• The Journal of the Convergence on Culture Technology
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• v.9 no.1
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• pp.313-320
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• 2023

This study was to examine the effect of the hypertension self-management education program on hypertension specific self-efficacy in the aged. This study was conducted with one group pre-test and post-test design. A total 31 the aged participated in 4 weeks of intervention. Data were analyzed as SPSS ver. 21.0 using descriptive statistics and paired t-test. We have identified that hypertension specific self-efficacy(t= -3.46, p< 0.000^***) and disease awareness(t= -5.69, p<0.000^***) significantly increased. We found that 4-weeks is appropriate for hypertension self-management education program. We suggested that for over 80's, customized program should be provided.

• The Journal of Korean Academic Society of Nursing Education
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• v.13 no.1
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• pp.95-104
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• 2007

연구목적: 고혈압환자의 효과적인 자가관리 간호중재를 개발하는데 필요한 기초자료로 혈압자가측정(self-monitoring of blood pressure)에 대한 특성, 장점, 범위 및 제한점을 파악한다. 연구방법: 1996년부터 2005년까지 PubMed에 수록된 고혈압환자의 자가관리 방법중 혈압자가측정방법이 포함된 외국의 연구를 중심으로 체계적인 고찰을 실시하였다. 전체 69개 자가관리방법을 적용한 논문 중에서 혈압자가측정이나 가정에서의 혈압측정(home monitoring)에 대한 45개 논문을 선정하여 분석하였다. 연구결과 전반적으로 혈압자가측정 방법은 고혈압환자의 혈압조절을 향상시키는 효과가 유의한 것으로 나타났다. 환자가 혈압을 자가측정한 방법에서 평균 혈압, 수축기 혈압, 맥압이 유의하게 감소한 것으로 보고되었다. 장기적 프로그램에서 혈압조절율이 향상되거나, 이완기혈압의 감소효과도 보고되었다. 혈압자가측정의 기준치는 연구마다 일치하지는 않았지만 135/85mmHg 수준이 정상혈압의 상한수준으로 제시되었다. 일부 연구에서는 가정 내 혈압측정이 24시간혈압측정을 대체하는 방법으로 추천되었다. 보다 정확한 혈압자가측정을 위해서 신뢰성 있는 혈압측정기구의 사용과 정확한 측정방법이 환자들에게 교육될 필요가 있다. 결론: 혈압자가측정은 고혈압환자의 혈압조절에 유용한 방법으로 고찰되었다. 또한 고혈압의 진단, 혈압치료와 고혈압 약물복용 행위를 향상시키는 교육적 효과도 긍정적으로 나타났다. 따라서 고혈압환자를 위한 효과적인 자기조절프로그램에 혈압자가측정법을 포함하는 것이 추천되며, 추후 한국에서 시도된 관련 연구에 관한 문헌고찰의 비교연구가 필요하다.

• Proceedings of the KSCN Conference
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• 2004.05a
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• pp.397-399
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• 2004

본 연구는 연구 1, 2, 3으로 이루어져 있으며 연구 1에서는 고혈압과 관련된 식이 위험 요인에 대한 분석을, 연구 2에서는 간단한 소금 섭취량 추정을 위한 식품섭취빈도조사지(FFQ) 개발을, 연구 3에서는 연구 1과 2를 토대로 영양교육 자료를 개발하였다. 고혈압군은 고혈압 클리닉을 방문해 처음 고혈압으로 진단받은 사람 중 식이요법이나 약물치료를 받는 사람을 제외한 112명 (남자 53명, 여자 59명)을 대상으로 하였으며, 정상군은 고혈압군과 나이 및 경제 수준을 맞춘 95명 (남자 41명, 여자 54명)을 대상으로 하였다.(중략)

• Korean Journal of Health Education and Promotion
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• v.27 no.5
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• pp.41-50
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• 2010

