Research in Community and Public Health Nursing

Original Articles

Factors Affecting the Risk of Cardiovascular Disease in Postmenopausal Women: A Postmenopausal Period-Stratified Analysis: Jui Kim, Choi Hyoungshim; Res Community Public Health Nurs. 2023;34(1):72-82. Published online March 31, 2023; DOI: https://doi.org/10.12799/rcphn.2022.00297

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Abstract PDF: Purpose
This study aimed to investigate the factors affecting the risk of cardiovascular disease among postmenopausal Korean women. Methods: This postmenopausal period-stratified analysis used secondary data from the Korea National Health and Nutrition Examination Survey from 2016 to 2018. We selected 1,465 participants with all the relevant data for analysis. The Chi-square test and multiple logistic regression analysis were used to analyze the data. Results: Age, subjective health status, body mass index, and triglyceride level were the factors that influenced the risk of cardiovascular disease for women with a postmenopausal period ≤5 years, whereas age, subjective health status, household income, body mass index, and triglyceride level were the factors that influenced the risk of cardiovascular disease for women with a postmenopausal period >5 years and ≤10 years. Conclusion: Planning health promotion strategies to lower the risk of cardiovascular disease in women must consider the differences among women according to the menopausal status and postmenopausal period.

A Comparison of the Prevalence of Cardiovascular Disease and Lifestyle Habits by Disability Status and Type of Disability in Korean Adults: A Propensity Score Matching Analysis: Oh Jong Choi, Seon Young Hwang; J Korean Acad Community Health Nurs. 2020;31(Suppl):534-548. Published online December 31, 2020; DOI: https://doi.org/10.12799/jkachn.2020.31.S.534

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Purpose
This study was conducted to evaluate the prevalence and lifestyle habits of cardiovascular disease (CVD) according to the type of disability in Korean adults compared to adults without disability.
Methods
This study was secondary data analysis using the National Health check-up database from 2010 to 2013. Among the total 395,627 adults aged 30~80, the physically disabled (n=21,614) and the mentally disabled (n=1,448) who met the diagnosis criteria were extracted and compared with non-disabled (n=372,565) through 1:2 propensity score matching for nine characteristics.
Results
Prior to matching, the prevalence of CVD was 34.4% in individuals without disabilities, accounting for 53.8% in those with physical disabilities and 22.4% in those with mental disabilities, showing significant differences between groups (p<.001). After matching, compared to the individuals without disability, those with physically disabled had significantly higher prevalence of CVD and the average number of CVD (p<.001). The prevalence of hypertension, diabetes, and vascular disease was significantly higher in the physically disabled (p<.05). Drinking was significantly higher in the non-disabled than in the physically and mentally disabled, and smoking was more in the non-disabled than in the mentally disabled. Physical activity was found to be significantly less in both the physically and mentally disabled than in the non-disabled (p<.01).
Conclusion
It is necessary to confirm the differences in the prevalence of CVD risk factors and lifestyle according to the type of disability, suggesting the development and verification of health promotion programs including physical activity for CVD prevention in the disabled with CVD risk factors.

Citations

Citations to this article as recorded by

A comparison of factors associated with unmet healthcare needs in people with disabilities before and after COVID-19: a nationally representative population-based study
Sujin Lee, Han Nah Park, Hye Jin Nam, Bohye Kim, Ju Young Yoon
BMC Health Services Research.2024;[Epub] CrossRef
The delivery of healthy lifestyle interventions for people with disability living in supported accommodation: a scoping review of intervention efficacy and consumer involvement
Kostas Hatzikiriakidis, Darshini Ayton, Amanda O'Connor, Sarah Carmody, Luke Patitsas, Helen Skouteris, Rachael Green
Disability and Health Journal.2023; 16(2): 101444. CrossRef
Comparison of Sleep Disturbance, Physical Activity, and Health-Related Quality of Life According to Depressive Symptoms in Patients with Metabolic Syndrome: A Secondary Analysis from the Korea National Health and Nutrition Examination Survey Using a Prope
Jungmi Yun, Yunji Lee
Healthcare.2023; 11(12): 1802. CrossRef
Association between Light Intensity Physical Activity and All-cause Mortality in Older Adults with Physical Disability
Inhwan Lee, Hyunsik Kang
Exercise Science.2022; 31(3): 337. CrossRef

Concept Analysis of Health Literacy for Patients with Cardiovascular Disease using Hybrid Model: Jeong Eun Sim, Seon Young Hwang; J Korean Acad Community Health Nurs. 2019;30(4):494-507. Published online December 31, 2019; DOI: https://doi.org/10.12799/jkachn.2019.30.4.494

