Research in Community and Public Health Nursing

Review Article

[English] Factors associated with Hypertensive Retinopathy among People with Hypertension: A Systematic Review: Ihn Sook Jeong, Chan Mi Kang, Eun Joo Lee, Seol Bin Kim, Young Kyung Seo, Young Shin Son, Kun Hyung Kim; Res Community Public Health Nurs. 2025;36(1):130-149. Published online March 31, 2025; DOI: https://doi.org/10.12799/rcphn.2024.00857

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Abstract PDF: Purpose
The associated factors for hypertensive retinopathy (HTR) are rarely investigated. This study aimed to identify the associated factors for HTR using a systematic review.
Methods
The review included cross-sectional, case-controlled, and cohort studies on HTR risk factors published in Korean and English with full texts available from PubMed, Embase, CINAHL, Web of Science, and Korean databases. Methodological quality was assessed using the Joanna Briggs Institute (JBI) checklist.
Results
Eleven studies were finally selected, and three studies including patients with hypertension without diabetes mellitus, older age, male sex, alcohol consumption, the duration of hypertension, hyperglycemia, dyslipidemia, microalbuminuria, high creatinine levels, chronic kidney disease, and cardiovascular changes were identified as factors associated with HTR. Conversely, in the remaining eight studies, younger age, non-smoking status, and renal function indicators (albuminuria, high creatinine levels, chronic kidney disease, and uric acid) were identified as associated factors.
Conclusions
Regardless of the inclusion of patients with diabetes mellitus, impaired kidney functions were determined as significant factors associated with retinopathy in patients with HTR. However, considering a limited number of evidence and lack of evidence to confirm causality, we recommend further research on renal function and HTR.

Original Articles

[English] Effect of Remote Health Interventions on Blood Pressure Control and Quality of Life for Hypertension Self-management: A systematic review and meta-analysis: YingMei Yuan, MeiLing Song; Res Community Public Health Nurs. 2025;36(1):150-164. Published online March 31, 2025; DOI: https://doi.org/10.12799/rcphn.2024.00570

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Abstract PDF: Objective: To evaluate the effect of remote health interventions on self-management of hypertension.
Methods
We systematically searched the literature for studies published in English in PubMed, Embase, Web of Science, China National Knowledge Infrastructure (CNKI), and Cochrane Central Register of Controlled Trials. The database was used to search for relevant studies with full text and evaluate the remote health interventions for hypertension self-management versus usual care for hypertension. RevMan 5.4 was used for data analysis.
Results
A total of 19 studies eventually met our inclusion criteria. The results showed that the remote health interventions group could significantly reduce the levels of SBP (MD=5.67, 95% CI=4.12-7.22, p<.001) and DBP (MD=1.88, 95% CI=1.16- 2.60, p<.001), compared with usual care group, it also significantly improving the patient's quality of life (SMD=0.84, 95% CI=0.32- 1.37, p=.002), reduce waist circumference (MD=2.39, 95% CI=0.35-4.44, p=.020) and BMI (MD=0.49, 95% CI=0.06-0.91, p=.020), and significantly increasing the physical activity of patients (SMD=0.19, 95% CI=0.06- 0.31, p=.004). No obvious publication bias was found in this meta-analysis.
Conclusion
This study showed that remote health interventions for self-management can significantly improve patients’ quality of life with hypertension and better BP control than usual care. Further studies could be assess the long-term clinical effectiveness and economic evaluation of remote health interventions for self-management.

[Korean] Factors Influencing Participation in Hypertension Management Education Among Diagnosed Hypertensive Patients in Busan: Utilizing the 2021 Community Health Survey: Hye Jung Jun, Kyoung Mi Kim; Res Community Public Health Nurs. 2024;35(4):424-433. Published online December 30, 2024; DOI: https://doi.org/10.12799/rcphn.2024.00759

