제조업 남자 근로자의 대사증후군 관리를 위한 참여형 개선기법(PAOT) 프로그램을 적용한 3년간의 효과분석
Effectiveness of Participatory Action-Oriented Training (PAOT) Methods for the Management Metabolic Syndrome in Korean Manufacture Workers for Three-years
2
조회
0
다운로드
3
인용
0
참고문헌
키워드
초록
Purpose: The purpose of this study was to examine the effectiveness of Participatory Action-Oriented Training (PAOT) programs in korean manufacture workers with metabolic syndrome for three years. Methods: A total of 890 workers with risks of metabolic syndrome were recruited from one workplace. The experimental group (n=51) received PAOT program for the preventive management on metabolic syndrome, while the control group (n=51) received conventional program. Results: In the experimental group who participated in PAOT program, percentage of achieved action plans was 73.4% at three months, 75.8% at six months, 82.8% at three years. After three years, the rate of risk factor in the experimental group has significantly decreased from 1.94±1.77 to 0.76±1.25 for moderate exercise, and from 1.72±2.01 to 1.04±1.59 for the strenuous exercise. Systolic and diastolic blood pressure has significantly decreased from 125.06±11.83 to 117.65±19.94, from 83.45±13.38 to 76.39±8.09 mmHg. In addition, risk factor score also decreased from 3.31±0.61 to 1.41±0.89. Conclusion: To improve the effectiveness of PAOT program for the management of risk factors of metabolic syndrome, there is a need to continue implement programs and analyze the long-term effects are required in the workplace.
Abstract
Purpose: The purpose of this study was to examine the effectiveness of Participatory Action-Oriented Training (PAOT) programs in korean manufacture workers with metabolic syndrome for three years. Methods: A total of 890 workers with risks of metabolic syndrome were recruited from one workplace. The experimental group (n=51) received PAOT program for the preventive management on metabolic syndrome, while the control group (n=51) received conventional program. Results: In the experimental group who participated in PAOT program, percentage of achieved action plans was 73.4% at three months, 75.8% at six months, 82.8% at three years. After three years, the rate of risk factor in the experimental group has significantly decreased from 1.94±1.77 to 0.76±1.25 for moderate exercise, and from 1.72±2.01 to 1.04±1.59 for the strenuous exercise. Systolic and diastolic blood pressure has significantly decreased from 125.06±11.83 to 117.65±19.94, from 83.45±13.38 to 76.39±8.09 mmHg. In addition, risk factor score also decreased from 3.31±0.61 to 1.41±0.89. Conclusion: To improve the effectiveness of PAOT program for the management of risk factors of metabolic syndrome, there is a need to continue implement programs and analyze the long-term effects are required in the workplace.
참고문헌 (23)
- Maria Aguilar, "Prevalence of the Metabolic Syndrome in the United States, 2003-2012", JAMA, 313(19), pp.1973~1974 (2015), American Medical Association (AMA)[DOI]
- Ahn, K. A, "Framingham equation model overestimates risk of ischemic heart disease in Korean men and women", Korean Journal of Epidemiology, 28(2), pp.162~170 (2006)
- Assmann, G, "The Prospective Cardiovascular Munster (PROCAM) study. Prevalence of hyperlipidemia in persons with hypertension and or diabetes mellitus and the relationship to coronary heart disease", American Heart Journal, 116(6), pp.1713~1724 (1988)
- "The obesity epidemic: Prevention and treatment of the metabolic syndrome" (2003)[URL]
- 도경아, "남녀 근로자의 직업 관련 특성과 대사증후군 - 국민건강영양조사 자료를 이용하여 -", 한국직업건강간호학회지, 24(1), pp.39~47 (2015), 한국직업건강간호학회
- Giugliano, D, "The effects of diet on inflammation : Emphasis on the metabolic syndrome", Journal of the America College of Cardiology, 48(4), pp.677~685 (2006)
- Grundy, S. M, "Diagnosis and management of the metabolic syndrome : An American Heart Association", National Heart, Lung, and Blood Institute Scientific Statement, 2005, pp.112(17), 2735~2752
- Kawakami, T, "Action-oriented support for occupational safety and health programs in some developing countries in Asia", International Journal of Occupational Safety and Ergonomics, 7(4), pp.421~434 (2001)
- 김진석, "<사례보고> 농작업 환경개선을 위한 한국형 참여형 개선활동 교육(PAOT)의 개발과 실제 적용 사례", 농촌의학.지역보건, 35(4), pp.417~427 (2010), 한국농촌의학.지역보건학회
- Lee, J. E, "Participatory Action Oriented Training for Hospital Nurses(PAOTHN)Program to prevent musculoskeletal disorders", Journal of Occupational Health, 51(4), pp.370~376 (2009)
- Malik, S, "Impact of the metabolic syndrome on mortality from coronary heart disease, cardiovascular disease, and on all causes in United states adults", Circulation, 110(10), pp.1245~1250 (2004)
- National Cholesterol Education Program. (NCEP), "Third report of the National Cholesterol Education Program (NCEP) expert panel on detection, evaluation, and treatment of high blood cholesterol in adults (Adult Treatment Panel III) final report", Circulation, 106, pp.3143~3421 (2001)
- O'Donnell, M. P, "health promotion in the workplace" (2002), Delmar
- Park, H. S, "Prevalence and trends of metabolic syndrome in Korea : Korean National Health and Nutrition Survey 1998-2001. Diabetes", Obesity & Metabolism, 9(1), pp.50~58 (2007)
- 박혜순, "Effect of Weight Reduction on Metabolic Syndrome in Korean Obese Patients", Journal of Korean Medical Science, 19(2), pp.202~208 (2004), 대한의학회
- Pretty, J. N, "Trainers GUIDE for participatory learning and action" (1995), Russel Press
- Reaven, G. M, "Insulin resistance, its consequences, and coronary heart disease must we choose one culprit", Circulation, 93(10), pp.1780~1783 (1996)
- Thurman, J. E, "Higher productivity and a better place to work: Action manual" (1988), International Labour Office
- Tonstand, S, "Effect of nurse counselling on metabolic risk factors in patients with mild hypertension: A randomised controlled trial", European Journal of Cardiovascular Nursing, 6(2), pp.160~164 (2007)
- 윤성용, "참여형 개선기법(PAOT)의 원리를 적용한 뇌∙심혈관계 질환 예방관리 프로그램 효과분석", Annals of Occupational and Environmental Medicine, 24(2), pp.133~144 (2012), 대한직업환경의학회[DOI]
- 윤성용, "참여형 개선기법(PAOT)의 원리를 적용한 대사증후군관리 프로그램 효과분석", 보건교육건강증진학회지, 31(5), pp.81~95 (2014), 한국보건교육건강증진학회[DOI]
- 윤성용, "중소규모 사업장의 작업관련성 근골격계질환 예방을 위한 참여형 개선기법(PAOT) 적용사례", Annals of Occupational and Environmental Medicine, 17(3), pp.249~258 (2005), 대한직업환경의학회
- Zimmet, P, "A new IDF worldwide definition of the metabolic syndrome: the rationale and the results", Diabetes Voice, 50(3), pp.31~ (2005)
