자조모임을 통한 고혈압 환자의 자가-건강관리 프로그램 적용 및 효과
The effectiveness and application of self-health management program in patients with hypertension through self-help groups
0
조회
0
다운로드
7
인용
0
참고문헌
키워드
초록
The aims of this study were to examine the effectiveness of health education self-efficacy and self-health management compliance through voluntary self-help group for hypertension. This study used case-control methodology. The quasi-experimental design using non-equivalent control group pre/post-test design was conducted from July to September, 2015. The subjects were 60 patients (experimental group=30, control group=30) who were taking hypertension treatment without complications and high blood pressure was under 180/100 mmHg from three internal and aged medicine hospitals in Seoul and Kyong-Ki districts. Interventions were taken over one hour in a week for eight weeks. There were included theoretical education of self-help care management, discussion, and skill initiatives. The effects of treatment were monitored the blood pressure when received general knowledge related hypertension, self-efficacy and implemented active self-health management. The pre/post test results of experimental and control groups were obtained as follows. After conducting a self-help program, the experimental group showed significant increase in a knowledge level of hypertension and self-efficacy compared to the control group. There were also improved in a implementation of regular stretching and exercise over 20 to 30 minutes and restricted sodium intake in the experimental group. While conducting the self-help program, 6.6 mmHg of maximum blood pressure and 3.7 mmHg of lowest blood pressure were decreased in the experimental group compared to the control group at the point of eight week. Based on the results, it is found that the self-help program applied on this study has improved effectively in patient’s degree of knowledge, self-efficacy and self-health management compliance. In addition, high blood pressure has also stabilized in a normal range with the intervention. The implication of this study is that the most significant strategy for health promotion of elderly hypertensive patients is to participate in health education activities with their peers. Therefore, it is considerably recommended the use of self-help program for workshops not only in tertiary hospital but also primary health care services.
Abstract
The aims of this study were to examine the effectiveness of health education self-efficacy and self-health management compliance through voluntary self-help group for hypertension. This study used case-control methodology. The quasi-experimental design using non-equivalent control group pre/post-test design was conducted from July to September, 2015. The subjects were 60 patients (experimental group=30, control group=30) who were taking hypertension treatment without complications and high blood pressure was under 180/100 mmHg from three internal and aged medicine hospitals in Seoul and Kyong-Ki districts. Interventions were taken over one hour in a week for eight weeks. There were included theoretical education of self-help care management, discussion, and skill initiatives. The effects of treatment were monitored the blood pressure when received general knowledge related hypertension, self-efficacy and implemented active self-health management. The pre/post test results of experimental and control groups were obtained as follows. After conducting a self-help program, the experimental group showed significant increase in a knowledge level of hypertension and self-efficacy compared to the control group. There were also improved in a implementation of regular stretching and exercise over 20 to 30 minutes and restricted sodium intake in the experimental group. While conducting the self-help program, 6.6 mmHg of maximum blood pressure and 3.7 mmHg of lowest blood pressure were decreased in the experimental group compared to the control group at the point of eight week. Based on the results, it is found that the self-help program applied on this study has improved effectively in patient’s degree of knowledge, self-efficacy and self-health management compliance. In addition, high blood pressure has also stabilized in a normal range with the intervention. The implication of this study is that the most significant strategy for health promotion of elderly hypertensive patients is to participate in health education activities with their peers. Therefore, it is considerably recommended the use of self-help program for workshops not only in tertiary hospital but also primary health care services.
