종합병원 직원들의 건강증진 프로그램 참여 후의 건강지표들의 개선
Improvement of Health Indicatorsafter Participating in Health Promotion Program of General Hospital Staff: A Pilot Study
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연구배경: 생활습관의 개선을 통해 건강 지표가 호전되는것을 확인하기 위해 서울의 한 종합병원 근무자를 대상으로 8주간의 건강프로그램을 시행하였다. 참여 전후의 건강지표와 운동능력을 측정하여 프로그램의 효과를 알아보고자 하였다. 본 연구는 pilot study로써 실험적으로 시행된원내 직원 건강관리 프로그램의 성과를 소개하는 것을 목적으로 하였다. 방법: 연구 대상자는 2015년 10월부터 11월까지 서울의한 종합병원에서 실시한 직원 건강 프로그램에 참여한 과체중 이상의 42명의 직원이다. 프로그램을 시작하기 전 신체지표를 측정하고 기초체력을 평가하였다. 사전 평가 이후 참여자들은 8주간 영양 및 운동에 관련된 프로그램을진행하였다. 식습관 개선에 대한 교육을 수강하고 식단을기록하였고 그룹 및 개별운동 프로그램을 실시하되 우수참여자에게 포상함으로써 적극적인 참여를 유도하였다. 결과: 프로그램 참여를 완료한 31명의 참여자에 대해서 결과 분석을 시행하였다. 참여자 중 남성은 4명, 여성은 27명이었으며 사전 신체계측에서 남성은 대사증후군에 부합되었고, 여성은 대사증후군은 아닌 과체중임을 확인하였다. 8주간의 프로그램 전후 변화를 확인한 결과 BMI, 허리둘레를포함한 신체지표들에서는 유의미한 변화가 나타나지 않았다. 하지만 기초체력평가에서는 유연성, 윗몸일으키기, 배근력 운동에 있어서 유의미한 개선이 나타난 것을 확인할 수있었다. 결론: 운동 능력에서는 유의미한 변화가 나타난 반면 신체계측상에서 유의미한 변화가 나타나지 않은 원인으로 운동 관리는 체계적으로 이루어졌지만 영양관리는 상대적으로 엄격하게 관리되지 못한 점을 생각해 볼 수 있다. 그 밖에도 추후 개선해야 할 점으로 프로그램 참가자의 지속적참여, 남성의 참여 독려, 프로그램의 지속기간 연장 등을고려해 볼 수 있다. 본 연구에서 운동 및 영양 측면에서 보완해야 할 점을 고찰해보고, 이러한 병원내 직원건강 프로그램이 지속되도록 하여 젊은 직원들의 건강을 증진시키고만성 질환을 예방할 수 있는 것이 건강증진병원의 궁극적인 목표이다.
Abstract
Background: An 8-week health program is achieved for health providers in a general hospital in Seoul to verify whether health parameters are enhanced by improving life habits. We want to examine the effect of this program with measuring health parameters and exercise ability. This study is performed as a pilot study, and the goal is to introduce the outcome of health program with experimental methods. Methods:Participants of this research consist of 42 health providers who were overweight, and they enrolled an 8-week health program in 2015. They took a class about improving eating habits and recorded daily diet. Moreover, they implemented exercise program with encouraging active participation by rewarding members who attended the program frequently. Results: The result is analyzed with 31 participants who finished the program. There are 4 men whose physical indices correspond with the criteria of metabolic syndrome. Otherwise, 27 women have physical indices below the criteria. The result indicates that physical indices would not reveal meaningful changes. However, basal fitness comprised of flexibility, sit-up, and back muscle strength implies meaningful improvement. Conclusions:Even though there were some problems to revise in exercise intervention, it was accomplished systematically while nutrition intervention was not controlled strictly. In addition, factors including inspiring the enrollment of men and extending the period of program should be considered to improve the next program. The final goal of the health promoting hospital is to improve the health of health providers by sustaining this program with developing exercise and nutrition intervention in detail.
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