본문 바로가기
KERD
논문KCI 등재

근로자의 뇌심혈관계 질환 예방을 위한 중재 연구의 분석적 고찰: 생태학적 모델을 기반으로

A Systematic Review of Interventions for Workers with Cardiovascular Disease Risk Factors: Using an Ecological Model

김진아|박윤희|황원주
한국직업건강간호학회 (Korean Academic Society Of Occupational Health Nursing)|2016.02|한국직업건강간호학회지 (Korean Journal of Occupational Health Nursing)|제25권 제1호|pp. 41-54|DOI https://doi.org/10.5807/kjohn.2016.25.1.41

0

조회

0

다운로드

4

인용

0

참고문헌

키워드

근로자체계적 문헌고찰ReviewWorkersCardiovascular diseaseInterventions뇌심혈관질환 위험 중재

초록

목적: 본 연구의 목적은 근로자의 뇌심혈관계 질환을 예방하고 관리하기 위한 중재연구들을 생태학적 모델에 근거하여 분석하고 최근의 연구 동향을 파악하여 향후 연구의 발전방향을 제시하는 것이다. 방법: 두 명의 연구자가 간호 및 보건관련 학회지와 검색된 문헌의 참고문헌에서 선정 기준에 따라 문헌을 검토하여 29개의 논문을 최종 선정하였다. 문헌분석 방법은Preferred Reporting Items for Systematic Review and Meta-Analyses (PRISMA) 가이드라인을 따랐다. 결과: 최근에는 조직적 수준의 중재연구와 통합적 접근의 중재방법이 많이 이루어지고 있고, 2010년 이후 웹기반 연구의 등장이 특징적으로 나타났다. 신체적 변화에 초점을 맞춘 연구들이 주를 이루고 있어 상대적으로 사회심리적인 측면을 다룬 연구가 부족함을 알 수 있고, 이론을 바탕으로 한 연구 또한 부족함을 알 수 있었다. 결론: 인터넷 보급과 함께 핸드폰의 보급이 확산되면서 모바일 기반의 중재연구 방법이나, 사회심리적인 부분을 고려한 트라이 앵귤레이션과 같은 다양한 연구방법의 시도가 필요할 것이며, 중재 효과를 극대화하고, 간호과학의 발전을 위하여 이론을 기반으로 한 중재연구가 향후 더 활발히 이루어져야 할 것이다.

Abstract

Purpose: The purposes of this study were to review the research trends and to identify developmental direction of studies on community interventions according to the ecological model for workers with cardiovascular diseases (CVD) risk factors. Methods: Electronic databases including PsycINFO, PubMed, EMBASE, CINAHL, and Cochrane Library and the reference lists of articles were searched. All articles were assessed in relation to inclusion and exclusion criteria, resulting in 29 researches being reviewed. Each review was critically appraised by two authors using a guideline of PRISMA (Preferred Reporting Items for Systematic Review and Meta-Analyses). Results: Nowadays, interventions in organizational level, integrated and web-based interventions are increasing to prevent CVD risk factors for workers. Even though the importance of psychosocial aspects to prevent CVD, the only 2 studies included psychosocial factors in the outcome variables. Also, 14% among 29 researches were based on theories. Conclusion: Psychosocial factors such as job stress, depression, and emotional labor could be CVD risk factors. Therefore, interventions including psychosocial aspects are needed to prevent workers’ CVD risks more effectively. Theory-based interventions are needed to support interventions’ effects and to develop the nursing science.

참고문헌 (55)

