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KERD
논문KCI 등재

일 건강검진센터에 내원한 여성을 대상으로심혈관질환 위험요인을 활용한고위험군 간호의 우선순위 설정

Determining Nursing Care Priorities among Women in the High Risk of Coronary Heart Disease

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주제분류간호학

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Abstract

Purpose: This study was designed as a epidemiologic study for determining priorities of nursing care in women with high risk groups of coronary heart disease(CHD) using risk factors. Method: Subjects were 1015 women who received health screenings at a hospital in Kyunggi, Korea, over one year period from January to December 2006. Results: The 37.9% of women had multiple risk factors for developing coronary heart disease. The most significant risk factors on CHD were the age older than 70 years (OR=11.45), the age between 60-69 (OR=4.65), the age between 50-59 (OR=3.20), having HbA1C over 7% (OR=2.38), high risk groups of L/H ratio (OR=1.98), and the waist to stature ratio (WSR) over 0.5 (OR=1.33). Conclusion: The findings suggest that women older than 50 years should be considered as an overt target population for CHD prevention, even in the absence of other risk factors. Also, HbA1C and WSR can be efficient indicators for CHD screening.

참고문헌 (30)

  1. Ahn,S.V., "Relationship between corrected QT interval and cardiovascular risk factors in young healthy adults", J Prev Med Pub Health, 239(6), pp.455~461 (2006)
  2. Alensandro,M., "Relationship of some risk factors with typical and atypical manifestations of coronary heart disease", Cardiology, 89, pp.59~67 (1998)
  3. Anderson,K.M., "Cholesterol and mortality. 30 years of follow-up from the Framingham study", JAMA, 257(16), pp.2176~2180 (1987)
  4. Clarice,D.B., "Body Mass Index and the prevalence of hypertension and dyslipidemia", Obes Res, 8, pp.605~619 (2001)
  5. Katherine,M.F., "Obesity, overweight, hypertension, and high blood cholesterol: the importance of age", Obes Res, 8, pp.676~677 (2000)
  6. Kim,H.S., "Difference of the obesity index, blood pressure and serum lipids in abdominal and non abdominal in men and women", J Korean Acad Nurs, 30(4), pp.948~955 (2000)
  7. Kim,K.B., "Measurement of cholesterol", Circulation, 110, pp.296~297 (2004)
  8. Kim,N.S., "Increasing prevalence of obesity related disease for Koreans associated with overweight and obesity", J Prev Med Pub, 34(4), pp.309~315 (2001)
  9. Lee,S.W., "Relationship of body fat percent with serum lipid level and blood pressure in adults", J Prev Med Pub, 28(4), pp.783~794 (1995)
  10. Lefler,L.L., "Women's delay in seeking treatment with myocardial infarction: a meta synthesis", J Cardiovasc Nurs, 19(4), pp.251~268 (2004)
  11. Lori,M., "Evidence-based guidelines for cardiovascular disease prevention in women", Circulation, 109, pp.672~693 (2004)
  12. Manzato,E., "Lipoprotein abnormalities in well-treated type2 diabetic patients", Diabetes Care, 16(2), pp.469~475 (1993)
  13. Masazumi,A., "Effects of menopause on trends of serum cholesterol, blood pressure, and body mass index", Diabetes Care, 94(1), pp.61~66 (1996)
  14. Menotti,A., "Comparison of multivariate predictive power of major risk factors for coronary heart diseases in different countries: results from eight nations of the seven countries study, 25-year follow-up", J Cardiovasc Risk, 3(1), pp.69~75 (1996)
  15. Michael,l.J.K., "Serum cholesterol in young men and subsequent cardiovascular disease", NEJM, 328(5), pp.313~318 (1993)
  16. Monotti,A., "Coronary risk factors predicting early and late coronary deaths", Heart, 89, pp.19~24 (2003)
  17. Report of consultation on obesity control strategies on epidemiologic characteristics of Korean obesity, "Moon,O.R.", Graduate School of Public Health Seoul National University, ~ (2000)
  18. Moon,Y.I., "Glucose tolerance and insulin secretion patterns by body mass index(BMI) in offspring of parents with non-insulin dependent diabetes mellitus", J Korean Acad Nurs, 27(3), pp.694~704 (1997)
  19. Oh,H.S., "The discriminant analysis of blood pressure- including the risk factors", J Korean Acad Nurs, 28(2), pp.256~269 (1998)
  20. Park,S.K., "The usefulness of obesity indics for the coronary risk factors in an urban inhibitants", J Prev Med Public Health, 39(6), pp.447~454 (2006)
  21. Paul,C., "The Munster Heart: Total mortality in middle aged men is increased at low total and LDL cholesterol concentrations in smokers but not in nonsmoker", Circulation, 96, pp.2128~2136 (1997)
  22. Peter,W.F., "Prediction of coronary heart disease using risk factor categories", Circulation, 97, pp.1837~1847 (1998)
  23. Rim,E.B., "Body size and fat distribution as predictors of coronary heart disease among middle aged and older US men", Am J Epidemiol, 141(12), pp.1117~1217 (1995)
  24. Scott,M.G., "Primary prevention of coronary heart disease: guidance from Framingham", Circulation, 97, pp.1876~1887 (1998)
  25. Scott,M.G., "Beyond secondary prevention: Identifying the high risk patient for primary prevention", Circulation, 2000(101), pp.1~11 (2000)
  26. Son,H.Y., "Development of preventive management system of the unified hypertension and diabetes mellitus in public health center", Public Health Welfare, ~ (2001)
  27. Wannamethee,S.G., "Role of risk factors for major coronary heart disease events with increasing length of follow up", Heart, 81, pp.374~379 (1999)
  28. William,P.C., "Summary estimates of cholesterol used to predict coronary heart disease", Circulation, 67(4), pp.730~734 (1983)
  29. Wilson,P.W., "High density lipoprotein cholesterol and mortality", Arteriosclerosis, 8(6), pp.737~741 (1988)
  30. Yoo,J.S., "The effects of short term comprehensive life style modification program on glycemic metabolism, lipid metabolism and body composition in type 2 diabetes mellitus", J Korean Acad Nurs, 34(7), pp.1277~1287 (2004)

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