• 산업융합연구
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• 제16권4호
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• pp.1-8
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• 2018

본 연구는 일지역 중년기 성인의 심뇌혈관질환에 대한 지식, 예방에 대한 태도 및 자기효능감을 파악하고 그 관계를 확인하여 중년기 성인의 심뇌혈관질환 예방을 위한 건강증진 프로그램의 중재 전략에 필요한 기초 자료를 제공하기 위하여 시도되었다. 연구대상자는 S시에 거주하는 40대, 50대의 중년기 성인 198명을 대상으로 설문지를 이용해 조사하였다. 자료 분석은 기술통계와 t-test, ANOVA, Pearson's correlation coefficient로 분석하였다. 연구결과 대상자의 나이, 교육정도, 월수입에 따라 지식에 유의한 차이가 있었으며, 교육정도와 월수입에 따라 태도에 차이가 있는 것으로 나타났다. 또한 성별에 따라 자기효능감이 유의한 차이가 있는 것으로 나타났다. 상관관계 분석에서 심뇌혈관질환에 대한 지식과 예방에 대한 태도는 유의한 상관관계가 있는 것으로 나타났다(t=.45, p<.001). 즉 심뇌혈관질환에 대한 지식수준이 높을수록 질환의 예방에 대해 긍정적인 태도를 갖는다고 할 수 있다. 따라서 심뇌혈관질환의 예방에 대한 긍정적인 태도를 형성할 수 있는 교육 및 중재프로그램의 개발과, 중년기 남성의 자기효능감을 높일 수 있는 동기강화 프로그램이 개발이 필요하다.

• 한국의료질향상학회지
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• 제28권2호
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• pp.14-29
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• 2022

Purpose:In order to improve the quality of cardiac rehabilitation, it is important to examine the experiences of the patients and how they feel about each part of the process. We used a qualitative research methodology to conduct an in-depth review of the experiences of patients who participated in cardiac rehabilitation. Methods: According to semi-structured guidelines, in-depth interviews were conducted with a total of five patients undergoing cardiac rehabilitation. Results: A total of 232 codes was derived; these codes were split into 4 categories and 10 subcategories. Although the patients were apprehensive about the diagnosis of heart disease, it also gave them a chance to reflect on their health behaviors of the past. In addition, they began to appreciate their families and support networks more as the disease progressed. The participants did not know about cardiac rehabilitation until the medical staff recommended it, but they participated in the program with the expectation that they could become healthier. The participants felt that they became more physically and mentally healthy while undergoing cardiac rehabilitation. Rehabilitation served as an opportunity to improve other health behaviors as well. However, they emphasized that it is necessary to continuously maintain improved health behavior, find an exercise method that is suitable for one's physical ability and not monotonous, and prepare a plan to reduce the time and economic burden of cardiac rehabilitation. Conclusion: The participants' positive experiences confirmed in this study will be used as evidence for the expansion of cardiac rehabilitation programs.

• 농촌의학ㆍ지역보건
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• 제35권2호
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• pp.177-192
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• 2010