Objectives: This study aims to evaluate effectiveness of hypertension prevention and management programs (HPMPs) in rural Korea. Methods: A questionnaire survey was conducted with 700 community health practitioners working at primary health care posts (PHCPs). The questionnaire had four domains, which were hypertension management, hypertension prevention, the PHCP environment, and evaluation system, each with different maximum weighted values (WVs). Weighted values of 100 indicate the best effectiveness for the HPMP in all four domains. Results: The average WVs and percent effectiveness of all four domains combined was 61.65 (62%); the hypertension management domain was 28.81 (72%); the hypertension prevention domain was 23.44 (67%); the PHCP environment was4.29(43%); and the evaluation system was5.10(34%). Conclusion: The HPMPs were generally effective, and hypertension management was the most effective. The environment of PHCPs and the evaluation system of HPMPs should be improved to increase the effectiveness of the HPMPs.

• The Journal of the Korea Contents Association
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• v.20 no.9
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• pp.503-510
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• 2020

The purpose of this study is to identify factors related to the intent of quit smoking in adult hypertension and normal group. Data are based on the National Health and Nutrition Survey from 2010 to 2018. The survey was performed on 1,981 male adults(Hypertension group 407, Normal group 1,574). In the hypertension group, single was 0.226 times lower in the will to intention to quit smoking than the group spouses. Also, high school graduation was 2.102 times higher than middle school graduation, and the worse the subjective health status was, the higher the intention was to quit smoking. It was also 5.427 times higher than when people did not walk if the day they walked for more than 10 minutes a day was one day of the week. The characteristics of hypertensive patients should be understood. In quit smoking education, it is necessary to recommend health exercises and proper exercise to patients. It should be used as the basis data for a quit smoking policy for efficient personalized management of hypertensive patients.

• Proceedings of the KSCN Conference
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• 2004.05a
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• pp.426.2-427
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• 2004

이 연구는 안동시 농촌지역 주민들을 대상으로 식생활 및 생활습관과 만성 질환 발생 양상을 조사하여 그 관련성을 분석하고, 이를 토대로 지역 주민을 대상으로 영양 교육을 하여 잘못된 식생활 개선을 도모하고자 수행된 사업 중 일부로, 고혈압 노인을 대상으로 영양교육자료를 개발하고 그 효과를 평가하기 위한 것이다. 실태조사는 농업을 생업으로 하는 경북지역 안동군 농촌지역 14개 지역의 50세 이상 장년 및 노년층 1,472명(전체인구의 약 6%에 해당)을 대상으로 만성질병과 식습관에 관하여 이루어졌으며, 그 결과 전체 대상자의 53.3%가 고혈압 환자로 다른 질병에 비해 이환율이 높았다.(중략)

• Journal of the Korean Society of Food Science and Nutrition
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• v.36 no.10
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• pp.1287-1292
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• 2007

The purpose of this study was to compare knowledge on hypertension and blood parameters through blood pressure control of hypertensive patients commuting to a public health center. Hypertensive subjects were classified according to their blood pressures into a well-controlled group (SBP<140 mmHg and DBP<90 mmHg, n=44) and an uncontrolled group ($SBP\geq140mmHg\;or\;DBP\geq90mmHg$, n=41). All subjects were interviewed for clinical characteristics, effort for health maintenance and knowledge on hypertension and nutrition. Biochemical measurement of blood urea nitrogen, creatinine, triglyceride, total cholesterol, HDL-cholesterol and fasting blood glucose (FBG) were obtained from subjects. The knowledge about hypertension and effort for health maintenance were not significantly different between the groups. However, the nutrition knowledge score of the well-controlled group was significantly higher (p<0.05) than that of the uncontrolled group. On the test of nutrition knowledge, 97.7% of the well-controlled group answered correctly to the item, 'Medication is an easy way to control blood pressure'. This result was significantly higher (p<0.05) than that of the uncontrolled group of whom 82.9% answered correctly. Participants in both groups had only a little understanding about the importance of a balanced diet. Blood parameters were in the normal range and there was not a significant difference between the groups. However total cholesterol, triglyceride and fasting blood glucose levels of the uncontrolled group were higher than those of the well-controlled group. Therefore, education programs about the continuous control of hypertension through careful monitoring, medication, and exercise are required. The uncontrolled group was especially in need of strengthening education. Also more effective nutrition education programs about low salt, high fiber, low cholesterol, and balanced diets are required for hypertensive patients commuting to public health center.

