DOI QR코드

DOI QR Code

A Study on Effectiveness of Chronic Disease Online Program Due to COVID-19

COVID-19로 인한 만성질환 관리 비대면 프로그램의 효과성 연구

  • Kim, Yeunmi (Department of Nursing, Suwon Women's University) ;
  • Kim, Hyunjin (Department of Nursing, Suwon Women's University)
  • 김연미 (수원여자대학교 간호학과) ;
  • 김현진 (수원여자대학교 간호학과)
  • Received : 2022.02.06
  • Accepted : 2022.04.20
  • Published : 2022.04.28

Abstract

The purpose of this study is to apply a chronic disease management non-face-to-face program for the prevention and management of chronic disease and to confirm the effect of a one-group pre-and post-design similar experimental study. The program consisted of nursing, nutrition, and exercise programs for 12 weeks. The subjects were 69 adult men and women using the chronic disease management center at public health centers, and the period was from May 3 to August 6, 2021. Systolic pressure, diastolic pressure, fasting blood sugar, BMI, depression, and quality of life were measured before and after the program. Data were analyzed with SPSS 20.0. As a result, systolic pressure, diastolic pressure, fasting blood glucose, and quality of life were found to be significant. Depression was not significant, but mild depression was reduced. Developing, applying, and managing various non-face-to-face programs for chronic disease management will contribute to the prevention of chronic diseases and the promotion of health maintenance.

본 연구의 목적은 코로나 19 장기화로 지역사회주민 만성질환 예방 관리를 위해 온라인 기반 만성질환관리 비대면 프로그램을 적용하여 그 효과를 확인하기 위한 단일군 전후 설계 유사실험 연구이다. 본 연구의 프로그램은 간호, 영양, 운동 프로그램으로 12주간 실시하였다. 대상자는 보건소 만성질환 관리센터를 이용하는 성인 남녀 69명으로 2021년 5월 3일부터 8월 6일까지 프로그램 적용 전후 수축기압, 이완기압, 공복 혈당, BMI와 우울, 삶의 질의 설문 도구를 사용하여 조사하였다. 자료 분석은 SPSS 20.0을 이용하여 분석하였다. 연구 결과, 수축기압, 이완기압, 공복혈당이 유의하게 감소하였으며, 삶의 질에서도 유의하게 나타났다. 우울은 유의하지 않았으나 경중 우울이 감소하였다. 따라서 위드 코로나 시대에 지속적인 만성 질환 관리를 위해 다양한 비대면 프로그램 프로그램을 개발하여 적용 관리한다면 심뇌혈관질환으로 이행을 방지하고 만성질환 예방 및 건강 유지 증진에 기여할 것이라 사료된다.

Keywords

Acknowledgement

This study was supported by the Suwon Women's University research fund in 2021.

