참여형 개선기법(PAOT)의 원리를 적용한 대사증후군관리 프로그램 효과분석
The Effect of Metabolic syndrome Management Program Applying Participatory Action-Oriented Training Principle
2
조회
0
다운로드
3
인용
0
참고문헌
키워드
초록
Objectives: The purpose of this study was to apply participatory action-oriented training (PAOT) principle for the management of metabolicsyndrome and to assess its effectiveness in the workplace. Methods: The metabolic syndrome management program applying participatoryaction-oriented training (PAOT) principle is constructed action checklist, Group discussion, self-creation of an action plan, after 3 months,6 months, 1 year, the practice carried out check up and encourage practice activity. Results: The seventy-seven workers who participatedin the metabolic syndrome management program made a total of 246 action plans, 3.8 action plans per person and 234 action plans wereachieved after one year, so that 81.0% of action plans have been achieved. After 1 year, in the intervention group, systolic blood pressure(SBP) and diastolic blood pressure (DBP), body mass index (BMI), the risk factors score decreased statistically significant, and metabolicsyndrome prevalence decreased 54.8%. whereas the control group also showed a significant decreased in the mean systolic and diastolicblood pressure, the risk factors score. but, low-density lipoprotein (LDL) was significantly increased. Conclusions: To improve theeffectiveness of metabolic syndrome management program applying participatory action-oriented training (PAOT) principle, the need tocontinues implementing programs and analysis of the long-term effects are required. Participatory action-oriented training (PAOT) principlecan applying without cost and time, the human burden for the prevention and management of chronic diseases such as metabolic syndrome.
Abstract
Objectives: The purpose of this study was to apply participatory action-oriented training (PAOT) principle for the management of metabolicsyndrome and to assess its effectiveness in the workplace. Methods: The metabolic syndrome management program applying participatoryaction-oriented training (PAOT) principle is constructed action checklist, Group discussion, self-creation of an action plan, after 3 months,6 months, 1 year, the practice carried out check up and encourage practice activity. Results: The seventy-seven workers who participatedin the metabolic syndrome management program made a total of 246 action plans, 3.8 action plans per person and 234 action plans wereachieved after one year, so that 81.0% of action plans have been achieved. After 1 year, in the intervention group, systolic blood pressure(SBP) and diastolic blood pressure (DBP), body mass index (BMI), the risk factors score decreased statistically significant, and metabolicsyndrome prevalence decreased 54.8%. whereas the control group also showed a significant decreased in the mean systolic and diastolicblood pressure, the risk factors score. but, low-density lipoprotein (LDL) was significantly increased. Conclusions: To improve theeffectiveness of metabolic syndrome management program applying participatory action-oriented training (PAOT) principle, the need tocontinues implementing programs and analysis of the long-term effects are required. Participatory action-oriented training (PAOT) principlecan applying without cost and time, the human burden for the prevention and management of chronic diseases such as metabolic syndrome.
참고문헌 (37)
- Braun, S., "The link between the metabolic syndrome and cancer", International Journal of Biological sciences, 7(7), pp.1003~1015 (2011)
- Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults, "Executive Summary of The 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)", Journal of the American Medical Association, 285(19), pp.2486~2497 (2001)
- Freiberg, M. S., "Third national health and nutrition examination survey. alcohol consumption and the prevalence of the metabolic syndrome in the US. : a cross-sectional analysis of data from the third national health and nutrition examination survey", Diabetes Care, 27(12), pp.2954~2959 (2004)
- Giugliano, D., "The effects of diet on inflammation : emphasis on the metabolic syndrome", Journal of America College of Cardiology, 48(4), pp.677~685 (2006)
- Isomaa, B., "Cardiovascular morbidity and mortality associated with the metabolic syndrome", Diabetes Care, 24(4), pp.683~689 (2001)
- 정혜선, "U-Health 프로그램을 이용한 직장인 대사증후군 관리사업의 효과", 한국직업건강간호학회지, 23(1), pp.47~54 (2014), 한국직업건강간호학회
