고혈압·당뇨병 신규 환자 발견 이후 지역사회 협력을 통한 등록관리가 치료순응도 및 혈압 및 혈당 조절에 미치는 영향
Impact of Registration Program after Hypertensive or Diabetic Patient Detection through Community Partnership on Compliance and Blood Pressure or Blood Sugar Control
0
조회
0
다운로드
10
인용
0
참고문헌
키워드
초록
Objectives : Incheon metropolitan city has set a model program of community partnership for hypertensive or diabetic patients detection and follow-up since 2005. This study examines the effects of the model on the compliance and the control of blood pressure or blood sugar level Methods : Telephone-surveys were done for 140 persons selected from 408 patients who were detected newly as hypertensive or diabetic patients at Gangwha-Gun and Seo-Gu in Incheon between January 1st and August 31th in 2006, and finally completed in 110 patients(78.6%). Survey questionnaires included socio-demographic(age, gender, and educational level), health behavioral (smoking, drinking, physical activity, and diet), and therapy-related (registration state, compliance, blood pressure or blood sugar control) variables. Odds ratio and 95% CI were derived from logistic regression model. Results : Registered group exhibited high compliance and well managed blood pressure or blood sugar level. The odds ratio of registration were 5.55(95% CI:1.83~16.89) for compliance and 3.78(95% CI:1.43~9.99) for blood pressure or blood sugar control after adjusting for age, gender, disease, and area Conclusions : It is independently related to compliance and blood pressure or blood sugar control whether the patient is registered or not. To control hypertension or diabetes mellitus in terms of compliance and control state, a community-based registration program through community partnership could be a powerful tool.
Abstract
Objectives : Incheon metropolitan city has set a model program of community partnership for hypertensive or diabetic patients detection and follow-up since 2005. This study examines the effects of the model on the compliance and the control of blood pressure or blood sugar level Methods : Telephone-surveys were done for 140 persons selected from 408 patients who were detected newly as hypertensive or diabetic patients at Gangwha-Gun and Seo-Gu in Incheon between January 1st and August 31th in 2006, and finally completed in 110 patients(78.6%). Survey questionnaires included socio-demographic(age, gender, and educational level), health behavioral (smoking, drinking, physical activity, and diet), and therapy-related (registration state, compliance, blood pressure or blood sugar control) variables. Odds ratio and 95% CI were derived from logistic regression model. Results : Registered group exhibited high compliance and well managed blood pressure or blood sugar level. The odds ratio of registration were 5.55(95% CI:1.83~16.89) for compliance and 3.78(95% CI:1.43~9.99) for blood pressure or blood sugar control after adjusting for age, gender, disease, and area Conclusions : It is independently related to compliance and blood pressure or blood sugar control whether the patient is registered or not. To control hypertension or diabetes mellitus in terms of compliance and control state, a community-based registration program through community partnership could be a powerful tool.
참고문헌 (24)
- Franco LJ, "Prevalence, detection, and control of hypertension in a biethnic community: The San Antonio Heart Study", Am J Epidemiol, 121, pp.684~696 (1985)
- Beevers DG, "Hypertension in practice", pp.17~18 (1987), Martin Dunitz Ltd
- Kim CY, "Health behaviors related to hypertension in rural population of Korea", Korean J Prev Med, 33(1), pp.56~58 (2000)
- Odegard PS, "Caring for poorly controlled diabetes mellitus: a randomized pharmacist intervention", Ann Pharmacother, 39(3), pp.433~440 (2005)
- Jeavons D, "Patients with poorly controlled diabetes in primary care: healthcare clinicians' beliefs and attitudes", Postgrad Med J, 82(967), pp.347~350 (2006)
- Chobanian AV, "Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure. National Heart, Lung, and Blood Institute; National High Blood Pressure Education Program Coordinating Committee. Seventh report of the Joint National Committee on prevention, detection, evaluation, and treatment of high blood pressure", Hypertension, 42(6), pp.1206~1252 (2003)
- Egan BM, "Controlling blood pressure in 50% of all hypertensive patients: an achievable goal in the healthy people 2010 report?", J Investig Med, 51(6), pp.373~385 (2003)
- Joshy G, "Epidemiology of diabetes in New Zealand: revisit to a changing landscape", N Z Med J, 119(1235), pp.U1999~ (2006)
- Song HJ, "Changes in health indicators and policy implications in Korea", Policy forum, 80(6), pp.5~17 (2003)
- 조종희, "지역사회 고혈압 관리사업을 위한 민·관협력 체계 구축 방안에 관한 연구", pp.37~40 (2001), 보건복지부
- Johnson EA, "A field-based approach to support improved diabetes care in rural states", Prev Chronic Dis, 2(4), pp.A08~ (2005)
- Wells KB, "Building an academiccommunity partnered networkfor clinical services research: the Community Health Improvement Collaborative(CHIC)", Ethn Dis, 16(1), pp.S3~S17 (2006)
- Levine DM, "The effectiveness of a community", academic health center partnership in decreasing the level of bloodpressure in an urban African-American population, 2003, pp.13(3), 354~361
- Graber AL, "Improving glycemic control in adults with diabetes mellitus: shared responsibility in primary care practices", South Med J, 95(7), pp.684~690 (2002)
- Wang CY, "Development of a community-based diabetes and hypertension preventive program", Public Health Nurs, 15(6), pp.406~414 (1998)
- Grey N, "Improving care of diabetic patients through a collaborative care model", Conn Med, 66(1), pp.7~11 (2002)
- Carter BL, "Implementing the new guidelines for hypertension: JNC 7, ADA, WHO-ISH", J Manag Care Pharm, 10(5), pp.S18~S25 (2004)
- Rosenman MB, "The Indiana chronic disease management program", Milbank Q, 84(1), pp.135~163 (2006)
- Bae SS, "Factors affecting patients' compliance with antihypertensive medication in a rural area", Korean J of Health Pol & Admin, 4(1), pp.25~48 (1994)
- Bae SS, "Patient compliance and associated factors in the community-based hypertension control program", Korean J Prev Med, 32(2), pp.215~227 (1999)
- Kim HY, "Short-term glycemic control and the related factors in association with compliance in diabetic patients", Korean J Prev Med, 33(3), pp.347~363 (2000)
- Lee SW, "Therapeutic compliance and its related factors of patients with hypertension in rural area", Korean J Prev Med, 33(2), pp.215~225 (2000)
- Lee SG, "The relationship between treatment intention and compliance in newly detected hypertensive patients", Korean J Prev Med, 34(4), pp.417~426 (2001)
- Suchman EA, "Stages of illness and medical care", J Health Hum Behav, 6, pp.114~128 (1965)