Research in Community and Public Health Nursing

Original Articles

Effects of a School-Based Health Education for Cardiovascular Disease Prevention Among High School Girls: Minah Kang, Jina Choo; Res Community Public Health Nurs. 2024;35(4):363-374. Published online December 30, 2024; DOI: https://doi.org/10.12799/rcphn.2024.00647

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Abstract PDF: Purpose
We aimed to evaluate effects of a school-based health education for cardiovascular disease (CVD) prevention among high school girls.
Methods
Non-randomized cluster trial was conducted by recruiting two female high schools located in Seoul and allocating one school as a cluster to an experimental group and the other school as the other cluster to a control group. Participants were 169 first-year female high school students in two clusters. Of the participants, 84 were recruited in the experimental group and 85 in the control group. An intervention was an eight-week "School-based Health Education for CVD prevention". The experimental group received the intervention, while the control group received a CVD prevention handout. Measures were knowledge, self-efficacy, and health behaviors for CVD prevention. The pre-test and post-test were conducted.
Results
The experimental group participating in "School-Based Health Education for CVD Prevention" had significantly higher changes in knowledge, self-efficacy scores to prevent CVD, and health behaviors than the control group over eight weeks.
Conclusions
The "School-based Health Education for CVD Prevention" program may improve high school students' knowledge and self-efficacy as determinants of health behaviors as well as health behaviors to prevent cardiovascular disease.

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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Abstract PDF

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
Tobacco use among adults with disabilities in nine countries–Demographic and Health Survey, 2016–2021
Alissa C. Kress, Aastha Vashist, Qing C. Zhang, Adriana Dragicevic, Gibril J. Njie, Biplab Datta
PLOS Global Public Health.2024; 4(6): e0003232. 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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1 Citations

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

Citations to this article as recorded by

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

1,709 View
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4 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

Citations to this article as recorded by

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 Mediating Role of Health Empowerment in the Relationship Between Social Support and Loneliness Among Nursing Home Residents: A Correlational Study
Hüsne Demirel, Sultan Ayaz‐Alkaya
Journal of Advanced Nursing.2024;[Epub] 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
Development and evaluation of the Coronary Artery Disease Empowerment Scale (CADES) in Korea
Jiyoung Kim, Nayeon Shin, Kyungmi Lee
Clinical Nursing Research.2021; 30(8): 1241. 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

1,195 View
9 Download
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

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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

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