• Title/Summary/Keyword: 고혈압 환자

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Effects of Public Health Center Hypertension Health School Program on Hypertension-related Knowledge, Self-care Behavior, Quality of life and Physiological Parameters in Hypertensive patients (보건소 고혈압 건강교실 프로그램이 고혈압 환자의 고혈압관련 지식, 자가간호행위, 삶의 질 및 생리적 지수에 미치는 영향)

  • Chang, Koung-Oh
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.11
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    • pp.236-247
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    • 2016
  • The purpose of this study was to examine the effects of health program s on hypertension in a public health center located in Y-si. Most interesting were the effects on hypertension-related knowledge, self-care behavior, quality of life, and physiological parameters for hypertensive patients. Nonequivalent control group pretest-posttest design was employed. A total of 48 patients with hypertension living in Y-si were assigned to either the experimental group (n=23) or the control group (n=25). The experimental group was provided with an 8-week health program on hypertension between August 31 and October 23 in 2015. Data were analyzed with SPSS/WIN 21.0 using descriptive statistics, ${\chi}^2$-test, Fisher's exact test, and t-test. The result indicated a significant difference between the experimental group and the control group with respect to the scores of hypertension-related knowledge (t=-3.76, p<.001), self-care behavior (t=-3.33, p=.002), physiological parameters, including systolic blood pressure (t=6.27, p<.001) and diastolic blood pressure (t=4.70, p<.001), total cholesterol levels (t=3.08, p=.003), and Abdominal circumference (t=2.52, p=.015). We conclude that the self-group program on hypertension has a significant effect on the change of hypertension-related knowledge and self-care behavior for hypertensive patients.

Effects of an Experiences Sharing Self-management Program for Hypertension and Diabetes Patients in Primary Public Health Center (보건진료소 중심 고혈압, 당뇨병 환자의 경험공유 자가관리 프로그램 효과)

  • Im, Jeong Ja;Yun, So Young
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.7
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    • pp.331-341
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    • 2020
  • This study examined the effects of an Experience Sharing Self-management Program (ESSP) on physiological indexes, knowledge, and self-management implementation among hypertension and diabetes patients in a primary public health center in G city. A quasi-experimental research was conducted with a non-equivalent control group pretest-posttest design. The experimental group (n=30) participated in a 12-week ESSP, and the control group (n=25) received only general services of a primary public health center between May 1 and October 31 in 2018. Data were analyzed with x2 test (Fisher's exact test), Mann-Whitney test, and Ranked ANCOVA using SPSS/WIN 22.0 program. The results showed significant differences in systolic blood pressure (F=14.56, p<.001), diastolic blood pressure (F=7.05, p=.012), knowledge (F=14.30, p=.001), self-management implementation (F=29.73, p<.001) of hypertension patients, knowledge (F=7.92, p=.010), and self-management implementation (F=4.54, p=.044) of diabetes patients between the two groups. Therefore, the ESSP was effective for reducing the blood pressure of hypertension patients and improving the knowledge and self-management implementation among hypertension and diabetes patients in a primary public health center.

The effect of telephone counseling hypertension self-management program for hypertensive patients with disabilities using the welfare center for the disabled (장애인 복지관을 이용하는 장애인 고혈압 환자 대상 전화상담 고혈압 자가관리 프로그램의 효과)

  • Park, Hyejung;Jang, Insun
    • Journal of the Korean Applied Science and Technology
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    • v.37 no.4
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    • pp.659-673
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    • 2020
  • The purpose of this study was to identify the effectiveness of the 8-week telephone counseling hypertension self-management program provided through welfare center nurses and nursing student volunteers for hypertensive patients with physical disabilities and brain lesions who use the welfare centers for the disabled. A quasi-experimental with non-equivalent control group pretest-posttest design was implemented. From December 2019 to May 2020, data from 28 controls and 29 experimental groups who completed pre and post-investigation were analyzed using the SPSS program. As a result of the main study, after the intervention, the knowledge of hypertension, seriousness and sensitivity among the health beliefs, and quality of life EQ-VAS indicated significant difference between the experimental group and the control group. Therefore, efforts to improve self-care behaviors and quality of life by applying various self-care programs to hypertensive patients with the disabled which require long-term health care will be needed continuously.

