The Journal of the Convergence on Culture Technology (문화기술의 융합)

The International Promotion Agency of Culture Technology (국제문화기술진흥원)
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A Study on Convergence Factors Related to Cardiovascular Disease in Korean Elderly

노인의 심뇌혈관질환 관련요인의 융복합적 규명

  • Received : 2019.11.16
  • Accepted : 2019.12.11
  • Published : 2020.02.29
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Abstract

The purpose of this study was to investigate convergence factors associated with cardiovascular disease in Korean elderly and use them as basic data for developing a customized health program for elderly. This was a secondary data analysis study using the 2017 National Health and Nutrition Survey and the study subjects included 1,617 individuals aged 65 and over. Regression analysis showed that perceived health status, walking practice and hypercholesterolemia were related to cardiovascular disease in elderly. In case of perceived health status, the incidence of cardiovascular disease was higher in 'good', 'fair', 'poor', and 'very poor' compared to 'very good'. Also, the incidence of cardiovascular disease was higher in the 'No' than in rhe 'Yes' of the walking practice, and higher in the case of elderly with the hypercholesterolemia. Based on the results, it is necessary to develop an active prevention nursing intervention program considering the underlying disease of the elderly.

본 연구의 목적은 우리나라 만 65세 이상 노인의 심뇌혈관질환의 융복합적 관련요인을 규명하고, 노인 맞춤형 건강프로그램 개발의 기초자료로 활용하기 위함이다. 본 연구는 2017년도 국민건강영양조사결과를 기초자료로 한 이차자료 분석연구이며, 우리나라 만 65세 이상의 노인 1,617명을 대상으로 하였다. 자료 분석은 IBM 23 ver. SPSS를 이용하였다. 회귀분석 결과 65세 이상 노인의 심뇌혈관질환에는 건강관련요인 중 주관적 건강상태, 걷기실천여부 및 고콜레스테롤혈증이 관련이 있는 것으로 나타났다. 주관적 건강상태는 심뇌혈관질환 발생률이 '매우 좋음'일 경우보다 '좋음'일 경우 2.43배, '보통'일 경우 2.43배, ''나쁨'일 경우 2.39배 높았고, 매우 나쁨'일 경우에는 3.84배로 가장 높게 나타났다. 걷기실천여부는 걷기실천을 '하는 경우'보다 '하지 않는 경우'에 심뇌혈관질환의 발생이 1.44배 높게 나타났다. 고콜레스테롤혈증은 '없는 경우'보다 '있는 경우'에 심뇌혈관질환 발생률이 2.63배 높은 것으로 나타났다. 연구결과를 토대로 노인의 기저질환을 고려한 적극적인 예방적 간호중재 프로그램개발이 필요하다.

