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Effects of an Extreme Heat Adaptation Program in Hypertensive Patients

고혈압환자의 폭염 적응력 증진을 위한 프로그램 효과

Jeong, Seong Hee;Kim, Nam Soon;Chae, Sumi;Lee, Eun Ju
정성희;김남순;채수미;이은주

  • Received : 2014.04.18
  • Accepted : 2014.07.01
  • Published : 2014.08.31

Abstract

Purpose: The purpose of this study was to identify the effects of an extreme heat Adaptation Program on the blood pressure, stress response, self-efficacy, and knowledge of management of hypertension and extreme heat of patients who suffered from hypertension. Methods: A quasi-experimental study with a non-equivalent control group pretest-posttest design was used. The data collection period was between July 2 and August 20, 2012. Thirty-seven patients participated in the study (18 in the experimental group and 19 in the control group). Data were analyzed using $X^2$-test, t-test, and Cronbach's alpha coefficients with SPSS/WIN 19.0. Results: Patients who participated in the program showed statistically significant improvements in systolic blood pressure (SBP), self-efficacy, and knowledge of management of hypertension and extreme heat. Conclusion: The results indicate that this extreme heat adaptation program can be utilized for patients suffering from hypertension in order to reduce their SBP and to increase self-efficacy and knowledge of management of hypertension and extreme heat. Therefore, it is recommended that this program be used for elderly patients suffering from chronic disease.