본 연구는 심뇌혈관질환 고위험군 교육프로그램 개발을 위해 대구광역시 심뇌혈관질환 고위험군 등록관리 시범사업단 교육정보센터 방문한 65세 이상 고혈압?당뇨병 환자(고위험군)와 교육자를 대상으로 교육목적, 교육과정구성, 교육방법, 교육내용에 대하여 고위험군과 교육자의 교육필요도와 지식 정도 등의 교육요구도를 조사하였고, 교육내용 영역 및 내용에 대해서는 필요도와 고위험군 및 교육자가 평가한 고위험군의 지식 정도를 비교하였다. 연구대상자는 2009년 6월부터 8월까지 4개 교육정보센터 자조모임에 참석한 고위험군 60명과 교육정보센터 44명의 교육자를 대상으로 실시하였다. 가장 선호하는 형태는 소그룹(5-9명)교육, 교육 시간은 30분-1시간, 교육구성은 이론 50%와 실습 50%. 교육이수완료기간은 3개월로 응답하였다. 교육내용에 대한 필요도는 고위험군과 교육자 모두 평균 이상으로 응답하여 본 연구에서 제시한 모든 교육내용을 포함하는 것을 반영할 수 있었다. 고위험군과 교육자의 교육필요도와 지식 정도평가에 따라 교육프로그램 개발 및 교육방향을 제시하면 다음과 같다. 첫째 범주로 고위험군의 교육필요도와 지식 정도 점수 간에 차이가 없는 항목들로 대부분 기본교육과정으로, 잘 인지하고 있는 편이므로 표준화된 교육방법을 지속적으로 운영하면 될 것으로 생각된다. 둘째 범주로 고위험군의 지식 정도가 낮은 교육내용에 대해서는 기본교육과정에 포함시키고 효과적인 실습으로 모든 단계에서 반복할 수 있도록 한다. 셋째 범주로 고위험군의 지식 정도에 개인편차가 큰 항목들은 집단교육이나 소그룹교육보다 개별교육과정에 포함시켜 개별 교육 시 개인의 문제를 해결할 수 있는 기술향상을 목적으로 이루어질 수 있도록 한다. 넷째 범주로 고위험군의 지식 정도 점수와 교육자가 평가한 고위험군의 지식 정도 점수 간에 차이가 있는 항목들은 고위험군이 직접 참여할 수 있는 심화교육의 형태로 하며, 교육방법, 교육환경에 대한 표준화와 구체적인 매뉴얼을 제시하고 관리 목표를 설정하여야 할 것이다. 다섯째 범주로 고위험군과 교육자간 교육의 필요성에 대해 유의한 차이가 있는 항목들은 교육 시 이들 항목의 필요성을 강조하여야 할 것이다. 이상의 내용을 반영하고, 자가관리기술을 향상 시킬 수 있는 요소들을 추가하면 체계적인 교육 프로그램을 개발하는데 도움이 될 수 있을 것이다.

• 한국콘텐츠학회논문지
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• 제16권7호
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• pp.309-318
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• 2016

본 연구는 30, 40대 남성 근로자의 심뇌혈관질환 인식, 태도, 건강행위실천 간의 관계를 알아보고, 건강행위실천에 미치는 영향요인을 파악하여 30, 40대 남성 근로자의 건강행위실천을 증진키기 위한 기초 자료를 제공하기 위하여 시도되었다. 연구대상자는 G도 J, S시에 소재한 회사에 근무하는 30, 40대 남성 근로자를 대상으로 하였으며, 자료 수집은 심뇌혈관질환 인식, 태도, 건강행위실천 도구를 통하여 설문 조사하였다. 자료 분석은 SPSS Win 21.0 프로그램을 이용하여 분석하였으며 연구결과 대상자의 심뇌혈관질환 인식, 태도는 건강행위실천과 양의 상관관계가 있는 것으로 나타났다. 대상자의 건강행위실천에 영향을 미치는 요인으로 심혈관질환 인식, 뇌혈관질환 인식, 근무부서, 결혼상태 순이었으며, 전체 설명력은 14.8%이었다. 본 연구를 바탕으로 심뇌혈관질환 예방을 위한 건강행위실천의 교육적 시사점과 후속연구에 대한 제언을 하였다.

• 근관절건강학회지
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• 제21권2호
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• pp.153-163
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• 2014

Purpose: This study was to analyze the job of coordinators working in the regional cardiocerebrovascular center. Methods: Using Developing a Curriculum (DACUM) method, the role of coordinators was defined and their duties and tasks were identified. The developed duties and tasks were classified and validated according to importance, difficulty, and frequency of the job. Results: A coordinator is defined as a clinical nurse specialist affiliated in a cardiocerebrovascular center. The coordinator is responsible for managing the major critical pathway to provide adequate medical service and providing education to the patient with myocardial infarction and cerebrovascular attack admitted via emergency room for prevention and management of disease. Ten duties and sixty-nine tasks were identified on the DACUM chart which represented the importance, difficulty, and frequency of tasks showed as A, B, C respectively. Based on determinant coefficient of the task, the highest ranked task was 'analysis for variation of CP' and the lowest was'investing the articles in stock'. Conclusion: The results of study showed that coordinators were doing various duties and tasks and they felt burden from their work and were in confusion. The results of this study can be used to develop training programs for coordinators and evaluation-scale of the coordinators' job performance as the basic data.

