Journal of Korean Public Health Nursing (한국보건간호학회지)

Korean Society of public Health Nursing (한국보건간호학회)
권호 표지
DOI QR코드

DOI QR Code

Health related Lifestyles, Self-efficacy and Health related Quality of Life by the Types of Hypertension Management in Community Health Posts

보건진료소의 고혈압 관리방법에 따른 건강생활습관, 자기효능감 및 건강관련 삶의 질

  • Received : 2015.12.03
  • Accepted : 2015.12.28
  • Published : 2015.12.31
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: This study was conducted to confirm the factors affecting recipients' quality of life by two types of hypertension management, one was telemedicine provided by community health posts(CHPs) in a rural area, the other was traditional hypertension management by comparing patients' health related lifestyles, self-efficacy and health related quality of life. Methods: The study was conducted from February 1, 2015 through April 25, 2015 on 193 hypertension patients in 6 CHPs consisting of 98 patients in 2 CHPs running telemedicine and 95 patients in 4 CHPs running traditional hypertension management services. The data were analyzed and assessed with frequency, percentage, chi-square test and multiple regression. Results: Self-efficacy and health related quality of life were high for the subjects managed by traditional hypertension management services. Self-efficacy, age, hobby, balanced meals, more than 7~8 hours sleep and regular exercise, which affected the quality of life for recipients were explanatory in 45.9%(F=22.368, p<.001). Conclusion: When any services utilizing telemedicine are provided in the future, consideration of emotional aspects including self-efficacy and quality of life is recommended.