References

  1. S. J. Yoon. (2012). Current status and direction of improvement of chronic disease management projects In Korea. HIRA Research, 6(1), 5-13.
  2. Ministry of Health and Welfare. (2021). Third revision of the primary medical chronic disease pilot project guide. Seoul: Ministry of Health and Welfare, KDCA, National Health Insurance Corporation, and Health Insurance Review and Assessment Service.
  3. B. H. Jin, H. Y. Lee, Y. Y. Choi, E. J. Kim, J. Y. Lee & J. S. Park. (2013). The development of comprehensive health promotion model for adult diabetes mellitus patients using non-surgical periodontal treatment program. Seoul : Seoul National University Korea Health Promotion Foundation.
  4. J. S. Lee, W. C. Lee, K. S. Kim, K. W. Koh, E. J. Choi & C. M. Park. (2008). The new health promotion strategy in Japan - focusing on life-style related diseases. Korean Journal of Health Education and Promotion, 25(3), 167-181.
  5. Y. J. Lee, J. O. Han, S. I. Seo & S. O. Shin. (2019. October). Current status of domestic chronic disease management project: focusing on Gyeonggi-do. Gyeonggi Public Health Polucy Institute. Issue Briefing, 5, 1-16.
  6. S. M. Park. (2012). Hwaseong-si u-chronic disease management center, 4 locations. Seoul City. http://www.seoulcity.co.kr/news/articleView.html?idxno=3266
  7. M. J. Seo. (2020). Neglect of treatment for chronic diseases due to the COVID-19 outbreak.. reduced infectious disease beds and expanded non-face-to-face treatment. Medi: Gate News. https://m.medigatenews.com/news/1238166048
  8. A. Chan., C. Malhotra., R. Malhotra & T. Ostbye. (2011). Living arrangements, social networks and depressive symptoms among older men and women inSingapore. International Journal of Geriatric Psychiatry, 26(6), 630-639. DOI : 10.1002/gps.2574.
  9. W. Jung, H. S. Lee, M. J. Jun & G. P. Go. (2021). Incheon metropolitan city chronic diseases and vulnerable classes after Corona 19 current status and tasks for management. Incheon : Incheon Metropolitan City Public Health and Medical Support Group.
  10. C. Bardage & D. G. L. Isacson. (2001). Hypertension and health-related quality of life: an epidemiological study in Sweden. Journal of Clinical Epidemiology, 54(2), 172-181. DOI : 10.1016/S0895-4356(00)00293-6
  11. J. H. Yoon et al. (2004). Health-related quality of life in Korean patients with chronic diseases. The Journal of the Korean Rheumatism Association, 11(3), 263-274.
  12. S. H. Kum. (2011). The health-related quality of life among hypertensive patients: data from korean national health and nutrition examination survey in 2008. Master's thesis. Korea University, Seoul.
  13. H. R. Son et al. (2021). Youtube self-management education for hypertensive patients in the COVID-19 pandemic era: Is this non-face-to-face program satisfactory in a community? Korean Journal Health Education and Promotion, 38(5), 85-101. DOI : /10.14367/kjhep.2021.38.5.85
  14. Y. J. Son & S. K. Lee. (2019). Analysis of research trends on mobile health intervention for Korean patients with chronic disease using text mining. Journal of Digital Convergence, 17(4), 211-217. DOI : 10.14400/JDC.2019.17.4.211
  15. Y. K. Park, Y. J. Lee & S. S. Lee. (2012). The intake of food and nutrient by the elderly with chronic disease in the Seoul area. Korean Journal Nutrition, 45(6), 531-540. DOI : 10.4163/kjn.2012.45.6.531
  16. I. S. Yoon, H. R. Lee, J. S. Lee & D. Jung. (2021). A study on relationship between the practice of aerobic exercise and the prevalence and risk of arthritis with comorbid chronic diseases. Journal of Digital Convergence, 19(4), 351-359. DOI : 10/JDC.2021.19.8.351
  17. S. J. Kim, E. J. Kim & H. J. Sin. (2016). Convergence study about problem-based learing and self-directed learning ability, problem solving skills, academic self-efficacy, motivation toward learning of nursing students. Journal of the Korea Convergence Society, 7(2), 33-41. DOI : 10.15207/JKCS.2016.7.2.033
  18. K. Konroenke, R. L. Spitzer & J. B. Williams. (2001). The PHQ-9: validity of a brief depression severity measure. Journal of General Internal Medicine, 16(9), 606-613. DOI : 10.1046/j.1525-1497.2001.016009606.x
  19. J. H. Kim & W. Kim. (2014). The effects of aging anxiety on depression and mediating effects of sense of mastery of the elderly. Korean Academy Mental Health Social Work, 42(4), 233-260.
  20. J. E. Ware & C. D. Sherbourne. (1992). The MOS 36-item short-form health survey (SF-36). I. conceptual framework and item selection, Medi Care, 30(6), 473-483. DOI: 10.1097/00005650-199206000-00002
  21. S. B. Ko, S. J. Jang, M. G. Kang, B. S. Cha & J. G. Park. (1997). Reliability and validity on measurement instrument for health status assessment in occupational workers. Korean Journal of Preventive Medicine, 30(2), 251-266.
  22. M. H. Ha. (2020). Health management measures for chronic illness at workplaces in response to COVID-19 (1) focusing on metabolic syndrome. Korea Industrial Health Association, 388, 10-21.
  23. H. S. Jang. (2014). The effect of case management for clients with hypertension in home visiting health services. Korean Society of public Health Nursing, 28(2), 258-269. DOI : 10.5932/JKPHN.2014.28.2.258
  24. S. O. Yang, S. Y. Ahn, E. S. Yim & M. S. Kwon. (2008). The effect of customized home visiting health services in Gangwon-Do. Journal of Korean Academy of Community Health Nursing, 19(1), 88-100.
  25. B. D. Suh & H. K. Kyoung. (2021). Impacts of the depression among the elderly in the South Korea community in COVID-19 pandemic. Journal of Health Information and Statistics, 46(1), 54-63. DOI : 10.21032/jhis.2021.46.1.54
  26. S. O. Eom & S. O. Lee. (2017). The effect of health coaching programs on self-efficacy, health behaviors, and quality of life in hypertensive people living in poverty. Journal of Korean Academy of Nursing, 47(3), 380-391. DOI : 10.4040/jkan.2017.47.3.380