information Processing Society Conference
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    • 2012.04a
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    • pp.912-915
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    • 2012
  • 현재 안드로이드 마켓에 등록된 고혈압을 주제로 개발 된 앱 들의 경우 혈압 데이터를 안드로이드 단일 환경에서만 관리 하였다. 이러한 문제점을 보완하여 본 연구는 스마트폰과 IPTV(Internet Protocol Television) 두 개의 다른 환경에서 고혈압환자 스스로가 혈압을 편리하게 관리 할 수 있도록 스마트폰 앱을 개발하여 데이터를 복수의 환경에서 관리 하는 것을 목적으로 한다.

Effects of Self Care Program on Hypertensive Control in Hypertensive Patient (고혈압환자에게 적용한 자가관리프로그램 중재 효과)

  • Kim, Ok-Ran
    • Research in Community and Public Health Nursing
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    • v.14 no.4
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    • pp.568-578
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    • 2003
  • This study was conducted to estimate the effects of self-care program on knowledge and symptoms related hypertension self-care and physiological index in essential hypertensive patients aged between 35-74 year. The subjects for the experiment group and the control group of this study were 70 men and women selected through random sampling from adults at Sangju Red Cross Hospital in Gyeongsanbuk-do, and the experiment was carried out during the period from the 15th of September to the 30th of April in 2002. This study measured systolic and diastolic blood pressure (SBP, DBP, the mean value of the two measures) and total cholesterol (TC) and surveyed the subjects' diet and life style in relation to hypertension using a self-report questionnaire. In order to study the significance of the effects of self-care program, the author carried out t-test, paired t-test, ANCOVA, chi-square analysis and effectiveness index (EI) analysis. Results of the study are as follows: The experiment group got higher mean scores than the control group in the degree of low sodium intake and the degree of high calcium and high potassium intake, and the difference was statistically significant(P<0.05). The effectiveness index of the self-care program in smoking was 0.797 at the 1st posttest and 0.601 at the 2nd posttest, and in physical activities 0.600 at the 1st posttest and 0.849 at the 2nd posttest. The rate of regular antihypertensive drugs intake of the experimental group was higher than that of the control group. and the effectiveness index of the self-care program was 0.715. The mean score of the systolic blood pressure of the experimental group was lower than that of the control group, and the difference was statistically significant(P<0.05). In conclusion, these findings support usefulness of self-care programs in reducing systolic blood pressure and in promoting self-care related to diet and life style for treating and preventing hypertension.

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성인병 뉴스 제319호

  • The Korea Association of Chronic Disease
    • The Korean Chronic Disease News
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    • no.319
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    • pp.1-18
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    • 2007
  • 복지시대의 첨병-구례군보건의료원 김영락 원장/노인복지시설 통합.개편/비만치료도 건강보험급여 대상/보건소 중심, 만성질환 관리시스템 구축/임의왕진 의료급여비 환수/적절한 운동이 '대장암' 예방한다/모유수유 오래하면 유방암 감소/50대 두통, 어지러움은 중풍 의심/축수산물 항생제 잔류 기준 엄격 적용/담배연기 없는 깨끗한 병원/레이저 이용 암 세포만 선택적 파괴/'주민 삶의 질 적인 개선' 지향-구례구보건의료원/농촌지역 공공보건의료 질적 발전에 정열 쏟아-김영락 원장/동아제약, 유럽 시장 본격진출/LG, 세계 최초 항구토 패치 도입/한미약품, 의약사 금융지원 한다/국내 첫 생약제제 임상시험 지침 마련/암환자 완치율 44.4% 수준/고혈압.당뇨병치료율 2배 증가/혈압 없어도 '코골면' 고혈압 위험 높아/조기위암 전체 위암 절반 넘었다/항암면역세포치료제 NKM 허가/OECD Health Data 2007 보건의료실태분석

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Analysis of the Medication Adherence of Hypertensives and Influential Factors (고혈압 환자의 투약순응도와 이에 영향을 미치는 요인 분석)