  1. Aldana, S. G, "Mobile work site health promotion programs can reduce selected employee health risks", Journal of Occupational and Environmental Medicine, 35(9), pp.922~928 (1993)
  2. Anderson, J, "Worksite cholesterol and nutrition : An intervention project in Colorado", AAOHN Journal : Official Journal of the American Association of Occupational Health Nurses, 47(3), pp.99~106 (1999)
  3. Artinian, N. T, "Interventions to promote physical activity and dietary lifestyle changes for cardiovascular risk factor reduction in adults a scientific statement from the American Heart Association", Circulation, 122(4), pp.406~441 (2010)
  4. C A G Boreham, "Training effects of short bouts of stair climbing on cardiorespiratory fitness, blood lipids, and homocysteine in sedentary young women", British Journal of Sports Medicine, 39(9), pp.590~593 (2005), BMJ[DOI]
  5. Cambien, F, "The Paris cardiovascular risk factor prevention trial. Effects of two years of intervention in a population of young men", Journal of Epidemiology and Community Health, 35(2), pp.91~97 (1981)
  6. Caulfield, N, "A Review of Occupational Stress Interventions in Australia", International Journal of Stress Management, 11(2), pp.149~ (2004)
  7. "Chronic Diseases Factbook" (2015)[URL]
  8. Yi-Ching Chen, "An Internet-based health management platform may effectively reduce the risk factors of metabolic syndrome among career women", Taiwanese Journal of Obstetrics and Gynecology, 52(2), pp.215~221 (2013), Elsevier BV[DOI]
  9. 조정진, "스트레스와 심혈관질환", 대한의사협회지, 56(6), pp.462~470 (2013), 대한의사협회
  10. Critchley, J. A, "Prospective cohort studies of coronary heart disease in the UK : A systematic review of past, present and planned studies", European Journal of Cardiovascular Risk, 10(2), pp.111~119 (2003)
  11. Johanna C Dekkers, "Comparative effectiveness of lifestyle interventions on cardiovascular risk factors among a Dutch overweight working population: A randomized controlled trial", BMC Public Health, 11(1), pp.49~ (2011), Springer Nature[DOI]
  12. Johannes A N Dorresteijn, "The daily 10 kcal expenditure deficit: a before-and-after study on low-cost interventions in the work environment", BMJ Open, 3(1), pp.e002125~ (2013), BMJ[DOI]
  13. Egger, M, "Systematic Reviews in Health Care: Meta- Analysis in Context", pp.23~42 (2001)
  14. Noha H Farag, "Evaluation of a community-based participatory physical activity promotion project: effect on cardiovascular disease risk profiles of school employees", BMC Public Health, 10(1), pp.313~ (2010), Springer Nature[DOI]
  15. Ferdowsian, H. R, "A Multicomponent intervention reduces body weight and cardiovascular risk at a GEICO corporate site", American Journal of Health Promotion, 24(6), pp.384~387 (2010)
  16. Kelly Flannery, "The Worksite Heart Health Improvement Project (WHHIP): Feasibility and Efficacy", Public Health Nursing, 29(5), pp.455~466 (2012), Wiley-Blackwell[DOI]
  17. Rosanne Freak-Poli, "Impact of a pedometer-based workplace health program on cardiovascular and diabetes risk profile", Preventive Medicine, 53(3), pp.162~171 (2011), Elsevier BV[DOI]
  18. Free, C, "The effectiveness of mobile-health technologybased health behaviour change or disease management interventions for health care consumers: A systematic review", PLoS Med, 10(1), pp.e1001362~ (2013)
  19. Donald H. Gemson, "Promoting Weight Loss and Blood Pressure Control at Work: Impact of an Education and Intervention Program", Journal of Occupational and Environmental Medicine, 50(3), pp.272~281 (2008), Ovid Technologies (Wolters Kluwer Health)[DOI]
  20. Glanz, K, "Health behavior and health education : Theory, research, and practice" (2008), John Wiley & Sons
  21. Gomel, M, "Work-site cardiovascular risk reduction : A randomized trial of health risk assessment, education, counseling, and incentives", American journal of public health, 83(9), pp.1231~1238 (1993)
  22. Iris F. Groeneveld, "Sustained body weight reduction by an individual-based lifestyle intervention for workers in the construction industry at risk for cardiovascular disease: Results of a randomized controlled trial", Preventive Medicine, 51(3-4), pp.240~246 (2010), Elsevier BV[DOI]
  23. Hardeman, W, "A causal modelling approach to the development of theory-based behaviour change programmes for trial evaluation", Health Education Research, 20(6), pp.676~687 (2005)
  24. Hartman, T. J, "Effects of a low-fat, worksite intervention on blood lipids and lipoproteins", Journal of Occupational and Environmental Medicine, 37(6), pp.690~696 (1995)
  25. Won Ju Hwang, "Work-related cardiovascular disease risk factors using a socioecological approach: implications for practice and research", European Journal of Cardiovascular Nursing, 11(1), pp.114~126 (2012), SAGE Publications[DOI]
  26. 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
  27. Jung, H. S, "An intervention study for hypertension in small scale enterprises based on transtheoretical and ecological model", Korean Journal of Occupational Health Nursing, 15(2), pp.153~164 (2006)
