농촌의학ㆍ지역보건 (Journal of agricultural medicine and community health)

한국농촌의학지역보건학회 (Korean Society for Rural Medicine and Community Health)
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고혈압·당뇨병 신규 환자 발견 이후 지역사회 협력을 통한 등록관리가 치료순응도 및 혈압 및 혈당 조절에 미치는 영향

Impact of Registration Program after Hypertensive or Diabetic Patient Detection through Community Partnership on Compliance and Blood Pressure or Blood Sugar Control

  • 홍두호 (가천의과학대학교 의학전문대학원 의학교육실) ;
  • 서화정 (가천의과학대학교 보건대학원 의료정보학과) ;
  • 강경희 (가천의과학대학교 임상보건과학부 응급구조학과) ;
  • 김은주 (경인여자대학 간호학과) ;
  • 임정수 (가천의과학대학교 의학전문대학원 예방의학과) ;
  • 오대규 (가천의과학대학교 의학전문대학원 예방의학과) ;
  • 임준 (가천의과학대학교 의학전문대학원 예방의학과)
  • Hong, Du-Ho (Department of Medical Education, Graduate School of Medicine, Gachon University of Medicine and Science) ;
  • Seo, Hwa-Jeong (Department of Health Informatics, Graduate School of Public Health, Gachon University of Medicine and Science) ;
  • Kang, Kyoung-Hee (Department of Emergency Rescue, Division of Health Clinical Science, Gachon University of Medicine and Science) ;
  • Kim, Eun-Ju (Department of Nursing, Kyungin Women's College) ;
  • Im, Jeong-Soo (Department of Preventive Medicine, Graduate School of Medicine, Gachon University of Medicine and Science) ;
  • Oh, Dae-Kyu (Department of Preventive Medicine, Graduate School of Medicine, Gachon University of Medicine and Science) ;
  • Yim, Jun (Department of Preventive Medicine, Graduate School of Medicine, Gachon University of Medicine and Science)
  • 발행 : 2008.12.20
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초록

= ABSTRACT = Objectives : Incheon metropolitan city has set a model program of community partnership for hypertensive or diabetic patients detection and follow-up since 2005. This study examines the effects of the model on the compliance and the control of blood pressure or blood sugar level Methods : Telephone-surveys were done for 140 persons selected from 408 patients who were detected newly as hypertensive or diabetic patients at Gangwha-Gun and Seo-Gu in Incheon between January 1st and August 31th in 2006, and finally completed in 110 patients(78.6%). Survey questionnaires included socio-demographic(age, gender, and educational level), health behavioral (smoking, drinking, physical activity, and diet), and therapy-related (registration state, compliance, blood pressure or blood sugar control) variables. Odds ratio and 95% CI were derived from logistic regression model. Results : Registered group exhibited high compliance and well managed blood pressure or blood sugar level. The odds ratio of registration were 5.55(95% CI:1.83~16.89) for compliance and 3.78(95% CI:1.43~9.99) for blood pressure or blood sugar control after adjusting for age, gender, disease, and area Conclusions : It is independently related to compliance and blood pressure or blood sugar control whether the patient is registered or not. To control hypertension or diabetes mellitus in terms of compliance and control state, a community-based registration program through community partnership could be a powerful tool.