• 대한간호학회지
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• 제42권3호
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• pp.322-332
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• 2012

Purpose: This study was conducted to examine effects of a small group-based cardiocerebrovascular disease (CVD) prevention education program on knowledge, stage of change and health behavior among male bus drivers with CVD risk factors. Methods: A non-equivalent control group pretest-posttest design was used. Participants were 68 male bus drivers recruited from two urban bus companies. Participants from the two groups were selected by matching age, education and risk factors. Experimental group (n=34) received a small group-based CVD prevention education program 8 times over 6 weeks and 3 times through telephone interviews at 2-week intervals. Data were collected between December, 2010 and March, 2011, and were analyzed using chi-square test, t-test, and repeated measure analysis of variance with SPSS/Win18.0. Results: Experimental group showed significantly higher scores in CVD prevention knowledge (p<.001) and health behavior (p<.001) at 6 and 12 weeks after intervention. Participants in pre-contemplation and contemplation stages made progress to contemplation and action. This was significantly better at 6 and 12 weeks after intervention (p<.001). Conclusion: Results suggest that small group-based education programs for CVD prevention are effective in increasing knowledge, stage of change, and health behavior to prevent CVD among male bus drivers with CVD risk.

• 한국산학기술학회논문지
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• 제14권9호
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• pp.4437-4446
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• 2013

본 연구의 목적은 택시운전자를 위한 심뇌혈관질환 예방 프로그램을 개발하고 생리적 변수(혈압, 혈당, 혈청 지질), 신체적 변수(체지방율, 근지구력, 심폐지구력, 균형)에 미치는 효과를 검증하고자 시도하였다. 본 연구는 프로그램 개발과 효과 평가의 2단계로 진행하였다. 1단계는 택시 운전자를 위한 심뇌혈관질환 예방 프로그램을 개발하기 위해 2011년 3월 2일부터 4월 30일까지 택시 운전자 321명을 대상으로 건강상태 및 생활습관, 건강관리 요구도를 설문조사하였으며 이를 근거로 프로그램을 개발하였다. 2단계는 개발된 프로그램의 효과를 검증하기 위해 2011년 6월 1일부터 10월 5일까지 택시 운전자 51명에게 12주 동안 운동 1주 3회, 질병교육 4회, 영양 상담 2회 실시하였다. 연구결과는 프로그램 전보다 후에 혈압, 혈당, 혈청지질은 통계적으로 유의하게 감소하지 않았으나 체지방율은 유의하게 감소하였으며(t=3.108, p=.003), 근지구력(t=-7.621, p<.001), 심폐지구력(t=-3.388, p=.001), 균형(t=-4.133, p<.001)은 통계적으로 유의하게 증가한 것으로 나타났다. 이와 같은 결과를 근거로 운동, 질환교육, 영양상담으로 구성된 프로그램을 고혈압, 당뇨, 비만 등 심뇌혈관질환 선행질환 유병율이 높은 택시 운전자를 위한 심뇌혈관질환 예방프로그램으로 제안하고자 한다.

