Journal of the Korea Convergence Society (한국융합학회논문지)

Korea Convergence Society (한국융합학회)
권호 표지
DOI QR코드

DOI QR Code

Convergence study of the Disease Management Educational Experience and Cardiovascular Health Behaviors of Elderly Living Alone having Risk Factors of Metabolic Syndrome

대사증후군 위험 요인을 가진 독거노인의 질병관리교육 경험과 심혈관건강행태에 대한 융합적 연구

  • Kim, Jong Im (College of Nursing, Chungnam National University) ;
  • Kim, Yu Mi (Research Institute for Medical Sciences, Chungnam National University) ;
  • Park, Keum Ok (College of Nursing, Chungnam National University) ;
  • Kim, Tae Hui (College of Nursing, Chungnam National University)
  • Received : 2018.04.03
  • Accepted : 2018.06.20
  • Published : 2018.06.28
Download PDF
⟨ Previous Next ⟩

Abstract

This study was designed to investigate the effect of medical education on the health behavior of elderly people aged 65 years or older who have the diagnosis of metabolic syndrome. From 2014 community health survey data, 9042 people with hypertension and diabetes who had disease management education experience in elderly people over 65 years old were used as the final analysis data. Data were analyzed by Chi-square test and multi-variable logistic regression. The results of the study showed that the perceived rate of cardiovascular health factors was higher in the elderly living alone with disease management education (p <.001), and the probability of walking more than 3 days per week was 1.145(P = .002), not drinking at the present time was 1.212 times (p <.001), eating thinly was 1.184 times (p = .002). From the results of this study, it is required to develop the health promotion policy that reflects the importance of education by health care providers and the health information provided to the elderly living alone.

본 연구는 대사증후군의 진단에 포함된 고혈압, 당뇨병을 가진 65세 이상 독거노인을 대상으로 의료인이 행한 질병관리교육이 대사증후군 발생을 예방할 수 있는 건강행태에 미치는 영향을 밝히기 위한 조사연구이다. 2014년 지역사회건강 조사 자료로부터 10분이상의 질병관리 교육 경험에 대한 문항이 있는 고혈압과 당뇨병을 가진 독거노인 9,042명을 자료로 이용하였다. 자료의 분석은 ${\chi}^2-test$, 다중 로지스틱 회귀분석을 실시하였다. 연구의 결과는 질병관리교육 경험이 있는 독거노인의 경우, 심혈관 건강관련 인자의 수치에 대한 인지율이 높았으며(p<.001), 주당 3일 이상 걷기를 시행할 확률은 1.145배(p=.002), 현재 음주를 하지 않을 확률은 1.212배(p<.001), 싱겁게 먹을 확률은 1.184배(p=.002)로 나타났다. 본 연구결과로부터 독거노인에게 건강정보 제공시 의료인에 의한 교육의 중요성과 이를 반영한 건강증진정책의 개발이 요구된다.