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Abstract PDF: Purpose
This study investigated the completion rate of hypertension management education and its influencing factors among adults in the Busan region, utilizing data from the 2021 Community Health Survey.
Methods
The study included 3,660 adults aged 19 years or older who had been diagnosed with hypertension. Data were analyzed using SAS 9.4, focusing on demographic, socioeconomic, and health status characteristics.
Results
The results indicated that 22.1% of participants had completed hypertension management education. Key influencing factors varied by region: in the Western region, age, income, education level, marital status, and life satisfaction were significant factors associated with participation in hypertension management education. In the Southern region, income and education level were identified as relevant factors. Additionally, in the Central and Eastern regions, education level was a significant determinant.
Conclusion
Therefore, tailored hypertension management education programs that consider age, income, marital status, and life satisfaction are essential for residents in the Western region of Busan. Moreover, it is critical to enhance access to hypertension management education for low-income populations in the Southern region. Educational programs should also be designed to align with the educational levels of Busan residents to ensure effective hypertension management education.

[English] Health Management Experience of Residents through Participation in the Community Based Hypertension and Diabetes Registry Program: Mi Kyoung Park, Hyeung Keun Park, Hyun Ju Kim, Ok Jin Kim, Moon Yeon Gong; J Korean Acad Community Health Nurs. 2021;32(4):518-528. Published online December 31, 2021; DOI: https://doi.org/10.12799/jkachn.2021.32.4.518

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Abstract PDF

Purpose
This study was conducted to explore the healthcare experience of residents participating in the CommunityBased Hypertension and Diabetes Registry Program.
Methods
This study used qualitative content analysis. Data were collected from in depth interviews of fifteen participants, who either participated in the program hosted by the Training Center for Hypertension and Diabetes for more than two years or participated in an intensive one-on-one education program.
Results
The results showed that the core theme in healthcare of participants was ‘Proactive healthcare with attention and systematic guidance of experts’. The positive reinforcement of staffs and the improvement of self-efficacy through effective close management were found to be positive influencing factors of participation. The theme consisted of the following categories: ‘Participation in the program with positive expectations on healthcare’, ‘Interest in body and health’, ‘Vitality in life’, ‘Confidence in dealing with disease’, ‘Thankfulness for close care and attention’, and ‘Desire for continuous care’.
Conclusion
When establishing policies on managing chronic diseases, a strategy that reflects the results of the study is required. It is necessary to build up emotional relationship among stakeholders, and expand opportunities for close healthcare such as one-on-one customized training, and mutual cooperation with various organizations in the local community.

Citations

Citations to this article as recorded by

Development of Virtual Reality-Based Home-Visiting Healthcare Education Content
Young-Sun Ha, Yong-Kyung Park, Hye-Sun Byun, Moon-Ji Choi
Journal of Digital Contents Society.2025; 26(1): 1. CrossRef
Korean National Burden of Disease: The Importance of Diabetes Management
Chung-Nyun Kim, Yoon-Sun Jung, Young-Eun Kim, Minsu Ock, Seok-Jun Yoon
Diabetes & Metabolism Journal.2024; 48(4): 518. CrossRef
Factors Influencing Participation in Hypertension Management Education Among Diagnosed Hypertensive Patients in Busan: Utilizing the 2021 Community Health Survey
Hye Jung Jun, Kyoung Mi Kim
Research in Community and Public Health Nursing.2024; 35: 424. CrossRef
Public–Private Partnership: Participants’ Experiences of the Web-Based Registration-and-Management System for Patients with Hypertension and Diabetes Mellitus
Seonah Lee, Nanyoung Song, Suhyun Kim
Healthcare.2023; 11(9): 1297. CrossRef
Community-Based Intervention for Elderly Patients with Diabetes Mellitus: Assessing the Effectiveness of a YouTube Self-Education Program during the Global COVID-19 Pandemic
Hyo-Rim Son, So Youn Park, Ye-Jin Ko, Da-Woon Jung, Eun-Sook Won, Aie-Hee Cho, Do Hyun Shin, Chun-Bae Kim
The Journal of Korean Diabetes.2023; 24(4): 232. CrossRef
Changes in daily physical activities by income level according to the prevalence of hypertension and diabetes during the COVID-19 pandemic: The 2020 Community Health Survey
Minsun Yoon, Hyunsuk Jeong, Boyoung Bae, Nayoung Hong, Hyeon Woo Yim
Korean Journal of Health Education and Promotion.2022; 39(2): 15. CrossRef