  • Jeong, Mi-Ae
    • Proceedings of the Korea Contents Association Conference
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    • 2010.05a
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    • pp.207-209
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    • 2010
  • 본 연구는 행정자료인 건강보험 및 의료급여비용 청구자료를 이용하였으며, 일개지역(2개도, 남북)에 개설되어있는 전체 의료기관을 대상으로 진료일 기준 '08.7월~'08.12월(184일)동안 외래 방문이 1회 이상인 30세 이상의 수진자 432,915명을 대상으로 하였다. 투약순응도와 영향 요인을 분석하였다. 투약순응도에 영향을 미치는 요인으로는 남성, 55~64세, 건강보험 가입자가, 종합전문, 종합병원, 보건기관을 주 이용기관으로 방문하는 환자와 심장질환, 당뇨병을 동반상병으로 가지고 있는 환자에서 투약순응도가 높았다. 본 연구 결과 투약 순응도가 낮은 환자에 대한 다양한 요인분석이 필요하며, 투약 순응도를 높이기 위한 고혈압관리사업의 정책적 검토 및 대안이 필요할 것이다.

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Hypertension Management of Non-Elderly and Elderly (비노인군과 노인군 고혈압 환자의 고혈압 관리)

  • Kim, Jin Hak;Jung, Eun Sook;Shim, Moon Sook
    • Journal of Korean Public Health Nursing
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    • v.31 no.2
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    • pp.284-295
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    • 2017
  • Purpose: This study was conducted to compare the hypertension management between a non-elderly group and elderly group of hypertension patients in Community residents. The study also sought to generate strategies for increasing the hypertension management of residents using Community health center. Methods: Data on the general characteristics and hypertension management from 381 hypertension patients between non-elderly and elderly, living in P city, Gyeonggi Province and C city, Chungnam Province. South Korea, were collected based on a structured questionnaire, The data were analyzed using the SPSS 20.0 statistics program. Results: The use of a Community health center in the non-elderly and elderly groups showed a statistically significant difference in facility excellence and cheaper cost. Hypertension management was measured every day, The daily blood pressure and physician counseling was performed according to the changes in blood pressure. The management of hypertension medication in a community health center provided for hypertensive patients can be evaluated as an efficient service. Conclusion: The self-management ability of hypertension needs to be improved. In particular, especially, the elderly managed by the Community health center have good accessibility and a good alternative for the treatment cost. Therefore, it is necessary to provide support and measures to make hypertension management safer.

식사요법 : 설탕, 소금 줄이고 담백한 맛 즐기자

  • Kim, Seon-Ju
    • The Monthly Diabetes
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    • s.259
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    • pp.50-51
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    • 2011
  • 당뇨병환자에게 식이요법이란 평생 지켜야 할 수칙이다. 같은 음식이라도 조미료의 사용에 따라 칼로리가 높아지기도 하고, 짜게 먹는 습관으로 소금의 섭취가 많으면 고혈압, 동맥경화 등이 촉진될 수 있다. 그러므로 환자들은 조미료의 사용에서 '얼마나 섭취 가능할까?', '혹시 당뇨에 악영향을 주진 않을까?' 걱정되기 마련이다. 이에 올바른 당뇨관리를 위한 양념 섭취법에 대해 알아보았다.

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A Study on Therapeutic Compliance of Hypertensive Patients in a Rural Health Subcenter (일개 농촌지역 보건지소 고혈압 환자의 치료지속성)