Design of Blood Pressure Management System in IOS Environment (IOS 환경에서 혈압관리 시스템 설계)

  • Lyoo, Je-Min;Park, Seok-Cheon;Park, Young-Sup
    • Proceedings of the Korea Information Processing Society Conference
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    • 2012.04a
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    • pp.1007-1009
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    • 2012
  • 고혈압과 같은 만성질환 환자들은 약물치료 외에도 운동, 식습관 조절등과 생활습관 개선을 위해 꾸준한 자가관리가 필요하다. 본 논문은 최근 대중적으로 보급되고 있는 스마트폰을 통해 이러한 고혈압 환자들의 자가관리를 돕기 위한 프로그램을 개발하고자 한다.

중등 정도 고혈압인 사람에서, 정어리 근육 가수분해물로부터 유도된 단쇄 펩타이드인 Valyl-Tyrosine의 항고혈압 효과

  • Kawasaki, T.;Seki, E.;Osajima, K.;Yoshida, M.;Asada, K.;Matsui, T.;Osajima, Y.
    • Proceedings of the Korean Society of Food Hygiene and Safety Conference
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    • 2004.11a
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    • pp.42-49
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    • 2004
  • 본 연구는 선천선고혈압쥐(SHR)에서와 마찬가지로, 높은 정상혈압 및 중등 정도의 본태성고혈압 환자에서 Valyl-Tyrosine(VY)의 항고혈압 효과 여부를 결정하기 위해 수행되었다. 29명의 지원자에 대하여 무작위 이중맹검 위약검사를 실시하였으며, 3 mg의 VY를 포함하는 100-ml 음료와 100ml-위약 음료를 조제하여 사용하였다. 연구대상은 VY (남16/여1, 45.5${\pm}$3.2세, 146.4${\pm}$2.3/90.5${\pm}$1.8 mmHg) 집단과 위약(P) (남11/여1, 48.8${\pm}$3.0 세, 145.5${\pm}$2.4/92.3${\pm}$1.8 mmHg) 집단으로 나누었다. 대조(C)기간 3주 째에 VY-음료 또는 P-음료를 하루 2번씩 투여하기 시작하여 4주 간의 실험(E)기간(BP)은 매주 측정되었으며, 아침에 앉은 자세에서 측정하였다. 혈액 표본은 C기간과 E기간의 마지막 날 채취하였다. VY집단에서, 수축기(S) 및 이완기(D) 혈압의 감소는 첫째 주에 각각 9.7 및 5.3 mmHg (P < 0.001)이었으며, E기간의 시작에 따른 넷째 주에는 각각 9.3 및 5.2 mmHg (P < 0.001)이었다. P 집단에서는 SBP와 DBP 모두 변하지 않았다. VY 집단의 혈압은 회복기간의 끝까지 점진적으로 증가하였다. VY집단에서, 혈장 안지오텐신(Ang) I과 VY의 농도는 현저히 증가한 반면 Ang II와 알도스테론은 VY 투여 후에 현저히 감소하였다. VY는 SHR에서와 마찬가지로 중등 정도의 고혈압 환자에서도 Ang I-전환효소 억제를 통하여 현저한 항고혈압 효과를 가지는 것으로 보이며, 어떤 부작용도 검출되지 않았다.