  28. Hyesun Jung, "Efficacy of a programme for workers with metabolic syndrome based on an e-health system in the workplace: a pilot study", Journal of Telemedicine and Telecare, 18(6), pp.339~343 (2012), SAGE Publications[DOI]
  29. CHUN-JA KIM, "Development and a Pilot Test of an Internet-Based Cardiovascular Risk Reduction Program for Korean Male Workers With Metabolic Syndrome", CIN: Computers, Informatics, Nursing, 31(4), pp.157~166 (2013), Ovid Technologies (Wolters Kluwer Health)[DOI]
  30. 김남진, "직장인들의 생활습관행태와 건강상태의 관련성", 보건교육건강증진학회지, 24(2), pp.63~75 (2007), 한국보건교육건강증진학회
  31. "Occupational injuries and illnesses for 2011" (2015)[URL]
  32. 이선영, "일부 지하철 근로자에서의 뇌심혈관질환 위험요인 개선을 위한 맞춤형 건강증진프로그램의 효과", Annals of Occupational and Environmental Medicine, 18(1), pp.15~24 (2006), 대한직업환경의학회
  33. McLeroy, K. R, "An ecological perspective on health promotion programs", Health Education & Behavior, 15(4), pp.351~377 (1988)
  34. McVicar, A, "Workplace stress interventions using participatory action research designs", International Journal of Workplace Health Management, 6(1), pp.18~37 (2013)
  35. Philippe Meyer, "Stairs instead of elevators at workplace: cardioprotective effects of a pragmatic intervention", European Journal of Cardiovascular Prevention & Rehabilitation, 17(5), pp.569~575 (2010), SAGE Publications[DOI]
  36. Richard V. Milani, "Impact of Worksite Wellness Intervention on Cardiac Risk Factors and One-Year Health Care Costs", The American Journal of Cardiology, 104(10), pp.1389~1392 (2009), Elsevier BV[DOI]
  37. Mota, M. R, "Effects of treadmill running and resistance exercises on lowering blood pressure during the daily work of hypertensive subjects", The Journal of Strength & Conditioning Research, 23(8), pp.2331~2338 (2009)
  38. "BMC Public Health", 2006, 136~, pp.Springer Nature, dx.doi.org[DOI]
  39. Takashi Muto, "Evaluation of a Multicomponent Workplace Health Promotion Program Conducted in Japan for Improving Employees' Cardiovascular Disease Risk Factors", Preventive Medicine, 33(6), pp.571~577 (2001), Elsevier BV[DOI]
  40. Mariko Naito, "Effect of a 4-year workplace-based physical activity intervention program on the blood lipid profiles of participating employees: The high-risk and population strategy for occupational health promotion (HIPOP-OHP) study", Atherosclerosis, 197(2), pp.784~790 (2008), Elsevier BV[DOI]
  41. Napolitano, M. A, "Evaluation of an internetbased physical activity intervention : A preliminary investigation", Annals of Behavioral Medicine, 25(2), pp.92~99 (2003)
  42. Nobis, S, "Efficacy and cost-effectiveness of a web-based intervention with mobile phone support to treat depressive symptoms in adults with diabetes mellitus type 1 and type 2 : Design of a randomised controlled trial", Bmc psychiatry, 13(1), pp.306~ (2013)
  43. 박미경, "심뇌혈관질환 위험요인을 가진 중년여성을 위한 통합적 생활습관개선 프로그램의 효과", 지역사회간호학회지, 24(2), pp.111~122 (2013), 한국지역사회간호학회[DOI]
  44. Axel Pressler, "An internet-delivered exercise intervention for workplace health promotion in overweight sedentary employees: A randomized trial", Preventive Medicine, 51(3-4), pp.234~239 (2010), Elsevier BV[DOI]
  45. Susan B. Racette, "Worksite Opportunities for Wellness (WOW): Effects on cardiovascular disease risk factors after 1 year", Preventive Medicine, 49(2-3), pp.108~114 (2009), Elsevier BV[DOI]
  46. Ramadas, A, "Webbased interventions for the management of type 2 diabetes mellitus : A systematic review of recent evidence", International Journal of Medical Informatics, 80(6), pp.389~405 (2011)
  47. Rozanski, A, "Impact of psychological factors on the pathogenesis of cardiovascular disease and implications for therapy", Circulation, 99(16), pp.2192~2217 (1999)
  48. Rush, E. C, "One year sustainability of risk factor change from a 9-week workplace intervention", Journal of Environmental and Public Health, 2009, pp.569104~ (2009)[DOI]
  49. Schultz, A. B, "Metabolic syndrome in a workplace : Prevalence, co-morbidities, and economic impact", Metabolic syndrome and related disorders, 7(5), pp.459~468 (2009)
  50. Sook, C. E, "The management strategies of metabolic syndrome among wor-kers through the literature review", Korean Journal of Occupational Health Nursing, 14(2), pp.138~152 (2005)
  51. Anne N. Thorndike, "Prevention of Weight Gain Following a Worksite Nutrition and Exercise Program", American Journal of Preventive Medicine, 43(1), pp.27~33 (2012), Elsevier BV[DOI]
  52. Riva Touger-Decker, "Workplace Weight Loss Program; Comparing Live and Internet Methods", Journal of Occupational and Environmental Medicine, 52(11), pp.1112~1118 (2010), Ovid Technologies (Wolters Kluwer Health)[DOI]
  53. Wald, N. J, "A strategy to reduce cardiovascular disease by more than 80%", British Medical Journal, 326(7404), pp.1419~ (2003)
  54. Whittaker, R, "Mobile phone-based interventions for smoking cessation", The Cochrane Library, 4(4) (2012)
  55. "The top 10 causes of death 2012" (2013)[URL]