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참고문헌

  1. Franco LJ, Stern MP, Rosenthal M, Haffner SM, Hazuda HP, Comeaux PJ. Prevalence, detection, and control of hypertension in a biethnic community: The San Antonio Heart Study. Am J Epidemiol 1985;121:684-696 https://doi.org/10.1093/aje/121.5.684
  2. Beevers DG, MacGregor GA. Hypertension in practice. London, Martin Dunitz Ltd., 1987, pp17-18
  3. Kim CY, Lee KS, Khang YH, Yim J, Choi YJ, Lee HK, Lee KH, Kim YI. Health behaviors related to hypertension in rural population of Korea. Korean J Prev Med 2000;33(1):56-58(Korean)
  4. Odegard PS, Goo A, Hummel J, Williams KL, Gray SL. Caring for poorly controlled diabetes mellitus: a randomized pharmacist intervention. Ann Pharmacother 2005;39(3):433-440 https://doi.org/10.1345/aph.1E438
  5. Jeavons D, Hungin AP, Cornford CS. Patients with poorly controlled diabetes in primary care: healthcare clinicians' beliefs and attitudes. Postgrad Med J 2006;82(967):347-350 https://doi.org/10.1136/pgmj.2005.039545
  6. Chobanian AV, Bakris GL, Black HR, Cushman WC, Green LA, Izzo JL Jr, Jones DW, Materson BJ, Oparil S, Wright JT Jr, Roccella EJ; Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure. National Heart, Lung, and Blood Institute; National High Blood Pressure Education Program Coordinating Committee. Seventh report of the Joint National Committee on prevention, detection, evaluation, and treatment of high blood pressure. Hypertension 2003;42(6):1206-1252 https://doi.org/10.1161/01.HYP.0000107251.49515.c2
  7. Egan BM, Basile JN. Controlling blood pressure in 50% of all hypertensive patients: an achievable goal in the healthy people 2010 report? J Investig Med 2003;51(6):373-385 https://doi.org/10.2310/6650.2003.8979
  8. Joshy G, Simmons D. Epidemiology of diabetes in New Zealand: revisit to a changing landscape. N Z Med J 2006;119(1235):U1999
  9. Song HJ. Changes in health indicators and policy implications in Korea. Policy forum 2003;80(6):5-17(Korean)
  10. 조종희, 김창엽, 최문성, 홍수진, 오창석, 황원숙. 지역사회 고혈압 관리사업을 위한 민.관협력 체계 구축 방안에 관한 연구. 보건복지부, 2001, 37-40
  11. Johnson EA, Webb WL, McDowall JM, Chasson LL, Oser CS, Grandpre JR, Marasinghe MI, Butcher MK, O'Leary EM, Harwell TS, Gohdes D, Helgerson SD. A field-based approach to support improved diabetes care in rural states. Prev Chronic Dis 2005;2(4):A08
  12. Wells KB, Staunton A, Norris KC, Bluthenthal R, Chung B, Gelberg L, Jones L, Kataoka S, Koegel P, Miranda J, Mangione CM, Patel K, Rodriguez M, Shapiro M, Wong M. Building an academic-community partnered networkfor clinical services research: the Community Health Improvement Collaborative(CHIC). Ethn Dis 2006;16(1):S3-17
  13. Levine DM, Bone LR, Hill MN, Stallings R, Gelber AC, Barker A, Harris EC, Zeger SL, Felix-Aaron KL, Clark JM. The effectiveness of a community/academic health center partnership in decreasing the level of blood pressure in an urban African-American population. Ethn Dis 2003;13(3):354-361
  14. Graber AL, Elasy TA, Quinn D, Wolff K, Brown A. Improving glycemic control in adults with diabetes mellitus: shared responsibility in primary care practices. South Med J 2002;95(7):684-690 https://doi.org/10.1097/00007611-200207000-00007
  15. Wang CY, Abbott LJ. Development of a community-based diabetes and hypertension preventive program. Public Health Nurs 1998;15(6):406-414 https://doi.org/10.1111/j.1525-1446.1998.tb00367.x
  16. Grey N, Maljanian R, Staff I, Cruzmarino de Aponte M. Improving care of diabetic patients through a collaborative care model. Conn Med 2002;66(1):7-11
  17. Carter BL. Implementing the new guidelines for hypertension: JNC 7, ADA, WHO-ISH. J Manag Care Pharm 2004;10(5):S18-25 https://doi.org/10.18553/jmcp.2004.10.S5-A.S18
  18. Rosenman MB, Holmes AM, Ackermann RT, Murray MD, Doebbeling CC, Katz B, Li J, Zillich A, Prescott VM, Downs SM, Inui TS. The Indiana chronic disease management program. Milbank Q 2006;84(1):135-163 https://doi.org/10.1111/j.1468-0009.2006.00441.x
  19. Bae SS, Lee IS, Kim SM, Woo SO, Lee YG, Kim BY, Han DS. Factors affecting patients' compliance with antihypertensive medication in a rural area. Korean J of Health Pol & Admin 1994;4(1):25-48(Korean)
  20. Bae SS, Kim J, Min KB, Kwon SH, Han DS. Patient compliance and associated factors in the community-based hypertension control program. Korean J Prev Med 1999;32(2):215-227(Korean)
  21. Kim HY, Park JY, Kim BW. Short-term glycemic control and the related factors in association with compliance in diabetic patients. Korean J Prev Med 2000;33(3):347-363(Korean)
  22. Lee SW, Kam S, Chun BY, Yeh MH, Kang YS, Kim KY, Lee YS, Park KS, Son JH, Oh HS, Ahn MY, Lim PD. Therapeutic compliance and its related factors of patients with hypertension in rural area. Korean J Prev Med 2000;33(2):215-225(Korean)
  23. Lee SG, Bae SS. The relationship between treatment intention and compliance in newly detected hypertensive patients. Korean J Prev Med 2001;34(4):417-426(Korean)
  24. Suchman EA. Stages of illness and medical care. J Health Hum Behav 1965;6:114-128 https://doi.org/10.2307/2948694

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  2. Health Incentive Program and Hypertensive Patients' Blood Pressure Control vol.14, pp.9, 2013, https://doi.org/10.5762/KAIS.2013.14.9.4388
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