• Journal of Chest Surgery
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• 제52권4호
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• pp.248-329
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• 2019

Background: Though clinical practice guidelines (CPGs) for cardiac rehabilitation (CR) are an effective and widely used treatment method worldwide, they are as yet not widely accepted in Korea. Given that cardiovascular disease is the second leading cause of death in Korea, it is urgent that CR programs be developed. In 2008, the Government of Korea implemented CR programs at 11 university hospitals as part of its Regional Cardio-Cerebrovascular Center Project, and 3 additional medical facilities will be added in 2019. In addition, owing to the promotion of CR nationwide and the introduction of CR insurance benefits, 40 medical institutions nationwide have begun CR programs even as a growing number of medical institutions are preparing to offer CR. The purpose of this research was to develop evidence-based CPGs to support CR implementation in Korea. Methods: This study is based on an analysis of CPGs elsewhere in the world, an extensive literature search, a systematic analysis of multiple randomized control trials, and a CPG management, development, and assessment committee comprised of 33 authors-primarily rehabilitation specialists, cardiologists, and thoracic surgeons in 21 university hospitals and 2 general hospitals. Twelve consultants, primarily rehabilitation, sports medicine, and preventive medicine specialists, CPG experts, nurses, physical therapists, clinical nutritionists, and library and information experts participated in the research and development of these CPGs. After the draft guidelines were developed, 3 rounds of public hearings were held with staff members from relevant academic societies and stakeholders, after which the guidelines were further reviewed and modified. Results: CR involves a more cost-effective use of healthcare resources relative to that of general treatments, and the exercise component of CR lowers cardiovascular mortality and readmission rates, regardless of the type of coronary heart disease and type and setting of CR. Conclusion: Individualized CR programs should be considered together with various factors, including differences in heart function and lifestyle, and doing so will boost participation and adherence with the CR program, ultimately meeting the final goals of the program, namely reducing the recurrence of myocardial infarction and mortality rates.

• 보건교육건강증진학회지
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• 제32권1호
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• pp.1-10
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• 2015

Objectives: This study evaluated the effects and relevant factors of community-based education and advocacy intervention on stroke awareness among the general population. Methods: The study enrolled 505 community-dwelling adults aged 19 years or older who completed a survey before and after a community-based intervention held between May 2014 and December 2014. Trained staff collected data about knowledge of five stroke warning signs, emergency response, golden window of time (${\leq}3h$), and demographics. Results: After the intervention, public awareness of all five stroke warning signs increased significantly from 26.5% to 33.9% (p=0.011). Public awareness of the golden window of time also increased significantly from 70.1% in April 2014 to 75.8% in December 2014 (p=0.040). In a multivariate logistic regression analysis, older age, higher education level, and exposure to stroke-related public service announcements or educational materials were significant predictors of knowledge of all five warning signs for stroke. Conclusions: Comprehensive community-based intervention is effective for improving public awareness of the warning signs of stroke and the golden window of time.

• 근관절건강학회지
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• 제25권1호
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• pp.50-59
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• 2018

Purpose: The purpose of this study was to investigate the relationships among health behavior, wellness condition, and stage of change in health behavior by risk of cardiocerebrovascular diseases (CVD) in male office workers. Methods: A total of 205 male office workers participated in the 2017 National Health Examination at a manufacturing/ R&D business in Seongnam and completed self-reported questionnaires. Results: There were significant differences in health behavior scores by risk of CVD (F=4.78, p=.009) and statistically significant differences in no smoking (F=5.86, p=.003), exercise (F=5.49, p=.005), and health checkup (F=4.39, p=.014). There were statistically significant differences in health behavior (t=-4.14, p<.001) and wellness condition (t=-2.61, p=.010) by the stage of change in health behavior. Health behavior had a weak positive correlation with wellness condition (r=.36, p<.001). Logistic regression analysis showed that, when adjusted for age and employment period, the probability of becoming attention or risk group was 11% lower for quitting smoking (OR 0.89, 95% CI 0.81~0.97, p=.006) and 18% lower for regular exercise (OR 0.82, 95% CI 0.70~0.95, p=.009). Conclusion: The direction of health management at the workplace should be changed to promote the wellness of all workers, not the management of the disease, and a health promotion program should be continued to emphasize health behaviors such as smoking cessation and regular exercise.