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The Effects of Individual Counseling for Bus-drivers to Cerebrovascular and Cardiovascular Disease Prevention: Secondary Data Analysis

버스운수업 종사자의 뇌심혈관질환 예방을 위한 개별상담 효과: 이차자료분석

  • Jung, Hye-Sun (Department of Preventive Medicine, College of Medicine, The Catholic University of Korea) ;
  • Eum, Mi-Jung (Korean Association of Occupational Health Nurses) ;
  • Jang, Insun (Department of Nursing, Korean Bible University)
  • 정혜선 (가톨릭대학교 예방의학교실) ;
  • 엄미정 (한국산업간호협회 서울보건안전센터) ;
  • 장인순 (한국성서대학교 간호학과)
  • Received : 2015.05.21
  • Accepted : 2015.10.12
  • Published : 2015.11.30

Abstract

Purpose: This study was conducted to examine the effects of individual counseling for bus-drivers on cerebrovascular and cardiovascular disease prevention. Methods: The one-group pretest-posttest design was used. This study presents a secondary analysis of data collected in 'contents of cerebrovascular and cardiovascular disease prevention program for bus-drivers in one workplace in Seoul, Korea. The data were collected from 56 bus drivers, using questionnaires from September 10th to November 20th, 2014. The analysis was conducted with ${\chi}^2$ test and paired samples t-test using SPSS/Win 21.0. Results: After the intervention, the participants showed a significant decrease in the level of systolic blood pressure (p=.003) and a significant increase in the total cholesterol level (p=.030). The distribution of cardiovascular risk groups changed after the intervention: 5.3% decreased in the high risk group, 16.1% decreased in the medium risk group, and 3.5% decreased in the low risk group, while 25.0% increased in the normal group. Conclusion: The comprehensive individual counseling including simple screening, tailored education and counseling is effective to manage their lifestyle risk factors, resulting in better maintenance of their health as well as preventing cerebrovascular and cardiovascular disease.

