건설근로자 대상 심혈관질환 예방 중재의 효과
Effectiveness of Intervntion for Cardiovascular Disease Prevention in Construction Workers
2
조회
0
다운로드
1
인용
0
참고문헌
키워드
초록
Purpose: This study aimed to assess the risk of developing cardiovascular disease (CVD) and to evaluate the effects of intervention for CVD prevention in construction workers. Methods: A total of 497 workers participated the health status survey and finally 90 workers were analyzed for evaluation of the intervention with the one-group pretest-posttest design. The data were collected from the questionnaires and health examinations in the healthcare service for road constructor’s CVD prevention as secondary analysis. The intervention of the healthcare was composed of CVD prevention education for all workers and face to face counselling for the high risk group of CVD risk during 6 months in workplace. Data were analyzed with descriptive statistics, x2 test, Wilcoxon signed rank test, and paired t-test. Results: The moderate and high risk groups of CVD were 9.7% and 0.8%. After the intervention, the physical activity (MET-min/week) significantly increased (Z=-5.46, p<.001). But, there were no significant differences in blood pressure, fasting glucose, body mass index, and CVD risk appraisals between pre and post intervention. Conclusion: The findings imply that it is necessary to develop the health promotion program for construction workers which fully reflects the characteristics of individuals and the organization.
Abstract
Purpose: This study aimed to assess the risk of developing cardiovascular disease (CVD) and to evaluate the effects of intervention for CVD prevention in construction workers. Methods: A total of 497 workers participated the health status survey and finally 90 workers were analyzed for evaluation of the intervention with the one-group pretest-posttest design. The data were collected from the questionnaires and health examinations in the healthcare service for road constructor’s CVD prevention as secondary analysis. The intervention of the healthcare was composed of CVD prevention education for all workers and face to face counselling for the high risk group of CVD risk during 6 months in workplace. Data were analyzed with descriptive statistics, x2 test, Wilcoxon signed rank test, and paired t-test. Results: The moderate and high risk groups of CVD were 9.7% and 0.8%. After the intervention, the physical activity (MET-min/week) significantly increased (Z=-5.46, p<.001). But, there were no significant differences in blood pressure, fasting glucose, body mass index, and CVD risk appraisals between pre and post intervention. Conclusion: The findings imply that it is necessary to develop the health promotion program for construction workers which fully reflects the characteristics of individuals and the organization.
참고문헌 (30)
- American Diabetes Association, "Diagnosis and Classification of Diabetes Mellitus", Diabetes Care, 36(Supplement_1), pp.S67~S74 (2012), American Diabetes Association[DOI]
- M. Carnethon, "Worksite Wellness Programs for Cardiovascular Disease Prevention: A Policy Statement From the American Heart Association", Circulation, 120(17), pp.1725~1741 (2009), Ovid Technologies (Wolters Kluwer Health)[DOI]
- Natasha Caulfield, "A Review of Occupational Stress Interventions in Australia.", International Journal of Stress Management, 11(2), pp.149~166 (2004), American Psychological Association (APA)[DOI]
- David C. Goff, "2013 ACC", AHA Guideline on the Assessment of Cardiovascular Risk, 2014, pp.129(25 suppl 2), S49~S73[DOI]
- Hirsch, G., "Using simulation to compare 4 categories of intervention for reducing cardiovascular disease risks", American Journal of Public Health, 104(7), pp.1187~1195 (2014)
- Jing-Juin Huang, "Effects of a Workplace Multiple Cardiovascular Disease Risks Reduction Program", Asian Nursing Research, 7(2), pp.74~82 (2013), 한국간호과학회
- 황원주, "다수준 분석을 이용한 한국 생산직 근로자의 심혈관질환 위험에 대한 생태학적 요인", Journal of Korean Academy of Nursing, 45(6), pp.857~867 (2015), 한국간호과학회
- 황원주, "근로자의 뇌심혈관계 질환 예방을 위한 중재 연구의 분석적 고찰: 생태학적 모델을 기반으로", 한국직업건강간호학회지, 25(1), pp.41~54 (2016), 한국직업건강간호학회
- 정혜선, "버스운수업 종사자의 뇌심혈관질환 예방을 위한 개별상담 효과:이차자료분석", 한국직업건강간호학회지, 24(4), pp.281~289 (2015), 한국직업건강간호학회
- 강혜정, "소규모 사업장 근로자에 대한 뇌․심혈관질환 예방 프로그램 적용 효과", 한국산업보건학회지, 23(3), pp.315~322 (2013), 한국산업보건학회
- 김은영, "남성 운전직 근로자를 위한 소그룹기반 심뇌혈관질환 예방교육 프로그램의 개발 및 효과", Journal of Korean Academy of Nursing, 42(3), pp.322~332 (2012), 한국간호과학회
- 김자숙, "일 지역 일용직 플랜트 건설근로자의 근골격계 질환 자각증상과 건강증진행위", 한국직업건강간호학회지, 23(1), pp.28~38 (2014), 한국직업건강간호학회
- 김순례, "지역사회 연계 접근법을 통한 소규모 사업장 근로자의 뇌심혈관질환 관리", 한국직업건강간호학회지, 19(1), pp.70~77 (2010), 한국직업건강간호학회
- "Prevention education manual of cardiocerebrovascular disease" (2008)[URL]
- 곽우석, "뇌∙심혈관질환 예방을 위한 사업장 지원 프로그램의 단기효과 분석", Annals of Occupational and Environmental Medicine, 21(1), pp.46~52 (2009), 대한직업환경의학회
- "Report on the industrial accident compensation insurance" (2015)[URL]
- "Industrial accident statistics" (2016)[URL]
- "Ministry of Health and Welfare & Social Security Information Service" (2016)[URL]
- "National screening program" (2014)[URL]
- "Health risk appraisal program logic" (2014)[URL]
- "National health screenings statistics: General health screening beneficiaries and statistics on the number of examinees by insurance category and gender (total)" (2017)[URL]
- "The seventh report of the joint national committee on prevention, detection, evaluation, and treatment of high blood pressure" (2004)[URL]
- Tomonori Okamura, "Worksite Wellness for the Primary and Secondary Prevention of Cardiovascular Disease in Japan: The Current Delivery System and Future Directions", Progress in Cardiovascular Diseases, 56(5), pp.515~521 (2014), Elsevier BV[DOI]
- Kyongok Park, "10-Year Risk for Cardiovascular Disease Among Male Workers in Small-Sized Industries", The Journal of Cardiovascular Nursing, 30(3), pp.267~273 (2015), Ovid Technologies (Wolters Kluwer Health)[DOI]
- 심규범, "건설현장의 안전보건 주요 현안과 개선 방안", 한국산업보건학회지, 22(4), pp.329~336 (2012), 한국산업보건학회
- Berna G.M. Sol, "The role of self-efficacy in vascular risk factor management: A randomized controlled trial", Patient Education and Counseling, 71(2), pp.191~197 (2008), Elsevier BV[DOI]
- "The cause of death statistics" (2015)[URL]
- "Hypertension management guidelines" (2013)[URL]
- Katriina Viitasalo, "Prevention of diabetes and cardiovascular diseases in occupational health care: Feasibility and effectiveness", Primary Care Diabetes, 9(2), pp.96~104 (2015), Elsevier BV[DOI]
- 윤송이, "건설근로자의 안전 의식 실태 및 안전 보건 교육 개선에 관한 연구", 대한통합의학회지, 4(3), pp.81~91 (2016), 대한통합의학회