Keywords

References

  1. Ahn, M. E. & Choi, G. H. (2009). A developmental process of telemedicine, e-health & u-health. Journal of Korean Medical Association, 52(12), 1131-1140. http://dx.doi. org/10.5124/jkma.2009.52.12.1131
  2. Blum, K. & Gottlieb, S. S. (2014). The effect of a randomized trial of home telemonitoring on medical costs, 30-day readmissions, mortality, and health-related quality of life in a cohort of community-dwelling heart failure patients. Journal of cardiac failure, 20(7), 513-521. http://dx.doi.org/10.1016/ j.cardfail.2014.04.016
  3. Choi, H. & Kim, J. (2014). Low-income elders' experiences in using u-health (ubiquitous healthcare) services. Journal of Korean Academy Community Health Nursing, 25(4), 270-281. http://dx.doi.org/10.12799/jkachn.2014.25.4.270
  4. Choi, M. N. & Lee, E. H. (2015). Relationships of depression symptom, self-esteem, and stress to health-related quality of life in patients with hypertension registered to a community health center. Journal of Korean Public Health Nursing, 29(2), 165-176. http://dx.doi.org/10.5932/JKPHN.2015.29.2.165
  5. Cho, J. M. (2013). Factors influencing the quality of life in low-income elders living at home: a literature review. Journal of Korean Public Health Nursing, 27(2), 372-383. http://dx.doi.org/10.5932/JKPHN.2013.27.2.372
  6. Health Insurance Review and Assessment Service. (2015, February). Treatment Cost Statistical Indices 2014. Retrieved June, 17, 2015, from http://www.hira.or.kr/dummy.do?pgmid=HIRAA020045010000&cmsurl=/cms/open/04/02/03/01/1332397_24994.ht ml&subject=2014
  7. Jung, H. S., Lee, B. I., Kwon, Y. H., Min, K. R., & Myung, S. Y. (2014). The effects of u-health program on metabolic syndrome of workers. Korean Journal of Occupational Health Nursing, 23(1), 47-54. http://dx.doi.org/10.5807/kjohn.2014.23.1.47
  8. Kang, S. Y. & Park, I. H. (2013). Construction of a model of quality of life in longevity region dwelling elders. Journal of Korean Academy Community Health Nursing, 24(3), 302-313. http://dx.doi.org/10.12799/jkachn.2013.24.3.3 02
  9. Kim, K. H., Lee, M. O., Lee, J. G., & Ryu, S. W. (2008). Compliance of hypertensive patients registered in primary health care posts implementing the Gangwon telemedicine service system. Journal of the Korean Society of Health Informatics and Statistics, 33(2), 59-76.
  10. Korea Institute for Health and Social Affairs. (2014, December). A Report on the Korea Health Panel Survey of 2012 (Report 2014 -31). Sejong: Author.
  11. Kwon, M. S., Noh, G. Y., & Choi, J. (2014). The effect of the telemedicine service system application for the patients with hypertension at community health practitioner posts in Gangwon province. Korean Journal of Health Education and Promotion, 31(2), 55-64. http://dx.doi.org/10.14367/kjhep.2014.31.2.55
  12. Lee, D. H. & Bin, S. O. (2011). Structure relationships for diseased and health-related quality of life in the elderly. The Journal of the Korea Contents Association, 11(1), 216-224. http://dx.doi.org/10.5392/JKCA.2011.11.1.216
  13. Lee, H., Cho, S. H., Kim, J. H., Kim, Y. K., & Choo, H. I. (2014). Influence of self efficacy, social support and sense of community on health-related quality of life for middle-aged and elderly residents living in a rural community. Journal of Korean Academy of Nursing, 44(6), 608-616. http://dx.doi.org/10.4040/jkan.2014.44.6. 608
  14. Lee, J. & Lee, Y. (2012). Comparison of healthy life style and chronic disease management between urban and rural older adults. The Korean Journal of Rehabilitation Nursing, 15(2), 100-108. http://dx.doi.org/10.7587/kjrehn.2012.100
  15. Lee, S. H. & Yang, S. O. (2010). The effects of chronic musculoskeletal pain and depression on health-related quality of life by gender in community-dwelling older adults. Journal of Korean Academy Community Health Nursing, 21(1), 21-30. http://dx.doi.org/10.12799/ jkachn.2010.21.1.21
  16. Lee, S. M. (2010). A study on employees' health status and quality of life by using SF-12, Unpublished master's thesis, Catholic University, Seoul.
  17. Ministry of Government Legislation. (2014, February). The enforcement decree of special measures act for rural health care. Retrieved June 17, 2015, from http://www.law.go.kr/ lsInfoP.do?lsiSeq=146278&efYd=20131212 #AJAX
  18. Ministry of Health and Welfare. (2014, August). Community Health Practitioners of patient care guidelines. Retrieved June 17, 2015, from http://www.mohw.go.kr/front_new/jb/ sjb0406vw.jp?PAR_MENU_ID=03&MENU_I D=030406&CONT_SEQ=322005&page=1
  19. Park, G. S. (2012). Research on utilizing u-health to provide telehealth care to the elderly in rural areas. The e-Business Studies, 13(1), 463-486. http://dx.doi.org/10.15719/geba.13.1.201203.463
  20. Park, K. Y. (2013). Factors influencing health -related quality of life by gender among elderly beneficiaries of the national basic livelihood security system : using the community health survey, 2010. Journal of the Korean Data Analysis Society, 15(6B), 3219-3233.
  21. Ryu, S. W., Lee, H. S., Lee, K. H., & Yoon, J. Y. (2006, November). The operational reality and performance evaluation of Kangwon chronic disease telemedicine service system (Report 2006-40). Sejong: Korea Institute for Health and Social Affairs.
  22. Schwarzer, R., Born, A., Iwawaki, S., & Lee, Y. M. (1997). The assessment of optimistic self-beliefs: comparison of the Chinese, Indonesian, Japanese, and Korean versions of the general self-efficacy scale. Psychologia: An International Journal of Psychology in the Orient, 40(1), 1-13. http://dx.doi.org/10.1080/026999497378557
  23. Shin, G. & Kim, E. K. (2014). Factors associated with health-related quality of life in vulnerable elderly women. Journal of Korean Public Health Nursing, 28(3), 419-431. http://dx.doi.org/10.5932/JKPHN.2014.28.3.419
  24. Song, T. M., Lee, S. Y., Lee, G. H., Park, D. S., Jin, D. R., Ryu, S. W., & Jang, S. H. (2011, August). u-Health: current status and tasks ahead (Research report 2011-01). Seoul: Korea Institute for Health and Social Affairs. https://www.kihasa.re.kr/html/jsp/english/public/view.jsp?bid=30&ano=439.
  25. Statistics Korea. (2014, September). Senior Survey 2014. Sejong: Author. Retrieved June, 20, 2015, from http://kostat.go.kr/portal/ korea/kor_nw/2/1/indexboard?bmode=read &aSeq=330349
  26. Svetkey, L. P., Pollak, K. I., Yancy, W. S., Dolor, R. J., Batch, B. C., Samsa, G., Matchar, D. B., & Lin, P. H. (2009). Hypertension improvement project randomized trial of quality improvement for physicians and lifestyle modification for patients. Hypertension, 54(6), 1226-1233. http://dx.doi.org/10.1161/hypertensionaha.109.134 874
  27. van den Berg, N., Schumann, M., Kraft, K., & Hoffmann, W. (2012). Telemedicine and telecare for older patients-a systematic review. Maturitas, 73(2), 94-114. http://dx.doi.org/10.1016/j.maturitas.2012.06.010
  28. Verberk, W. J., Kessels, A. G., & Thien, T. (2011). Telecare is a valuable tool for hypertension management, a systematic review and meta-analysis. Blood Pressure Monitoring, 16(3), 149-155. http://dx.doi.org/10.1097/mbp.0b013e32834 6e092
  29. Ware Jr, J. E., Kosinski, M., & Keller, S. D. (1996). A 12-item short-form health survey: construction of scales and preliminary tests of reliability and validity. Medical care, 34(3), 220-233. http://dx.doi.org/10.1097/00005650-199603000-00003
  30. Wildevuur, S. E. & Simonse, L. W. (2015). Information and communication technology- enabled person-centered care for the "big five" chronic conditions: scoping review. Journal of medical Internet research, 17(3). e77. http://dx.doi.org/10.2196/jmir.3687

Cited by

  1. Qualitative Analysis of Tele-healthcare Systems based on the Diffusion of Innovation Model vol.28, pp.2, 2017, https://doi.org/10.12799/jkachn.2017.28.2.129