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Abstract PDF

PURPOSE
The purpose of this study is to provide a clear definition of the health literacy for patients with cardiovascular disease by analyzing the dimensions and properties using Hybrid concept analysis.
METHODS
The concept of health literacy of patients with cardiovascular disease was analyzed according to the cyclic process of theoretical phase-field work phase-final analysis phase presented in the Hybrid model. We reviewed 26 literatures and conducted in-depth interviews with 13 patients with cardiovascular disease.
RESULTS
The concept of health literacy in cardiovascular patients is derived from two dimensions and five attributes. Literacy skills, health information search ability and health information utilization skills were derived as attributes in the individual functional dimension, while active communication with the medical team and utilization of health information support resources were derived at the interrelational dimension. It is defined as the individualized and integrated ability of an individual to explore and utilize the various health information needed to make appropriate health decisions during the chronic course after diagnosis of cardiovascular disease, to communicate proactively with medical staffs and to utilize support resources.
CONCLUSION
This study will contribute to the development and related research of health literacy measurement tools that can be used in cardiovascular nursing practice based on the attributes and indicators of health literacy for patients with cardiovascular disease.

Citations

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Hypertension literacy: Concept analysis
Kennedy Diema Konlan, Hyeonkyeong Lee, Eun Kyoung Choi
Nursing Open.2023; 10(9): 6078. CrossRef

Health Empowerment of Older Adults with High-risk of Cardio-cerebrovascular Diseases: Hyo Jin Son, Gwang Suk Kim; J Korean Acad Community Health Nurs. 2017;28(4):410-420. Published online December 31, 2017; DOI: https://doi.org/10.12799/jkachn.2017.28.4.410

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2 Citations

Abstract PDF

PURPOSE
This study was to identify factors explaining health empowerment of older adults with high-risk of cardio-cerebrovascular diseases.
METHODS
Using a structured questionnaire, data were collected from 148 older adults residing in two areas who have one or more of the following diseases; hypertension, diabetes mellitus, hyperlipidemia, and atherosclerosis. Data were analyzed using descriptive statistics, independent t-test, analysis of variance (ANOVA), Pearson correlation analysis, and hierarchical multiple regression.
RESULTS
Health empowerment had a positive correlation with health literacy and social support. Perceived health status and social activity participation showed significant contribution in explaining health empowerment.
CONCLUSION
This study showed that enhancing perceived health status and social activity participation are vital in an effort to improve health empowerment of the population. Main findings of this study can contribute to developing health empowerment interventions to improve health behavior practices of the older adults.

Citations

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Association between health-related empowerment and health-protective behaviors among community-dwelling older adults
Manal Mohammed Hawash, Abeer Abd El-Rahman Mohamed, Mona Metwally El-Sayed, Ayman Mohamed El-Ashry, Sarah Ali Hafez
Archives of Psychiatric Nursing.2024; 48: 59. CrossRef
The effects of health empowerment and social support on health promotion behavior in older adults: A cross-sectional study
Kyungmi Lee, Semi Lim
Journal of Korean Gerontological Nursing.2022; 24(4): 433. CrossRef

Knowledge on Cardiovascular Prevention and Nicotine Dependency among Smoking Male College Students: Seon Young Hwang, Kyong Ok Park; J Korean Acad Community Health Nurs. 2014;25(2):75-84. Published online June 30, 2014; DOI: https://doi.org/10.12799/jkachn.2014.25.2.75

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Abstract PDF

PURPOSE
This study aimed to identify the level of knowledge on preventing cardiovascular disease (CVD) and nicotine dependency among smoking male college students, and to examine the predicting factors of nicotine dependency.
METHODS
This study was conducted as cross-sectional descriptive research using structured questionnaires. Data were collected from 411 smoking male college students (22.5+/-2.59 yr) at two universities located in two cities in Korea from September 2012 to April 2013. Logistic regression analysis was performed to estimate age-adjusted odds ratios of nicotine dependency.
RESULTS
The mean value of nicotine dependency was 4.2+/-1.96 and the percentage of participants who had strong nicotine dependency (> or =7) was 10.7%. Logistic regression analysis showed that, when adjustment was made for age, nicotine dependency was predicted by the frequency of alcohol drinking (> or =3 times/week), knowledge on CVD prevention, the age starting drinking, and the total length of smoking.
CONCLUSION
Nicotine dependency was strongly related to the frequency of drinking alcohol and lower knowledge on CVD prevention. Therefore, male college students who have a dependent smoking habit and drink alcohol frequently need to take more interest in health through educational counseling to modify their lifestyle behaviors and to have preventive knowledge related to CVD.