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An Efficient Management by Analyzing Control Level of Hypertension (고혈압 관리수준에 따른 효율적인 관리 방안)

  • Kim, Ji-On
    • Journal of Digital Convergence
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    • v.11 no.1
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    • pp.369-379
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    • 2013
  • The purpose of this study is to contribute basic data toward the efficient management of Hypertension by comprehensive analysis of several factors which make influences on indicators of Hypertension management. To achieve this, using the data of 2007, 2008 Korea National Health and Nutrition Examination Survey, 2,580 adults aged over 19 who suffered from hypertension have been analyzed comprehensively. The major results can be summarized as follows: First, in regard to the influential factors for awareness and treatment of hypertension, the older the patients were, the poorer their self-rated health status were. And when they had experienced a health examination, the more likely the hypertensive patients were aware of their hypertension and took the treatment for it. Second, as for the influential factors for control of hypertension, those who were older and those who had a health examination were significantly more likely to control their hypertension irrespective of gender. However, regular drinkers fell significantly behind in that aspect. The findings of this study show that systematic hypertension management, focusing on health behavior factors that affect the level of hypertension management, in accordance with the patients' sex and age will provide a more efficient way.

Study on the Mineral Content of Low Sodium Diet for hypertensive Patients in Hospital (병원식 중 고혈압 환자를 위한 저염식내의 무기질 다량에 관한 연구)

  • 김향숙
    • Journal of Nutrition and Health
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    • v.25 no.1
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    • pp.22-31
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    • 1992
  • In order to study on the Na, K, Ca, Mg content of low sodium diet used in hospital the mineral content of low sodium diet and general diet was measured at C Hospital in Taegu during June 26~28 in 1990. Results were as follows; 1)Energy per day was basis on 2300 Kcal in low sodium diet and general diet. 2) Na content per day of low sodium diet and general diet were 2510.0mg and 3580.3mg 3) K content per day of low sodium diet and general diet and general diet were 676.1mg and 1132.9mg. 4) Ca content per day of low sodium diet and general diet were 662.9mg and 605.4mg 5) Mg content per day of low sodium diet and general diet were 443.1mg and 278.7mg.

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Lack of Association of the Mitochondrial DNA 5178 A/C Polymorphism with Hypertension in a Korean Population (한국인 집단에서 사립체 DNA에 존재하는 5178 A/C 다형성과 고혈압과의 관련성에 관한 연구)

  • Kang, Byung-Yong;Kim, Seon-Jeong;Jang, Dai-Ho;Kim, Hyun-Hee;Lee, Kang-Oh
    • Environmental Analysis Health and Toxicology
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    • v.18 no.1
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    • pp.27-32
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    • 2003
  • 고혈압은 다양한 유전적 요인과 환경적 요인이 상호작용하는 다인자성 질환으로 알려져 있으며, 최근의 연구에 의하면 사립체 DNA에 존재하는 유전적 다형성이 고혈압과 유의한 관련성을 나타낸다는 보고가 있다. 이에 본 연구에서는 한국인 집단을 대상으로 하여 사립체 DNA의 5178번째 위치의 염기서열에 존재하는 A/C 다형성이 고혈압과 관련성을 나타내는 지를 분석하였다. 환자-대조군 연구를 수행한 결과, 사립체 DNA의 5178번째 위치에 존재하는 다형성의 대립 유전자 빈도는 한국인에서 고혈압군과 정상 혈압군 사이에 유의한 차이를 나타내지 않았다. 따라서, 이 다형성은 적어도 한국인에 대해서는 고혈압에 유의하게 영향을 미치는 유전적 소인은 아닌 것으로 사료된다.