[English] Factors Influencing the Self-management Behaviors of the Elderly with Hypertension in the Local Community: Jeong Ju Hong; J Korean Acad Community Health Nurs. 2021;32(3):303-311. Published online September 30, 2021; DOI: https://doi.org/10.12799/jkachn.2021.32.3.303

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2 Citations

Abstract PDF

Purpose
This study investigated the health literacy level of, the hypertension knowledge of, the self-management behaviors of, and the factors influencing self-management behaviors of the hypertensive elderly population residing in the urban and rural areas.
Methods
Data were collected from November to December 2017 by the trained research staff. For two months, a total of 160 subjects in urban and rural areas who had been taking antihypertensive medications consented to participate in the project. 157 participants completed the survey. Results: The health literacy score of the hypertensive elderly subjects was at 48.38±8.13, the hypertension knowledge score at 8.90±2.01 points, and the self-management behaviors score at 52.96±8.08. The factor that influenced the self-management behaviors of the hypertensive elderly subjects the most was the health literacy, followed by the residential area, and the hypertension knowledge.
Conclusion
The research findings suggest that a health promotion program for the hypertensive elderly population should be designed in consideration of the health literacy, the area of residence and the hypertension knowledge of the elderly.

Citations

Citations to this article as recorded by

Development of Virtual Reality-Based Home-Visiting Healthcare Education Content
Young-Sun Ha, Yong-Kyung Park, Hye-Sun Byun, Moon-Ji Choi
Journal of Digital Contents Society.2025; 26(1): 1. CrossRef
A Cross-Sectional Study of Physical Fitness and Risk of Hypertension in Korean Adults Aged 20–59
Bogja Jeoung, Jiyoun Kim
Healthcare.2023; 11(14): 2057. CrossRef

[English] The Factors Influencing Intention of Dementia Prevention Behavior in Adults with Hypertension or Diabetes: Yeong Mi Seo, Nam Joo Je, Eun Sook Lee; J Korean Acad Community Health Nurs. 2020;31(4):481-490. Published online December 31, 2020; DOI: https://doi.org/10.12799/jkachn.2020.31.4.481

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2 Citations

Abstract PDF

Purpose
The purpose of the present study is to examine the factors influencing intention of dementia prevention behavior in adults with hypertension or diabetes.
Methods
A total of 113 community-dwelling adults with hypertension or diabetes agreed to participate in this study. Data were analyzed using descriptive statistics, t-test, ANOVA, correlation, and multiple regression.
Results
Self-efficacy and cues to action toward dementia prevention behavior were factors influencing intention of dementia prevention behavior of participations. Self-efficacy toward dementia prevention behavior was the most influential factor. These factors accounted for 22% of intention of dementia prevention behavior.
Conclusion
These results suggest a need for strengthening self-efficacy to increase intention of dementia preventive behaviors. And dementia prevention programs should be developed in consideration of strategies to reinforce cues to action.

Citations

Citations to this article as recorded by

Expanding the health belief model on dementia knowledge, fear, and preventive behaviors among older adults in Korea: a cross-sectional descriptive study
Jeong Eui Yun, Suyoung Choi
Journal of Korean Biological Nursing Science.2025; 27(1): 60. CrossRef
Factors influencing dementia preventive behaviors of older adults at high risk of dementia: Application of extended health belief model
So Hee Jung, Mee Ock Gu
Research in Community and Public Health Nursing.2024; 35: 22. CrossRef

[English] Analysis of Spatial Distribution of Hypertension Prevalence and Its Related Factors based on the Model of Social Determinants of Health: Min Jung Kim, Nam Hee Park; J Korean Acad Community Health Nurs. 2018;29(4):414-428. Published online December 31, 2018; DOI: https://doi.org/10.12799/jkachn.2018.29.4.414