참고문헌 (48)
- 곽화순, "고혈압환자의 건강행태 및 관리 실태와건강생활 실천정도", 한국보건간호학회지, 18(2), pp.243~257 (2004)
- 구미옥, "당뇨병 환자의 자기간호행위와 대사조절에 관한 구조모형", 박사, 간호학, pp.1992
- 보건복지부, "국민 건강보험 통계 연보", ~ (2010)
- 국민건강보험공단, "2013년 건강보험통계연보", 보건복지부, ~ (2014)
- 기미영, "고혈압 자조집단 프로그램이 근로자의 고혈압 관련 지식, 자기효능감, 자가관리 이행도 및 생리적 지수에 미치는 효과", 한국직업건강간호학회지, 21(1), pp.1~9 (2012), 한국직업건강간호학회
- 김유정, "실버로빅 운동프로그램이 고혈압 노인의 자기효능감, 자가간호행위, 혈압에 미치는 효과", 박사, 간호학, pp.2009
- 김종임, "자조집단 활동과 자기효능성 증진법을 이용한 수중운동 프로그램이 류마티스 관절염 환자의 통증, 생리적 지수 및 삶의 질에 미치는 영향", 박사, 간호학, pp.1994
- 김현승, "노인성 고혈압의 최신지견", 대한의학협의회, 36(12), pp.1406~1410 (1993)
- 김희진, "고혈압 노인의 효능자원을 이용한 복약순응증진 프로그램의 효과", 노인간호학회지, 15(2), pp.131~142 (2013), 노인간호학회
- 남세진, "한국사회복지의 선택" (1997)
- "네이버 국어사전" (2006)[URL]
- "다음" (2016)[URL]
- 박상연, "자조관리 과정이 골관절염 환자의 통증, 일상생활 활동 운동효능감, 관절염 지식에 미치는 효과", 근관절건강학회지, 11(1), pp.31~41 (2004)
- 박영배, "노인의학", pp.275~292 (1997), 서울대학교출판부
- 박영임, "본태성 고혈압 환자의 자가간호증진을 위한 자기조절 프로그램 효과 : Orem이론과 Bandura이론의 합성과 검증", 박사, 간호학과, pp.1994
- 박영임, "본태성 고혈압 환자의 자가간호증진을 위한 자기조절 프로그램 효과[Orem 이론과 Bandura 이론의 합성과 검증", 지역 사회간호학회지, 5(2), pp.109~127 (1994)
- 박초롱, "만성질환 노인에서 임파워먼트 이론에 근거한 다학제적 자기관리 프로그램의 효과", Journal of Korean Academy of Nursing, 45(2), pp.192~201 (2015), 한국간호과학회
- 2014년노인실태조사보고서, "보건복지부", ~ (2014)
- 송미령, "혈액투석환자의 자가간호를 위한 자기효능증진 프로그램 개발 및 효과", 박사, 간호학, pp.1999
- 송연이, "대상자 중심의 만성질환 자가관리 프로그램: 고혈압, 당뇨병을 중심으로", 보건교육건강증진학회지, 31(4), pp.93~106 (2014), 한국보건교육건강증진학회[DOI]
- 안정현, "자기효능증진. 운동프로그램이 신장이식환자의 체중, 체지방율, 운동시간 및 심폐기능에 미치는 효과", 성인간호학회지, 12(3), pp.452~462 (2000)
- 吳潤柾, "효능기대증진 프로그램이 고혈압 환자의 자기효능과 자가간호 행위에 미치는 영향 : 산업장 근로자를 대상으로", 석사, 간호학, pp.1997
- 유수정, "자기효능증진 교육프로그램이고혈압 노인의 자기효능감, 자가간호 행위 및 혈압에미치는 효과", 성인간호학회지, 13(1), pp.108~122 (2001)
- 고혈압, 당뇨병, 이상지혈증의 환자중심 자가관리 프로그램의 개발 및 효과성 평가, "이강숙", 건강증진개발원, ~ (2014)
- 이영휘, "효능기대 증진 프로그램이 자기효능과 자가간호 행위에 미치는 영향-본태성 고혈압 환자를 중심으로", 성인간호학회지, 7(2), pp.212~227 (1995)
- 이영휘, "본태성 고혈압환자의 건강지각 및 건강통제위 성격과 치료이행과의 관계 연구 : 서울시 2개 종합병원 중심으로", 석사, pp.1986
- 이은남, "자조그룹에 대한 개념 분석", 근관절건강학회지, 21(1), pp.1~10 (2014), 대한근관절건강학회[DOI]
- 이은옥, "자기효능 증진방법을 사용한 자조관리과정이 관절염환자의 건강증진에 미치는 효과", 류마티스건강학회지, 4(1), pp.1~14 (1997)
- 고혈압, 당뇨병 환자를 대상으로 한 의원기반 만성질환 등록관리 사업의 효과평가, "임준", 보건복지부, ~ (2012)
- 조경숙, "성인간호학 . 상권, 하권" (2014), 현문사
- 황병덕, "개원의의 만성질환관리제도에 대한 수용태도", 보건의료산업학회지, 6(2), pp.193~200 (2012), 보건의료산업학회
- Bandura, A., "Social learning theory" (1977), General Learning Press
- B. Kim K, "The Effect of a Community-Based Self-Help Multimodal Behavioral Intervention in Korean American Seniors With High Blood Pressure", Am J Hypertens, 27(9), pp.1199~1208 (2014)
- Carnahan, J. E., "The effect of self-monitoring by patients on the control of hypertension", A. J. of Medical Science, 269(1), pp.69~73 (1975)
- Company EPPCI, "Healthy lives equal healthy community - The social impact of self management" (2014)
- Ewart CK, "Effects of early postmyocardial infarction exercise testing on self-perception and subsequent physical activity", The American journal of cardiology, 51(7), pp.1076~1080 (1983)
- Jordan, S., "Hypertension", Nursing Times, 94(3), pp.50~53 (1998)
- Lee, L. -L., "Evaluating a community-based walking intervention for hypertensive older people in Taiwan: a randomized controlled trial", Preventive Medicine, 44(2), pp.160~166 (2007)
- Lorig KR, "Chronic disease self-management program : 2-year health status and health care utilization outcomes", Medical care, 39(11), pp.1217~1223 (2001)
- Lorig KR, "Effect of a self-management program on patients with chronic disease", Effective clinical practice : ECP, 4(6), pp.256~262 (2000)
- Marks R, "A review and synthesis of research evidence for self-effficacy enhancin interventions for reducingg chronic disability:Implications for health education practice(Part II)", Health Promot Pract, 6, pp.148~156 (2005)
- Medicine, Ssp, "Chronic Disease Self-Management Program", ~ (2014)
- "Korea national health and nutrition examination survey(KNHANES V-1)" (2010)[URL]
- OECD, "Health Care Quality Review: Korea" (2012)
- Oream, D. E, "Nursing: Concepts of Practice" (1980), Mosby-Year Book. Inc.
- Tully MA, "Evaluating a communitybased walking intervention for hypertensive older people in Taiwan: a randomized controlled trial", Preventive Medicine, 44(2), pp.160~166 (2007)
- Wallston, B. S., "Locus of control and health: a review of the literature", Health Edu &Behav, 6(1), pp.107~117 (1978)