Evaluation of Hypertension Prevention and Management Programs Conducted by Community Health Nurse Practitioners in Rural Areas of Korea (농촌지역 보건진료소의 고혈압 예방 및 관리사업 평가)

  • Kwon, Myung-Soon;Cho, Won-Jung;Kim, Mi-Ja;Lee, Hyeon-Kyeong
    • Korean Journal of Health Education and Promotion
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    • v.27 no.5
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    • pp.41-50
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    • 2010
  • Objectives: This study aims to evaluate effectiveness of hypertension prevention and management programs (HPMPs) in rural Korea. Methods: A questionnaire survey was conducted with 700 community health practitioners working at primary health care posts (PHCPs). The questionnaire had four domains, which were hypertension management, hypertension prevention, the PHCP environment, and evaluation system, each with different maximum weighted values (WVs). Weighted values of 100 indicate the best effectiveness for the HPMP in all four domains. Results: The average WVs and percent effectiveness of all four domains combined was 61.65 (62%); the hypertension management domain was 28.81 (72%); the hypertension prevention domain was 23.44 (67%); the PHCP environment was4.29(43%); and the evaluation system was5.10(34%). Conclusion: The HPMPs were generally effective, and hypertension management was the most effective. The environment of PHCPs and the evaluation system of HPMPs should be improved to increase the effectiveness of the HPMPs.

A Study on Relationships between Blood Pressure and Na, K, Ca and Mg in Cerebral Apoplexy Patients (입원 치료중인 뇌졸중 환자의 혈압과 Na, K, Ca, Mg과의 관계에 관한 연구)

  • 최미경;김영진;송지은;승정자
    • Journal of the Korean Society of Food Science and Nutrition
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    • v.25 no.1
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    • pp.1-10
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    • 1996
  • 뇌졸중이라고 진단된 입원 환자 26명을 대상으로 3일동안 섭취한 식이와 24시간 뇨와 혈액을 수집하고 혈압을 측정하여 나트륨, 칼륨, 캄슘, 마그네슘의섭취 수준에 다른 뇨중 배설량과 혈중 수준을 관찰하고 이들과 혈압과의 관계를 알아봄으로써 뇌졸중 환자를 포함한 고혈압 관리의 치료식이를 제공하는데 기초자료로 사용하고자 실시간 연구결과를 요약하면 다음과 같다. 1. 대상자들의 평균 연령은 남녀 각각 52.6세, 58.5세였으며 평균 BMU는 남녀 각각 21.6, 22.4였다. 입원 당시 평균 혈압은 남녀 각각 147.3/90.9mmHg, 162.7/102.0mmHg였고, 실험 종료일의 평균 혈압은 남자의 경운 124.6/80.8mmHg 였고 여자 대상자는 137.7/91.3mmHg 였다. 2. 1일 평균 나트륨, 칼륨, 칼슘, 마그네슘의 섭취 향은 96.7$\pm$30.7mEq,64.8$\pm$19.0mEq, 431.3$\pm$227.1mg, 333.9$\pm$145.9mg이었다. 3. 1일 평균 뇨중 나트륨, 칼륨, 칼슘, 마그네슘의 배설량은 76.7$\pm$28.2mEq, 33.9$\pm$16.6mEq, 65.6$\pm$34.0mg, 96.5$\pm$58.0mg이었다. 4. 평균 혈청내 나트륨, 칼륨, 칼슘, 마그네슘의 함량은 137.8$\pm$4.3mEq/l, 3.7$\pm$0.5mEq/l, 7.6$\pm$0.8mg/dl, 2.2$\pm$0.2mg/dl로써 칼슘 농도가 정상수준에 비해 비교적 낮은 것으로 나타났다. 5. 혈압과 무기질과의 관계에서 수축시 혈압의 증가시 뇨중 칼륨 배설이 증가함으로써 수축기 혈압과 뇨중 칼륨 배설량 사이에 유의적인 부의 상관관계가 나타났다. (p<0.05). 이상과 같은 입원중인 뇌졸중 환자의 뇨중 나트륨과 칼륨의 배설률 및 혈청과 뇨중 칼슘 배설수준이 정상인 보다 낮은 수준이었으며, 칼륨은 뇌졸중 환자의 혈압관리에 효과적이 무기질로 작용할 가능성이 보여지므로 고혈압관리를 위한 식사 처방시 이들 무기질에 대한 고려가 있어야 할 것으로 사료된다.

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