관련 논문AI추천

건설근로자 대상 심혈관질환 예방 중재의 효과김보경, 이윤지, 황선경한국직업건강간호학회 · 한국직업건강간호학회지2017 · 제26권 제2호지역사회 연계 접근법을 통한 소규모 사업장 근로자의 뇌심혈관질환 관리김순례, 김영희, 김은숙, 이성숙, 이윤정, 이종은, 정혜선한국직업건강간호학회 · 한국직업건강간호학회지2010 · 제19권 제1호남성 사무직근로자의 심뇌혈관질환 위험요인에 따른 건강행위, 웰니스 상태 및 건강행위변화단계의 관계강소희, 황선영대한근관절건강학회 · 근관절건강학회지2018 · 제25권 제1호한국 생산직 근로자들의 심혈관질환 관련 지식, 인식, 신념 및 예방행위: 내용분석을 통한 심혈관질환 위험 감소 중재 프로그램 개발을 위한 요구사정박윤희, 황원주한국직업건강간호학회 · 한국직업건강간호학회지2016 · 제25권 제4호버스운수업 종사자의 뇌심혈관질환 예방을 위한 개별상담 효과:이차자료분석엄미정, 장인순, 정혜선한국직업건강간호학회 · 한국직업건강간호학회지2015 · 제24권 제4호사회생태학적 모형 기반 중년여성 심뇌혈관질환 예방프로그램의 효과장광심, 전경숙, 허흥심보건의료산업학회 · 보건의료산업학회지2021 · 제15권 제4호

이 간행물의 다른 논문 (7건)

간호사의 중동호흡기증후군 감염 실태와 감염관리 인식최은숙, 전경자pp. 1-8항만하역근로자의 직무 스트레스와 자아탄력성이 직무 스트레스 회복경험에 미치는 영향이상민, 최은경, 이지현, 오향옥, 우경미, 문혜경pp. 9-18노인장기요양 인정조사원의 의사소통능력, 공감만족 및 공감피로가 소진에 미치는 영향최형심, 조은희, 이경은pp. 19-28보건관리자가 인지한 근로자 건강증진 프로그램 수행 실태에 관한 업종별 비교: 요구도, 필요도, 수행도, 장애도 및 운영효과를 중심으로이복임, 김영임pp. 29-40전자제품 제조업체 남성근로자의 직무 스트레스와 대사증후군의 관련성정명희, 이세훈, 김태희pp. 55-64
원문 보기