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Abstract PDF: PURPOSE
The purpose of this study is to identify the spatial distribution of hypertension prevalence and to investigate individual and regional-level factors contributing to the prevalence of hypertension in the region.
METHODS
This study is a cross-sectional research using the 2015 Community Health Survey. Total 64,473 people from 7 metropolitan cities were used for the final analysis. Geoda program was adopted to identify the regional distribution of hypertension prevalence and analyzed by descriptive statistics, one-way ANOVA and correlation analysis using SPSS statistics 23.0 program. Multi-level analysis was performed using SPSS (GLMM).
RESULTS
The prevalence of hypertension was related to individual level factors such as age, monthly household income, normal salt intake, walking practice days, and regional level factors including number of doctors per 10,000 population, number of parks, and fast food score. Besides, regional level factors were associated with hypertension prevalencies independently without the effects of individual level factors even though the influences of individual level factors ware larger than those of regional factors.
CONCLUSION
Respectively, both individual and regional level factors should be considered in hypertension intervention programs. Also, a national level research is further required by exploring various environmental factors and those influences relating to the hypertension prevalence.

[English] Effects of Abdominal Obesity and Risk Drinking on the Hypertension Risk in Korean Adults: Eun Sook Lee; J Korean Acad Community Health Nurs. 2018;29(3):349-358. Published online September 30, 2018; DOI: https://doi.org/10.12799/jkachn.2018.29.3.349; Correction in: Res Community Public Health Nurs 2018;29(4):539

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5 Citations

Abstract PDF

PURPOSE
This study was conducted to investigate the combined effects of abdominal obesity and alcohol drinking on the risk of hypertension in Korean adults (aged â‰¥30 yrs).
METHODS
Data of 13,885 subjects from the sixth Korea National Health and Nutrition Examination Survey were analyzed. The multiple logistic regression tests were used for the analysis, including potential covariates of the model.
RESULTS
Frequency of drinking, typical drinking quantity, and frequency of binge drinking had a positive relation to hypertension. The odds ratio of hypertension for risk drinkers with abdominal obesity was 4.81 compared to non-risk drinkers with normal waist circumstance, whereas the odds ratios of hypertension for risk drinkers with normal waist circumstance and non-risk drinkers with abdominal obesity were 1.58 and 2.37 respectively.
CONCLUSION
Both abdominal obesity and alcohol drinking patterns were strong risk factors of hypertension in the Korean adults. Risk drinkers with abdominal obesity showed a marked high risk in hypertension compared to those with a single condition alone.

Citations

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Association between drinking behaviors and components of metabolic syndrome in subjects in their 20s and 30s: data obtained from the Korea National Health and Nutrition Examination Survey (2016–2018)
Soo Jin Lee, Ho Kyung Ryu
Nutrition Research and Practice.2022; 16(3): 392. CrossRef
Revision of Nutrition Quotient for Korean adults: NQ-2021
Sung-Min Yook, Young-Suk Lim, Jung-Sug Lee, Ki-Nam Kim, Hyo-Jeong Hwang, Sehyug Kwon, Ji-Yun Hwang, Hye-Young Kim
Journal of Nutrition and Health.2022; 55(2): 278. CrossRef
Factors Influencing the Self-management Behaviors of the Elderly with Hypertension in the Local Community
Jeongju Hong
Journal of Korean Academy of Community Health Nursing.2021; 32(3): 303. CrossRef
Cross-sectional Associations between Lifestyle Factors and Obesity among Students in a University at Gyeonggi Province
Jin Hee Jeong, Hye-Ja Park
Journal of Health Informatics and Statistics.2021; 46(4): 402. CrossRef
Risk Factors affecting Dyslipidemia according to Age Group in Women: Data from the Korea National Health and Nutrition Examination Survey, 2014~2017
Bo-Kyoung Cha
Journal of Korean Academy of Fundamentals of Nursing.2020; 27(3): 310. CrossRef

[English] Practice-based Evidence for Health Promotion in Underserved Clients with Hypertension in Primary Health Care Settings: Woi Hyun Hong; J Korean Acad Community Health Nurs. 2015;26(4):390-397. Published online December 31, 2015; DOI: https://doi.org/10.12799/jkachn.2015.26.4.390