- Khai, T., "Participatory Action Oriented Training-Trainers' Manual", pp.5~50 (2001), Center for Occupational Health & Environmental
- 김유진, "한국인의 남․녀 직업군별 복부비만과 대사증후군의 위험", 대한비만학회지, 21(2), pp.108~114 (2012), 대한비만학회[DOI]
- 김장락, "<사례보고> 건강증진을 위한 참여 학습의 적용 사례", 농촌의학.지역보건, 36(2), pp.130~142 (2011), 한국농촌의학.지역보건학회
- 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
- Kim, J. H., "Lifestyle-Based Physical Activity Intervention for One Year Improves Metabolic Syndrome in Overweight Male Employees", The Tohoku Journal of Experimental Medicine, 229(1), pp.11~17 (2013)
- 김남진, "직장인들의 생활습관행태와 건강상태의 관련성", 보건교육건강증진학회지, 24(2), pp.63~75 (2007), 한국보건교육건강증진학회
- 김신애, "Effectiveness of a Comprehensive Stress Management Program to Reduce Work-Related Stress in a Medium-Sized Enterprise", Annals of Occupational and Environmental Medicine, 26(1), pp.1~19 (2014), 대한직업환경의학회[DOI]
- 김영혜, "걷기운동이 비만여중생의 대사증후군 위험인자와 신체구성에 미치는 효과", Journal of Korean Academy of Nursing, 35(5), pp.858~867 (2005), 한국간호과학회
- Kobayashi, Y., "Effects of a worker participatory program for improving work environments on job stressors and mental health among workers : a controlled trial", Journal of Occupational Health, 50(6), pp.455~470 (2008)
- Kogi, K., "Participatory methods effective for ergonomic workplace improvement", Applied Ergonomics, 37(4), pp.547~554 (2006)
- Kogi, K., "JILAF POSITIVE programme Trainers' Manual for Occupational Safety and Health" (2002), Japan International Labour Foundation (JILAF)
- Kogi, K., "Low-cost work improvements that can reduce the risk of musculoskeletal disorders", International Journal of Industrial Ergonomics, 31(3), pp.179~184 (2003)
- Kwak, H. S., "Internet health information and health promotion behavior of employees", Korean Journal of Society of Health Information and Health Statistics, 33(1), pp.105~118 (2008)
- 권이승, "우리나라 성인의 대사증후군 관련인자 환경요인 -국민건강영양조사 제4기를 중심으로 -", 한국생활환경학회지, 19(6), pp.676~688 (2012), 한국생활환경학회
- 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)
- 이기홍, "한국인 급성 심근경색증 등록 연구에서 성별에 따른 임상적 특징과 초기 치료의 차이", Korean Circulation Journal, 37(3), pp.64~71 (2007), 대한심장학회
- 이강진, "한 사업장의 건강검진 사후관리시스템 효과 평가", Annals of Occupational and Environmental Medicine, 18(1), pp.1~14 (2006), 대한직업환경의학회
- Lee, W. Y., "Effects of smoking, alcohol, exercise, education, and family history on the metabolic syndrome as defined by the ATP III", Diabetes Research and Clinical Practice, 67(1), pp.70~77 (2005)
- Lim, S., "Increasing prevalence of metabolic syndrome in korea : The Korean National Health and Nutrition Examination Survey for 1998–2007", Diabetes Care, 34(6), pp.1323~1328 (2011)
- Meigs, J. B., "Epidemiology of the metabolic syndrome", The American journal of managed care, 8(11), pp.283~293 (2002)
- The third korea national health and nutrition examination survey, "Ministry of Health & Welfare", Ministry of Health & Welfare, ~ (2005)
- O'Donnell, M. P., "Health Promotion in the Workplace" (2002), Delmar
- Oh, S. W., "Korea national health and nutrition examination survey. association between cigarette smoking and metabolic syndrome: the korea national health and nutrition examination survey", Diabetes Care, 28(8), pp.2064~2066 (2005)
- Raimo, Lappalainen., "The effectiveness and applicability of different lifestyle interventions for enhancing wellbeing : the study design for a randomized controlled trial for persons with metabolic syndrome risk factors and psychological distress", BMC Public Health, 14, pp.310~ (2014)
- Thurman, J. E., "Higher productivity and a better place to work" (1988), ILO
- Tsutsumi, A., "Participatory intervention for workplace improvements on mental health and job performance among blue-collar workers : a cluster randomized controlled trial", Journal of Occupational & Environmental Medicine, 51(5), pp.554~563 (2009)
- Wannamethee, S. G., "Physical activity, metabolic factors, and the incidence of coronary heart disease and type 2 diabetes", Archives of Internal Medicine, 160(14), pp.2108~2116 (2000)
- Wirfalt, E., "Food patterns and components of the metabolic syndrome in men and women : a cross-sectional study within the Malmo diet and cancer cohort", American Journal of Epidemiology, 154(12), pp.1150~1159 (2001)
- 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, "중소규모 사업장의 작업관련성 근골격계질환 예방을 위한 참여형 개선기법(PAOT) 적용사례", Annals of Occupational and Environmental Medicine, 17(3), pp.249~258 (2005), 대한직업환경의학회
- Yoshikawa, T., "Development of a mental health action checklist for improving workplace environment as means of job stress prevention", Journal of Occupational Health, 49(4), pp.127~142 (2007)