Keywords

Climate change;Extreme heat;Hypertension;Self-efficacy;Knowledge

References

  1. Gi, M., & Park, Y. (2012). The effects of hypertension self-help program on hypertension-related knowledge, self-efficacy, self-management compliance and physiological parameters in workers. Korean Journal of Occupational Health Nursing, 21(1), 1-9. http://dx.doi.org/10.5807/kjohn.2012.21.1.1 https://doi.org/10.5807/kjohn.2012.21.1.1
  2. Bandura, A.(1977). Social Learning Theory. New York: Prentice Hall.
  3. Climate Research Division (2005). The application of regional climate change scenario for the national climate change report(1). National Institute of Meteorological Research. Jeju.
  4. Eum, S. O., & Lee, I. (2013). The health care status and healthy life practices of hypertensive patients. Perspectives in Nursing Science, 10(1), 32-40.
  5. Glazer, J. L. (2005). Management of heatstroke and heat exhaustion. American Family Physician, 71(11), 2133-2140.
  6. Gong, M. H. (2004). Relation of cognitive style and emotional response on listening to music. Unpublished master's thesis, Ewha Womans University, Seoul.
  7. Haiat, S., O'Connor, M., & Kosatsky, T. (2010). Health effects of hot weather: from awareness of risk factors to effective health protection. Lancet, 375(9717), 856-863. http://dx.doi.org/10.1016/S0140-6736(09)61711-6 https://doi.org/10.1016/S0140-6736(09)61711-6
  8. Hyoung, H. K., & Jang, H. (2011). The comparison of health status and health behavior among hypertension group, DM group, and hypertension-DM group for the aged provided with customized home care service by visiting nurses. Journal of Korean Academy of Community Health Nursing, 22(1), 11-21. https://doi.org/10.12799/jkachn.2011.22.1.11
  9. Jang, D. M., Kang, S. H., Kim, D. H., & Suh, C. J. (2008). Related factors of awareness, treatment, and control of hypertension in Korea. Health and Social Science, 24, 43-66.
  10. Kenny, G. P., Yardley, J., Brown, C., Sigal, R. J., & Jay, O. (2010). Heal stress in older individuals and patients with common chronic diseases. Canadian Medical Association Journal, 182(10), 1053-1060. DOI:10.1503/cmaj.081050 https://doi.org/10.1503/cmaj.081050
  11. Jang, M. Y. (2011). Effects of Tai chi exercise program applying laughter therapy on blood pressure, stress response and depression in elderly with hypertension. Unpublished doctoral dissertation, Seoul National University, Seoul.
  12. Jang, Y. J. (2007). Effects of a comprehensive education program on the self-efficacy and health behavior performance in patients with hypertension. Unpublished master's thesis, Ajou University, Suwon.
  13. Jeon, H. J. (2011). Effect of climate change on the health of vulnerable populations-Health impact assessment of weather variables-. Unpublished doctoral dissertation, Hanyang University, Seoul.
  14. Kim, H. J. (2009). The effect of music therapy on the stabilization of blood pressure in the hypertensive patients. Unpublished master's thesis, Soonchunhyang University, Asan.
  15. Kim, M. S. (2010). Factors related to life satisfaction of elderly patients with hypertension-Centering on subjective health status and health promoting behaviors-. Unpublished master's thesis, Catholic University of Busan, Busan.
  16. Kim, M. S., & Song, M. (2013). The effects of 6 months lifestyle coaching program for adults with hypertension. Perspectives in Nursing Science, 10(2), 111-119.
  17. Kim, S. Y. (2004). The impact of summer heatwave on mortality. Unpublished doctoral dissertation, Ajou University, Suwon.
  18. Koh, K. B., Park, J. K., & Kim, C. H. (2000). Development of the stress response inventory. Journal of The Korean Neuropsychiatric Association, 39(4), 707-719.
  19. Nam, H. J. (2003). The relationship between perception of hypertension and low sodium diet practices. Unpublished doctoral dissertation, Myongji University, Seoul.
  20. Lee, H. J., & Kang, H. J. (2002). The benefits of aerobics on self-efficacy, blood pressure, and cardiopulmonary function in an essential hypertension female. Korean Journal of Sport Science, 13(4), 9-22.
  21. Lee, J. K. (2013). Evaluation of a medication self-management education program for elders with hypertension living in the community. Journal of Korean Academy of Nursing, 43(2), 267-275. http://dx.doi.org/10.4040/jkan.2013.43.2.267 https://doi.org/10.4040/jkan.2013.43.2.267
  22. Ministry of Health & Welfare. (2010). Manual on health care for extreme heat. Sejong.
  23. Oakman, T., Byles-Drage, H., Pope, R., & Pritchard, J. (2010). Beat the Heat: don't forget your drink- a brief public education program. Australian and New Zealand Journal of Public Health, 34(4), 346-350. https://doi.org/10.1111/j.1753-6405.2010.00564.x
  24. Park, Y. I. (1994). Effects of self control program for self care promotion of patients with primary hypertension. Doctoral dissertation, Seoul National University, Seoul.
  25. Rosenthal, J. P., & Jessup, C. M. (2009). Global climate change and health: developing a research agenda for the NIH. Transactions of the American Clinical Climatological Association, 120, 129-141.
  26. So, E., & Lee, I. (2010). Meta-analysis of hypertension-related nursing intervention programs, Journal of East-West Nursing Research, 16(1), 11-18.
  27. Suh, H. W. (2004). The effect of resistance strength training on the ambulatory blood pressure responses in hypertensive elderly. Unpublished master's thesis, Kookmin University, Seoul.
  28. Walker, R., Hassall, J., Chaplin, S., Congues, J., Bajayo, R., & Mason, W. (2011). Health promotion interventions to address climate change using a primary health care approach: literature review. Health Promotion Journal of Australia, 22, S6-S12.
  29. Yu, S., & Kim, K. (2003). The effects of abdominal relaxed breathing exercises using biofeedback on stress response and blood pressure in elderly people with hypertension. Journal of Korean Academy of Fundamentals of Nursing, 10(1), 14-22.
  30. Yu, S. J., Song, M. S., & Lee, Y. J. (2001). The effects of self-efficacy promotion and education program on self-efficacy, self-care behavior, and blood pressure for elderly hypertensives. Korean Journal of Adult Nursing, 13(1), 108-122.

Acknowledgement

Supported by : 한국보건사회연구원