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강원도 보건진료소 고혈압 환자의 원격관리시스템 적용 효과

The Effect of the Telemedicine Service System Application for the Patients with Hypertension at Community Health Practitioner Posts in Gangwon Province

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참고문헌

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초록

Objectives: This study is to identify the effects of utilizing a telemedicine service system on patients with hypertension at homein rural areas. Methods: The study was designed to be a retrospective case-control study. The subjects of this study were 152patients with hypertension who were managed by community health practitioner posts; using telemedicine service system group(n=76), usual care group (n=76). The data was collected through EMR (electric medical record) from September to December,2013, and analyzed by descriptive statistics and x2/t-test, and ANCOVA. Results: The analysis showed that telemedicine servicesystem was an effective way to deal with body weight (F=4.723, p=.031) and BMI (F=5.225, p=.024). Conclusions: This studyprovides evidence for utilizing the telemedicine service system based on information technology as intervention method in thehypertension management.

Abstract

Objectives: This study is to identify the effects of utilizing a telemedicine service system on patients with hypertension at homein rural areas. Methods: The study was designed to be a retrospective case-control study. The subjects of this study were 152patients with hypertension who were managed by community health practitioner posts; using telemedicine service system group(n=76), usual care group (n=76). The data was collected through EMR (electric medical record) from September to December,2013, and analyzed by descriptive statistics and x2/t-test, and ANCOVA. Results: The analysis showed that telemedicine servicesystem was an effective way to deal with body weight (F=4.723, p=.031) and BMI (F=5.225, p=.024). Conclusions: This studyprovides evidence for utilizing the telemedicine service system based on information technology as intervention method in thehypertension management.

참고문헌 (28)

  1. Artinian, N. T., "Effects of nurse-managed telemonitoring on blood pressure at 12-month follow-up among urban African Americans", Nursing research, 56(5), pp.312~322 (2007)[DOI]
  2. Bosworth, H. B., "Home blood pressure management and improved blood pressure control:results from a randomized controlled trial", Archives of internal medicine, 171(13), pp.1173~[DOI]
  3. Bove, A. A., "Managing hypertension in urban undeserved subjects using telemedicine-A clinical trial", American Heart Journal, 165(4), pp.615~621 (2013)[DOI]
  4. 정원, "고혈압·당뇨병 환자의 혈압·혈당 조절에 미치는 의원 기반 만성질환관리사업의 효과", 농촌의학.지역보건, 38(2), pp.108~115 (2013), 한국농촌의학.지역보건학회
  5. 정영순, "고혈압관리에서의 스마트케어 서비스의 효과", 한국산학기술학회논문지, 14(3), pp.1213~1220 (2013), 한국산학기술학회[DOI]
  6. 2013 an annual meeting of medical treatment affairs, "Gangwondo, department of health policy", ~ (2013)
  7. 2013a report of operation status of health clinics, "Gangwondo, department of health policy internal data", ~ (2014)
  8. Gangwondo, public u-health service operating performance –Telemedicine centered on chronic disease-, "Gangwondo", ~ (2013)
  9. 전은영, "유산소운동이 본태성 고혈압 대상자의 건강상태에 미치는 효과", 재활간호학회지, 6(2), pp.173~182 (2003), 한국재활간호학회
  10. Jang, M. W., "The influences of telemedicine on diabetes care (mainly focus on rural areas in Gangwon-do)", master, pp.2008
  11. Kim, K. H., "Compliance of hypertensive patients registered in primary health care posts implementing the Gangwon Telemedicine Service System", Journal of the Korea Society of Health Informatics and Statistics, 33(2), pp.59~76 (2008)
  12. Kim, S. J., "Estimating the willingness-to-pay for telehealth services of chronic disease in rural area", Journal of the Korean Society of Health Information and Health Statistics, 32(1), pp.17~31 (2007)
  13. 권명순, "보건진료원의 원격관리 경험", 보건교육건강증진학회지, 30(2), pp.23~39 (2013), 한국보건교육건강증진학회
  14. Ko, I. S., "Effects of health education on the knowledge and self-care of hypertension for visiting nursing clients", Journal of Korean Public Health Nursing, 21(2), pp.134~145 (2007)
  15. Korea health statistics 2012 : Korea national health and nutrition examination survey (KNHANESV-3), "Korea Centers for Disease Control and Prevention", ~, pp.Report No.:11-1351159000027-10 (2013)
  16. Lee, H. J., "The effect of individual health education the medical clinic of public health center on knowledge, self-efficacy, and self-care behavior in clients with hypertension", Journal of Korean Public Health Nursing, 21(1), pp.15~24 (2004)
  17. 이재국, "보건진료소 만성질환 원격의료서비스의 질과 접근성이 환자만족도, 치료순응도, 재이용 의도에 미치는 영향", 보건정보통계학회지, 35(2), pp.149~176 (2010), 한국보건정보통계학회
  18. Lee, K. E., "Outcome evaluation of Tele-health for chronic disease in Kangwon Province", Health and welfare policy forum, 106, pp.63~79 (2005)
  19. Ministry of Health and Welfare, "Community Health Practitioners of patient care guidelines", ~ (2002)
  20. Senior Survey 2011, "Ministry of Health and Welfare", ~, pp.Report No.: 11-1352000-000672-12 (2012)
  21. "The enforcement decree of special measures act for rural health care" (2014)[URL]
  22. 문은혜, "만 50세 이상 고혈압 성인 대상 영양교육의 효과 평가", 대한지역사회영양학회지, 16(1), pp.62~74 (2011), 대한지역사회영양학회
  23. 박정숙, "일 지역 맞춤형 방문건강관리사업의 고혈압․당뇨병 사례관리 효과분석", 한국보건간호학회지, 24(1), pp.135~150 (2010), 한국보건간호학회
  24. Enhancing acceptance of telehealth for the public sector, "Ryu, S. W.", Korea Institute for Health and Social Affairs, ~ (2004)
  25. The operational reality and performance evaluation of Kangwon chronic disease telemedicine service system, "Ryu, S. W.", Korea Institute for Health and Social Affairs, ~ (2006)
  26. Shea, S., "A randomized trial comparing telemedicine case management with usual care in older, ethnically diverse, medically undeserved patients with diabetes mellitus", Journal of the American Medical Informatics Association, 13(1), pp.40~51 (2006)[DOI]
  27. 소은선, "고혈압 간호중재의 혈압하강 효과에 대한 메타분석", 동서간호학연구지, 16(1), pp.11~18 (2010), 동서간호학연구소
  28. "Statistics on the elderly in 2013" (2013)[URL]

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