  • Song, Min-Keun
    • Journal of agricultural medicine and community health
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    • v.27 no.1
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    • pp.155-164
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    • 2002
  • Hypertension is the most frequent disease of chronic circulatory diseases and major intermediate cause or risk of the cerebrovascular disease which is a leading cause of death in Korea. Therefore, management of hypertension is an important issue in Korean healthcare. Especially, therapeutic compliance of hypertensives is very important because the hypertensive patients should receive anti-hypertensive treatment as long as the condition exists. However, many patients drop out of treatment, which is a major problem that needs to be solved through a hypertension control program. This study was carried out to provide basic data and counter measule for the hypertension control program in the community which aimed to keep the patients receiving treatment continuously. In order to investigate compliance of hypertensive patients during three months follow-up and the rate of control of hypertension, the data were collected during February, 2001, by reviewing medical records of 295 hypertensive patients who had been registered to Gunnam-myeon health subcenter before November, 2000. The author also study the dropout reasons by interviewing 58 patients among 68 dropout patients. The results were as follows: 1. Among the 295 subjects, 108(36.6%) were male and 187(63.4%) were female. Statistically, female hypertensives had a higher mean age than male(64.6 vs 66.3, p<0.05). 2. The 54.9% of the patients took anti-hypertensive medicine continuously for the past three months. And 19.3% had drug intermittently, and 25.8% dropped out of treatment. 3. Among several variables, such as sex, age, health insurance, the time taken from a patient's village to the health subcenter, only the last one was found to be significantly related to therapeutic compliance in the contingency table analysis. 4. The dropout reasons by multiple response were as follows, 'no symptom or no problem' (23.9%), 'change to other hospitals'(19.4%), 'geographical barrier'(17.9%), 'change to a neighborhood drugstore' (14.9%), 'immobility'(7.5%), 'economic barrier'(6.0%), 'unsatisfactory services of the health subcenter'(4.4%). 5. The mean blood pressure of 295 subjects was $144.9{\pm}12.9/86.88{\pm}8.6mmHg$. 6. The 32.5% of the subjects were controlled below 140/90mmHg. Conclusions: In order to improve the low rates of treatment and control of hypertension in rural hypertensives, a more active and systematic hypertension control program, including out-reaching follow-up management, is required in rural area. Especially, for health education of hypertensive patients, emphasis should placed on correcting wrong attitude toward hypertension.

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Convergence Effect Factors of Hypertension and Diabetes Mellitus on Depression and Suicidal Impulse (고혈압과 당뇨병이 우울과 자살생각에 미치는 융합적인 영향 요인)

  • Lee, Hyun Sook;Hong, Seong Ae
    • Journal of the Korea Convergence Society
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    • v.8 no.1
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    • pp.123-129
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    • 2017
  • The purpose of this study is to investigate the effects of hypertension and diabetes mellitus on depression and suicidal impulse through the total inspection on specific rural areas in Gangwon-do. This survey selected adults over the age of 30 and conducted from May 19 to Sep. 30 in 2014. Of the 1,200 questionnaires distributed, 970 were completed and returned to be used for the study. To figure out the actual condition of hypertension and diabetes among the participants, the research examined the degree of their depression and suicidal impulse. It examined their smoking and exercise habits to check their health conditions. The research showed that patients diagnosed with hypertension and diabetes had a higher tendency of depression and suicidal impulse. The significant variable affecting depression is suicidal impulse(p<0.001>). Also, the significant variables affecting suicidal impulse are hypertension and depression. Based on these results, local health institutions need to include mental health services for the patients with hypertension and diabetes and coordinate them comprehensively and effectively.

A Study on Compliance of Hypertensive Patients Registered at Community Health Practitioner Post (보건진료소에 등록된 고혈압 환자의 순응도 연구)

  • Cha, Sun-Sook;Kim, Keon-Yeop;Lee, Moo-Sik;Na, Back-Joo;Park, Jung-Hwan;Yu, Taec-Soo
    • Journal of agricultural medicine and community health
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    • v.30 no.1
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    • pp.101-111
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    • 2005
  • Objectives: This study was to evaluate the compliance of hypertensive patients and its related factors registered at Community Health Practitioner Post(CHCP). Methods: 304 patients were interviewed by trained nursing students during one month(June~July 2004). The questionnaire included general charactristics, knowledge of hypertension, health education experience, constructs of Health Belief Model, self efficacy and so on. Compliance group was defined "having regularly medication and good life style". Good life style included regular exercise, non-smoking, little alcohol, low salt diet, weight control. Results: In compliance group 90.3% of man and 93.3% of woman were regularly taking hypertensive medicine, and 45.2% of man and 56.4% of woman were having good life style (compliance group). In both man and woman, the group of higher education were more compliance group, but were statistically significant were in man(p<0.05). In woman, the compliance group have significantly higher score in knowledge of hypertension(p(0.05). The compliance group have significantly higher self-efficacy score in both man and woman (p<0.05). In Health Belief Model, susceptibility and benefit were statistically significant in man, seriousness, benefit and barrier in woman(p<0.05). In multiple logistic regression analysis, education level and self efficacy in man and knowledge of hypertension, self-efficacy and benefit in woman were significant variables (p<0.05). Conclusions: It is very important to evaluate and modify life-style adding to having regularly medication in hypertensive patients registered at CHCP. To this, health education programs about benefit to compliance and the methods to improve self-efficacy should be developed for this patients.

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