Citations

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Immediate effect of interscapular cupping on blood pressure, oxygen saturation, pulse rate and chest expansion in sedentary smoker students
Ali Mohamed Ali Ismail, Abdelrhman Ismail Abdelghany, Ahmed Mohamed Abdelhalim Elfahl
Journal of Complementary and Integrative Medicine.2021; 18(2): 391. CrossRef
Tobacco Related Knowledge Is Associated with Heaviness of Smoking Index (HSI) and Intention to Quit among Korean Smokers: Findings from 2016 ITC Korea Survey
Yoon-Jung Choi, Hong Gwan Seo, Yeol Kim, Eun young Kim, Geoffrey T Fong, Mi Yan, Pete Driezen
Journal of the Korean Society for Research on Nicotine and Tobacco.2018; 9(S1): S31. CrossRef
Effects of diaphragm respiration exercise on pulmonary function of male smokers in their twenties
KyoChul Seo, Seung Hwan Park, KwangYong Park
Journal of Physical Therapy Science.2015; 27(7): 2313. CrossRef

Effects of a Comprehensive Lifestyle Improvement Program for Middle-aged Women with Cardio-cerebrovascular Disease-related Risk Factors: Mi Kyoung Park, Jeong Hee Kim; J Korean Acad Community Health Nurs. 2013;24(2):111-122. Published online June 30, 2013; DOI: https://doi.org/10.12799/jkachn.2013.24.2.111

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10 Citations

Abstract PDF

PURPOSE
This study was conducted to evaluate effects of a comprehensive lifestyle improvement program for middle-aged women with cardio-cerebrovascular disease (CVD)-related risk factors.
METHODS
The research adopted a non-equivalent control group pretest-posttest design. The number of participants was 18 in the experimental group and 16 in the control group sampled among middle-aged women who had CVD-related risk factors residing in a community. The experimental group participated in a four-session comprehensive lifestyle promotion program, which consisted of lectures, demonstrations, small-group meetings and telephone-counseling. The effects of the program were evaluated by measuring knowledge, attitude, health behavior, and self-efficacy for CVD prevention.
RESULTS
The experimental group showed a significant increase in self-efficacy for CVD prevention compared to the control group. There was no significant increase in knowledge, attitude, and health behavior.
CONCLUSION
The results suggest that the comprehensive lifestyle improvement program was effective in improving self-efficacy for CVD prevention. There is a need to develop more effective lifestyle improvement programs designed to improve knowledge, attitude, and health behavior for CVD prevention. In further research, a follow-up evaluation is also needed to investigate any delayed effects on targeted variables among which no significant differences emerged immediately after the completion of the program.

Citations

Citations to this article as recorded by

Effectiveness of a Participatory Program for Improving the Cardiovascular and Cerebrovascular Health of Older Farmers in Rural Korea
Ki-Youn Kim, Juhye Jin, Yeon-Ha Kim
International Journal of Environmental Research and Public Health.2023; 20(4): 3210. CrossRef
Literature Review on Lifestyle Intervention Program for Adults in Korea
Keun-Young Yang
Journal of Digital Contents Society.2023; 24(8): 1815. CrossRef
Influence of Comprehensive Lifestyle Intervention (LSI) Program on Health, Fatigue, and Quality of Life in Middle-Aged Women
Su-Jin Jung, Seung-Ok Lee, Min-Jun Choi, Jun Heo, Soo-Wan Chae, Baik-Hwan Cho
Journal of Lifestyle Medicine.2022; 12(3): 127. CrossRef
Incidence of Colon Cancer Related to Cigarette Smoking and Alcohol Consumption in Adults with Metabolic Syndrome: Prospective Cohort Study
Ahra Jo, Heeyoung Oh
Journal of Korean Academy of Nursing.2019; 49(6): 713. CrossRef
Effects of a Daily Life-Based Physical Activity Enhancement Program for Middle-Aged Women at Risk for Cardiovascular Disease
Kyung Ae Kim, Seon Young Hwang
Journal of Korean Academy of Nursing.2019; 49(2): 113. CrossRef
Factors related to the Identification of Middle-Aged Women Who are Disadvantaged by Cardio-cerebrovascular Disease
Moon Jung Kang, Jee Seon Yi, Chang Seung Park
Korean Journal of Women Health Nursing.2018; 24(2): 185. CrossRef
A Systematic Review of Interventions for Workers with Cardiovascular Disease Risk Factors: Using an Ecological Model
Won Ju Hwang, Yunhee Park, Jin Ah Kim
Korean Journal of Occupational Health Nursing.2016; 25(1): 41. CrossRef
Knowledge on Cardio-cerebrovascular Disease and Health Behaviors among Middle-aged Postmenopausal Women at Risk
Kyung Ae Kim, Seon Young Hwang
Korean Journal of Adult Nursing.2016; 28(4): 424. CrossRef
Effects of a Cardiocerebrovascular Disease Prevention Education Program for Postmenopausal Middle-aged Women
Soo Kyung Choi, In Sook Kim
Journal of Korean Academy of Nursing.2015; 45(1): 25. CrossRef
Short-term Effects of a Lifestyle Intervention Program on Eating Behaviors, Physical Activity and Cardiovascular Risks in Korean Adults
Jiyeon Park, Hyekyeong Kim
Korean Journal of Health Education and Promotion.2014; 31(4): 37. CrossRef

A Structural Model Development on the Cardiovascular Disease Risk Factors among Male Manufacturing Workers: Eun Sook Choi; J Korean Acad Community Health Nurs. 2006;17(2):153-165. Published online June 30, 2006

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