Keywords

References

  1. StatisticsKorea. (2015). Statistics Korea, 2016.
  2. O. P. Almeida et al. (2012). Factors associated with suicidal thoughts in a large community study of older adults. The British Journal of Psychiatry, 201(6), 466-472. DOI : 10.1192/bjp.bp.112.110130
  3. National Health Insurance Service (2017). Statistical Yearbook of Health Checkup 2016.
  4. J. A. Udell et al. (2012). Living alone and cardiovascular risk in outpatients at risk of or with atherothrombosis. Archives of Internal Medicine, alone and cardiovascular risk in outpatients at risk of or with atherothrombosis. Archives of Internal Medicine, 172(14), 1086-1095. DOI :10.1001/archinternmed.2012.2782
  5. D. M. Lloyd-Jones. (2010). Defining and Setting National Goals for Cardiovascular Health Promotion and Disease Reduction. The American Heart Association's Strategic Impact Goal Through 2020 and Beyond, 121(4), 586-613. DOI : 10.1161/circulationaha.109.192703
  6. J. Lee, J. S. Lee & J. H. Park. 2012). Metabolic syndrome perception and exercise behaviors in the elderly. Korean Journal of Health Education and Promotion, 29(5), 61-75.
  7. S. H. Cho, M. J. Choi & M. H. Jeong. (2012). Metabolic syndrome risk factors related to severity of coronary artery diseases in patients with acute myocardial infarction. Journal of Korean Clinical Nursing Research, 18(1), 171-181. https://doi.org/10.22650/JKCNR.2012.18.1.171
  8. M. J. Kim. (2016). The Convergence correlational Study on Office Workers' Health Related Behaviors and Prevalence Rates of Metabolic Syndrome. Journal of the Korea Convergence Society, 7(3), 99-109. DOI : 10.15207/JKCS.2016.7.3.099
  9. H. H. Sung & J. Yoon. (2015). Study on convergence Using Carotid Ultrasonograhy in Metabolic Syndrome risk factor. Journal of the Korea Convergence Society, 6(6), 195-200. DOI : 10.15207/JKCS.2015.6.6.195
  10. J. S. Kang, H. S. Kang, E. K. Yun & H. R. Choi. (2012). Factors influencing health behavior compliance of patients with metabolic syndrome. Korean Journal of Adult Nursing, 24(2), 191-199. DOI : 10.7475/kjan.2012.24.2.191
  11. I. A. Chun, S. Y. Ryu, H. H. Park, J. Park, M. A. Han & S. W. Choi. 2013). Associations between the Practice of Health Behaviors and Awareness of Metabolic Syndrome among Adults (19-64 years) in the Gwangju-Jeonnam Area: 2010 Community Health Survey. Journal of agricultural medicine and community health, 38(4), 217-228. DOI : 10.5393/JAMCH.2013.38.4.217
  12. M. K. Kim et al. (2014). 2014 clinical practice guidelines for overweight and obesity in Korea. Endocrinology and Metabolism, 29(4), 405-409. https://doi.org/10.3803/EnM.2014.29.4.405
  13. H. R. Kim & H. G. Son. (2012). Prevalence of hypertension and its risk factors among aged 65 and over in Korea. Journal of Korean Biological Nursing Science, 14(4), 282-290. DOI: 10.7586/jkbns.2012.14.4.282
  14. M. J. Seo. (2015). Metabolic syndrome medical expenses 4.7 trillion, half of 'hypertension'. Medical Observer.
  15. Korea Centers for Disease Control and Prevention. (2014). The 3rd national health and nutrition survey analysis report: examination section. Cheongju : KCDC
  16. W. Cheong. J. Yim, D. K. Oh, J. S. Im, K. P. Ko & Y. M. Kim. (2013). Effects of chronic disease management based on clinics for blood pressure or glycemic control in patients with hypertension or type 2 diabetes mellitus. Journal of agricultural medicine and community health, 38(2), 108-115. https://doi.org/10.5393/JAMCH.2013.38.2.108
  17. Y. S. Lee. (2016). The Effect of Public Health Center Program participation on Metabolic Syndrome and Risk of Disease in Middle-aged and Elderly Women. Journal of the Korea Convergence Society, 7(6), 317-325. DOI : 10.15207/JKCS.2016.7.6.317
  18. J. H. Kim & S. A. Chang. (2009). Effect of diabetes education program on glycemic control and self management for patients with type 2 diabetes mellitus. Korean Diabetes Journal, 33(6), 518-525. https://doi.org/10.4093/kdj.2009.33.6.518
  19. J. Y. Ye, S. H. Min & M. J. Lee. (2017). Effect of Diabetic Dietary Education Program on Diabetes Knowledge and Dietary Behaviors of Elderly Diabetic Patients. Korean Journal of Food and Cookery Science, 33(5), 601-608. DOI : 10.9724/kfcs.2017.33.5.601
  20. B. Strasser. (2013). Physical activity in obesity and metabolic syndrome. Annals of the New York Academy of Sciences, 1281(1), 141-159. DOI : 10.1111/j.1749-6632.2012.06785.x
  21. E. E. Korkiakangas, M. A. Alahuhta & J. H. Laitinen (2009). Barriers to regular exercise among adults at high risk or diagnosed with type 2 diabetes: a systematic review. Health promotion international, 24(4), 416-427. https://doi.org/10.1093/heapro/dap031