• Journal of agricultural medicine and community health
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• v.26 no.2
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• pp.133-146
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• 2001

The purpose of this study was to investigate the treatment status and its related factors of the newly detected rural hypertensives through community health promotion program. A questionnaire survey and blood pressure measurement were performed to 6,977 residents of a rural area, and 282 hypertensives detected by blood pressure measurement were selected as subjects of the study. The study employed the health belief model as a hypothetical model. The major results of this study were as follows: The proportion of person experienced treatment among hypertensives was 12.0%. Treatment experience rate was significantly related with age and educational level(p<0.01). That is, if they were older, lower educational level, the treatment experience rate was higher. The major reasons of no treatment were 'they had not hypertensive symptoms ' (45.6%), 'their blood pressure was not high so much that they received treatment ' (43.2%). The chief facilities for treatment were public health institutions(57.9%) such as health center and health subcenter, and hospital/ clinics(29.8%). The treatment experience rate was higher when they had higher perceived severity for hypertension, lower perceived barrier to treatment, although statistically not significant. Treatment experience rate was significantly related with cues to action and health education experience(p<0.05). That is, if they had hypertension related symptoms such as headache previously, patients suffered from hypertension complication and health education experience for hypertension, the treatment experience rate was higher. In multiple logistic regression analysis for treatment experience, having a cerebrovascular patient in their acquaintance and the experience of health education for hypertension were significant variables. On consideration of above findings, it would to be essential to provide knowledge about hypertension and its treatment, and severity of hypertension complications through health education.

• Journal of agricultural medicine and community health
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• v.28 no.2
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• pp.155-169
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• 2003

Objectives: The purpose of this study is to provide data for the improvement of hypertension management of community health practitioner posts through the study on hypertension management in community health practitioner posts. Methods: A questionnaire was mailed to 700 community health practitioners and 205 of them responded during the period from March 13, 2003 to May 13. The survey results were analyzed using SPSS program, version 11. Results: The results are as follows; 1. There are two major activities in a hypertension prevention project for community: health education and early detection. About 57% of community health care practitioners perform a health education for community people four times a year. The 64.5% of them used the materials for health education provided from a community health center and 22.1% of them performed a post-evaluation. The main method of early detection of hypertension was measurement of blood pressure of person to visit, which was 96.1%. Other methods included home visiting(89.3%), a referral from community hospitals and other resources(49.1%), health promotion events(39.5%), and a review of medical records(35.7%). 2. For the registration and management of patients with hypertension, about 36% of community health centers used a special form and more than 50% of them have registered patients who were managed by other health care institutions in the community. A computerized program was used for the management of patients with hypertension in 68.5% of them. More than 60% of them responded that it was used for report, treatment, and follow-up of patients with hypertension.

• Proceedings of the KSCN Conference
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• 2003.05a
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• pp.148-148
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• 2003

을 대상으로 구조화된 설문지를 이용하여 인지하고 있는 본인의 혈압수준이 식행동에 미치는 영향을 분석하였다. 본 연구는 지역주민의 고혈압 예방 교육을 수행하기 위한 기초조사로 실시되었다. 본인의 혈압을 인지하는 사람은 45.9%, 모르는 사람은 54.1%이었고 고혈압으로 인지하고 있는 사람은 6.5%, 정상혈압으로 인지하고 있는 사람은 75.9%, 저혈압으로 인지하고있는 사람은 10.5%, 자신의 혈압수준을 알지 못하는 사람은 7.1%였다. (중략)