Keywords

References

  1. Ministry of Government Legislation. Act on the prevention and management of cardio-cerebrovascular diseases[Internet]. Seoul: Author; 2017 [cited 2018 March 22]. Available from: http://www.law.go.kr/lsSc.do?tabMenuId=tab18&query=%EC%8B%AC%EB%87%8C%ED%98%88%EA%B4%80%EC% A7%88%ED%99%98#undefined
  2. Y. H. Lee & S. E. Noh. "Factors related to awareness of cardio-cerebrovascular disease among Korean adults: the 2013 community health survey". Korean Journal of Health Promotion, 17(2), pp. 99-108, 2017. https://doi.org/10.15384/kjhp.2017.17.2.99
  3. Statistics Korea. "Statistics of elderly in korea [Internet]". Daejeon: Statistics. Available from http://kostat.go.kr. 2018.
  4. S. Yeoum. "The investigation on the risk factors of cardiovascular disease for postmenopausal women over 50 years". Journal of Korean Society of Menopause. 9(3), pp. 266-272, 2003
  5. Y. J. Park, et al. "Maternity & women's health nursing. 4th ed". Hyunmoonsa, Seoul, 2017.
  6. Statistics Korea. "The lives of women looking to 2017 statistics". from: http://kostat.go.kr/wnsearch/search.jsp
  7. H. S. Kim & J. S. Hur. "A study of influential factors on health promoting behaviors of the elderly: focusing on senior citizens living in seoul". Journal of the Korea Gerontological Society, 30(4), pp. 1129-1143, 2010.
  8. Y, A, Choi. "A Survey on the perceived health status and health behavior of the aged in an area". Journal of the Korea Gerontological Society, 23(3), pp. 129-142, 2003.
  9. J. Y. Ha & E. Y. Choi. "Health perception, health concern, and health promotion behavior of the elders". Journal of Korean Gerontological, 15(3), pp. 277-285, 2013.
  10. H. J. Lee & Y. S. Kim. "Alcohol and dyslipidemia". Korean Society of Lipidology and Atherosclerosis, 4(2), pp. 119-134, 1994.
  11. KB. J. Jeon. "The effect of personalized exercise prescription service for elderly on quality of life". Journal of Korean Gerontological Society, 33(2), 239-255, 2013.
  12. Y. S. Jee. "Effects of a 12 week-Exercise program on metabolic variables, cardiovascular variables, body composition and muscular function in the elderly with complications of obesity". Korean Journal of Health Promotion Disease Prevention, 9(3), pp. 241-249, 2009.
  13. K. O. Ju & H. Y. So. "Effects of the nutrition education program on self-efficacy, diet behavior pattern and cardiovascular risk factors for the patients with cardiovascular disease". Journal of Korean Academy of Nursing. 38(1), pp. 64-73, 2008. https://doi.org/10.4040/jkan.2008.38.1.64
  14. Ministry of Health and Welfare & Korea Center for Disease Control and Prevention. "2017 Korea National Health and Nutrition Examination Survey (KNHANES VII-2)". Seoul, 2008.
  15. T. S. M. Tsang, et al. "Prediction of risk for first age-related cardiovascular events in an elderly population: the incremental value of echocardiography". Journal of the American College of Cardiology, 42(7), 1199-1205, 2003. https://doi.org/10.1016/S0735-1097(03)00943-4
  16. J. W. Rowe & R. L. Kahn. Human aging: Using and successful. Science. 237(48), pp. 143-149, 1987. https://doi.org/10.1126/science.3299702
  17. M. J. Park. The cognition, balance, and quality of life in the elderly. Journal of Korean Biological Nursing Science, 13(2), pp. 185-192, 2011.
  18. J. J. Lee, H. J. Lee, & E. J. Park. "Effect of staged education program for hypertension, diabetes patients in a community (Assessment of quality of life using EQ-5D)". Journal of Agricultural Medicine and Community Health, 39(1), 37-45, 2014. https://doi.org/10.5393/JAMCH.2014.39.1.037
  19. S. A. Ahn & J. H. Kong. "Effects of a cardiocerebrovascular disease prevention education program on cardiocerebrovascular knowledge, attitude, health behavior in elderly". Journal of Humanities and Social Sciences 21, 7(5), pp. 238-298, 2016.
  20. K. W. Sung & J. H. Lee. "The effects of regular walking exercise on metabolic syndrome, cardiovascular risk factors, and depressive symptoms in the elderly with diabetic mellitus". Journal of Korean Academy of Community Health Nursing, 21(4). 409-418, 2013.
  21. W. Kwak, J. U. Won, J. Rhie, M. S. Lee, E. J. Kang, & J. Roh. "A workplace cardiovascular health promotion program and its short-term health effects". Annals of Occupational and Environmental Medicine, 21(1), 46-52, 2009.
  22. E. Lee. Factors affecting on maintenance of exercise among elderly with metabolic syndrome. The Journal of the Convergence on Culture Technology, 4(2), 139-147, 2018. https://doi.org/10.17703/JCCT.2018.4.2.139
  23. M. Lee & J. Kim. "The effects of health promotion program on health belief, health promoting behavior and quality of life for middle-aged women: based on health belief model". International Journal of Advanced Culture Technology, 7(3), 25-34, 2019. https://doi.org/10.17703/ijact.2019.7.3.25