Keywords

References

  1. Aneni, E. C., Roberson, L. L., Maziak, W., Agataton, A. S., Feldman, T., Rouseff, M., et al (2014). A systematic review of internet-based worksite wellness approaches for cardiovascular disease risk management: Outcomes, challenges & opportunities. PLoS One, 9(1):e83594. http://dx.doi.org/10.1371/journal.pone.0083594
  2. Baicker, K., Cutler, D., & Song, Z (2010). Workplace wellness programs can generate savings. Health Affairs, 29(2), 304-311. http://dx.doi.org/10.1377/hlthaff.2009.0626
  3. Belkic, K., Savic, C., Theorell, T., Rakic, L., Ercegovac, D., & Djordjevic, M (1994). Mechanisms of cardiac risk among professional drivers. Scandinavian Journal of Work, Environment & Health, 20(2), 73-86. http://dx.doi.org/10.5271/sjweh.1417
  4. Carnethon, M., Whitsel, L. P., Franklin, B. A., Kris-Etherton, P., Milani, R., Pratt, C. A., et al (2009). Worksite wellness programs for cardiovascular disease prevention: A policy statement from the American Heart Association. Circulation, 120, 1725-1741. http://dx.doi.org/10.1161/CIRCULATIONAHA.109.192653
  5. Colkesen, E. B., Ferket, B. S., Tijssen, J. G., Kraaijenhagen, R. A., van Kalken, C. K., & Peters, R. J (2011). Effects on cardiovascular disease risk of a web-based health risk assessment with tailored health advice: A follow-up study. Vascular Health and Risk Management, 7, 67-74. http://dx.doi.org/10.2147/VHRM.S16340
  6. Hwang, C. K., Koh, S. B., Chang, S. J., Park, C. Y., Cha, B. S., Hyun, S. J., et al (2007). Occupational stress in relation to cerebrovascular and cardiovascular disease: Longitudinal analysis from the NSDSOS project. Korean Journal of Occupational and Environmental Medicine, 19(2), 105-114.
  7. Jennifer, S. L., Elizabeth, O. C., Corinne, V. E., Caitlyn, A. S., Maya, G. R., & Holly, C. G (2014). Behavioral counseling to promote a healthy lifestyle in persons with cardiovascular risk factors: A systematic review for the U.S. preventive services task force. Annals of Internal Medicine, 161(8), 568-578. http://dx.doi.org/10.7326/M14-0130
  8. Kang, H. J., & Moon, D. H (2013). Effects of cerebrovascular disease prevention program designed for workers in small scale workplaces. Journal of Korean Society of Occupational and Environmental Hygiene, 23(3), 315-322.
  9. Kim, E. Y., & Hwang, S. Y (2011). Incidence risk of cardiocerebrovascular disease, preventive knowledge, stage of change and health behavior among male bus drivers. Korean Journal of Adult Nursing, 23(4), 321-331.
  10. Kim, E. Y., & Hwang, S. Y (2012). Development and evaluation of a small group-based cardiocerebrovascular disease prevention education program for male bus drivers. Journal of Korean Academy of Nursing, 42(3), 322-332. http://dx.doi.org/10.4040/jkan.2012.42.3.322
  11. Kim, J. A., Kim, S. L., & Jung, H. S (2009). The effects of tailored life style improvement program for hypertensive workers provided by occupational health nurse. Korean Journal of Occupational Health Nursing, 18(2), 242-251.
  12. Kim, M. S., & Song, M. S (2013). The effects of 6 months lifestyle coaching program for adults with hypertension. Perspectives in Nursing Science, 10(2), 111-119.
  13. Ko, I. S., Kim, G. S., Lim, M. H., Lee, K. J., Lee, T. W., Park, H. S., et al (2007). Effects of health education on the knowledge and self-care of hypertension for visiting nursing clients. Journal of Korean Academy of Public Health Nursing, 21(2), 134-145.
  14. Ko, J. K (2009). Analysis of factors affecting the health behavior of Taxi-drivers. Journal of East-West Nursing Research, 15(2), 71-81.
  15. Korea Occupational Safety and Health Agency. Risk assessment for the prevention of cardio-cerebrovascular disease at workplace(KOSHA CUIDE H-1-2013). Available: wwwold.kosha.or.kr/cms/generate/FileDownload.jsp? [cited 20 April 2015] (Korean)
  16. Kwak, W. S., Won, J. U., Rhie, J. B., Lee, M. S., Kang, E. J., & Rho, J. H (2009). A workplace cardiovascular health promotion program and its short-term health effects. Korean Journal of Occupational and Environmental Medicine, 21(1), 46-52.
  17. Lee, S. Y., Lee, K. S., Koo, J. W., Yim, H. W., Kim, H. R., Park, C. Y., et al (2006). Effectiveness of tailored health promotion program for reducing cardiovascular risk factors in subway workers. Korean Journal of Occupational and Environmental Medicine, 18(1), 15-24.
  18. Mastrangelo, G., Marangi, G., Bontadi, D., Fadda, E., Cegolon, L., Bortolotto, M., et al (2015). A worksite intervention to reduce the cardiovascular risk: proposal of a study design easy to integrate within Italian organization of occupational health surveillance. BMC Public Health, 15(12), 1375-1384. http://dx.doi.org/10.1186/s12889-015-1375-4
  19. Ministry of Employment and Labor(2014). Statistics of industrial accidents and occupational disease in 2013. from http://www.kosha.or.kr/www/boardView.do?contentId=358515&menuId=554&boardType=A2(2015. 4. 17)
  20. Muse, L., Harris, S. G., Giles, W. F., & Feild, H. S (2008). Worklife benefits and positive organizational behavior: Is there a connection? Journal of Organizational Behavior, 29, 171-192. http://dx.doi.org/10.1002/job.506
  21. Park, J. M (2008). Comparative study on the factors related to musculoskeletal symptoms between taxi drivers and bus driver. Unpublished master's thesis, Yonsei University, Seoul.
  22. Park, J. S (2005). Are cerebrovascular and cardiovascular diseases among employees work-related?. Korean Journal of Occupational and Environmental Medicine, 17(4), 288-296.
  23. Robinson, C. F., & Burnett, C. A (2005). Truck drivers and heart disease in the United States, 1979-1990. American Journal of Industrial Medicine, 47(2), 113-119. https://doi.org/10.1002/ajim.20126
  24. Roblin, D. W., Robinson, B. E., & Benjamin, S. A (2013). Evaluation of a worksite wellness program designed to reduce cardiovascular risks. The Journal of Ambulatory Care management, 36(4), 272-279. http://dx.doi.org/10.1097/JAC.0b013e3182a3e728
  25. Staessen, J. A., Gasowski, J., Wang, J. G., Thijs, L., Hond, E. D., Boissel, J. P., et al (2000). Risks of untreated and treated isolated systolic hypertension in the elderly: Meta-analysis of outcome trials. The Lancet, 355, 865-872. https://doi.org/10.1016/S0140-6736(99)07330-4
  26. Statistics Korea (2014). Annual report on the cause of death statics 2013. from http://kostat.go.kr/portal/korea/kor_nw/2/6/2/index.board(2015. 4.17)
  27. Vyas, M. V., Garg, A. X., Iansavichus, A. V., Costella, J., Donner, A., Laugsand, L. E., et al (2012). Shift work and vascular events: systematic review and meta-analysis. British Medical Journal, 26, e4800. http://dx.doi.org/10.1136/bmj.e4800
  28. Watson, A. J., Singh, K., Myint, U. K., Grant, R. W., Jethwani, K., Murachver, E., et al (2012). Evaluating a web-based selfmanagement program for employees with hypertension and prehypertension: A randomized clinical trial. American Heart Journal, 164, 625-631. https://doi.org/10.1016/j.ahj.2012.06.013
  29. Ylimaki, E. L., Kanste, O., Heikkinen, H., Bloigu, R., & Kyngas, H. The effects of a counselling intervention on lifestyle change in people at risk of cardiovascular disease. European Journal of Cardiovascular Nursing, 14(2), 153-161. http://dx.doi.org/10.1177/1474515114521725

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