만성질환 교육이 고혈압, 당뇨병 환자의 지식수준에 미치는 영향
Effects of Chronic Disease Education for Hypertension, Diabetes Patients’s Knowledge
2
조회
0
다운로드
5
인용
0
참고문헌
키워드
초록
Objectives: This study is based on Public Care Service for Chronic Diseases in Incheon Metropolitan City featuring Health-Point Service. It is objective to evaluate whether the service could improve self-management ability of hypertension and diabetes patients. Methods: Theknowledge about diabetes and hypertension, which can be improved by educational intervention, is considered as one of the most importantfactor for self-management ability. While the education service have been conducted, 194 patients who have been diagnosed ashypertension and diabetes within 3 months were included. They completed questionnaires two times within 4 months period, which giveinformation about the knowledge, service registration and education experiences. For further inspection, 396 patients who had beendiagnosed formerly were studied by cross-sectional analysis. Results: Regardless of service registration or educational intervention, therewasn't statistically meaningful difference between the initial and the follow-up assessments on the knowledge. However, when investigatingformerly diagnosed patients, educated patients had better knowledge on hypertension compared with non-educated patients and registeredpatients, educated patients had the better knowledge on diabetes compared with non-registered patients, non-educated patients. Additionally,analyzing each questions, educated patients got higher grades in questions about definition of hypertension, diabetes managements whichthey can practice in daily lives. Conclusions: It is probable that long-term service registration and education experiences could improvethe knowledge and self-management ability.
Abstract
Objectives: This study is based on Public Care Service for Chronic Diseases in Incheon Metropolitan City featuring Health-Point Service. It is objective to evaluate whether the service could improve self-management ability of hypertension and diabetes patients. Methods: Theknowledge about diabetes and hypertension, which can be improved by educational intervention, is considered as one of the most importantfactor for self-management ability. While the education service have been conducted, 194 patients who have been diagnosed ashypertension and diabetes within 3 months were included. They completed questionnaires two times within 4 months period, which giveinformation about the knowledge, service registration and education experiences. For further inspection, 396 patients who had beendiagnosed formerly were studied by cross-sectional analysis. Results: Regardless of service registration or educational intervention, therewasn't statistically meaningful difference between the initial and the follow-up assessments on the knowledge. However, when investigatingformerly diagnosed patients, educated patients had better knowledge on hypertension compared with non-educated patients and registeredpatients, educated patients had the better knowledge on diabetes compared with non-registered patients, non-educated patients. Additionally,analyzing each questions, educated patients got higher grades in questions about definition of hypertension, diabetes managements whichthey can practice in daily lives. Conclusions: It is probable that long-term service registration and education experiences could improvethe knowledge and self-management ability.
참고문헌 (14)
- Choi, D. Y., "The comparison of recognition between non-medicated and medicated group in hypertensive patients", The Journal of the Korean Academy Family Medicine, 21(3), pp.406~414 (2000)
- Fitzgerald, J. T., "The reliability and validity of a brief diabetes knowledge test", Diabetes Care, 21(5), pp.706~710 (1998)
- 홍두호, "고혈압·당뇨병 신규 환자 발견 이후 지역사회 협력을 통한 등록관리가 치료순응도 및 혈압 및 혈당 조절에 미치는 영향", 농촌의학.지역보건, 33(3), pp.316~323 (2008), 한국농촌의학.지역보건학회
- 장현숙, "서울지역 일부 노인집단에 대한 만성질환관리 교육의 효과", 보건행정학회지, 20(3), pp.157~172 (2010), 한국보건행정학회
- 김윤미, "고혈압 노인에 대한 사례관리의 효과", 한국노년학, 26(3), pp.477~492 (2006), 한국노년학회
- "Results of Korea national health & nutrition examination survey(2010)" (2010)[URL]
- "Results of population projections(2010-2020)" (2011)[URL]
- "Statistics of death cause" (2011)[URL]
- Nine, S. L., "Community-based chronic disease management program for African Americans", Outcomes Manag, 7(3), pp.106~112 (2003)
- 오대규, "일 지역 만성질환관리 건강포인트사업이 고혈압 및 당뇨병관리 지식에 미치는 효과", 가정간호학회지, 19(1), pp.74~82 (2012), 한국가정간호학회[DOI]
- 오대규, "건강포인트제도가 건강관련 생활습관에 미치는 영향", 동서간호학연구지, 18(1), pp.25~30 (2012), 동서간호학연구소[DOI]
- Song, I. H., "Effects of a hypertension management program by Seongcheon primary health care post in South Korea: an analysis of changes in the level of knowledge of hypertension in the period from 2004 to 2009", Health Education Research, 27(3), pp.411~423 (2012)
- Viera, A. J., "High blood pressure knowledge among primary care patients with known hypertension : A North Carolina Family Medicine Research Network(NC-FM-RN)study", The Journal of the American Board of Family Medicine, 21(4), pp.300~308 (2008)
- Wagner, E. H., "Chronic disease management: What will it take to improve care for chronic illness?", Effective Clinic Practice, 1(1), pp.2~4 (1998)