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Abstract PDF: PURPOSE
The purpose of this study was to explore practice-based evidence for health promotion in vulnerable populations with hypertension in primary health care settings.
METHODS
Two methodological procedures were adopted for this triangulation study. In the first phase, the sample was obtained from the computerized clinical data repository of a community nursing center. A total of 286 clients were assessed for hypertension as an actual circulation problem as coded in the Omaha System. In the second phase, a qualitative focus group was surveyed through semi-structured interviews conducted by nine advanced practice nurses who had been serving the hypertensive patients.
RESULTS
The community nurses provided essential primary healthcare services including health teaching guidance and counseling, and surveillance to vulnerable populations living in medically underserved community. There was a significant positive correlation between knowledge and behavior (r=.53, p<.01), between knowledge and health status (r=.40, p<.05), and between behavior and health status (r=.48, p<.01).
CONCLUSION
This triangulation study encompassed not only quantitative findings from the computerized records of clients but also other information acquired from advanced practice nurses. This study contributes to understanding the importance of health promotion nursing interventions even with populations already diagnosed with chronic diseases such as hypertension.

[English] Effectiveness of Community-based Case Management for Patients with Hypertension: Soon Nyoung Yun, In Sook Lee, Jin Hyun Kim, Young Ko; J Korean Acad Community Health Nurs. 2014;25(3):159-169. Published online September 30, 2014; DOI: https://doi.org/10.12799/jkachn.2014.25.3.159

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Abstract PDF: PURPOSE
The purpose of this study was to evaluate the effectiveness of case management for patients with hypertension on their health status and medical service utilization.
METHODS
This study was a secondary analysis of data collected for a larger study of chronic disease management in 2008 using the National Health Insurance Corporation database. A total of 12,944 patients who received case management for hypertension were included in this analysis. The subjects of case management were classified into subgroups, namely, over-use, under-use, and non-use groups according to the amount of medical service utilization. To compare the medical service utilization, a control group was selected randomly. The data were analyzed through descriptive statistics, McNemar test, and ANOVA.
RESULTS
All the subgroups displayed significant differences in blood pressure, self-management, social support, and their characteristics of medical service utilization. The total medical expense of the under-use and non-use groups increased after case management. However, there was no decrease in the medical expense of the over-use group.
CONCLUSION
This finding suggests that there is a need to re-examine why patients overuse medical services and to supplement specific strategies for encouraging appropriate medical service utilization, and enhancing case management efforts for the over-use group.

[English] Factors Influencing Medication Adherence in Patients with Hypertension: Based on the 2008 Korean National Health and Nutrition Examination Survey: Eun Hee Cho, Chung Yul Lee, In Sook Kim, Tae Wha Lee, Gwang Suk Kim, Hyeon Kyeong Lee, Ji Sook Ko, Kyong Eun Lee; J Korean Acad Community Health Nurs. 2013;24(4):419-426. Published online December 31, 2013; DOI: https://doi.org/10.12799/jkachn.2013.24.4.419

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9 Citations

Abstract PDF

PURPOSE
The purpose of this study is to examine factors influencing medication adherence in patients with hypertension.
METHODS
This study carried out a secondary analysis of data from the 2008 Korean National Health and Nutrition Examination Survey (KNHANES). Stratified sampling was used to select a participant sample that was representative of patients with hypertension throughout the country. Using the SPSS/WIN 18.0 program, data were analyzed using descriptive statistics, chi2 test, t-test, and logistic regression.
RESULTS
Of the patients with hypertension, 8.8% had showed non-adherence to medication. Medication adherence was associated with age, spouse, Medicare insurance, number of other diseases, and current smoking status. The cases with older age, a spouse, Medicare insurance, higher number of other diseases, and no current smoking status showed significantly high medication adherence.
CONCLUSION
Nursing interventions and further studies are needed to achieve high levels of medication adherence based on factors influencing medication adherence such as age, spouse, Medicare insurance, number of other disease, and current smoking status.

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Influence of Health Literacy and Self-Efficacy on Compliance in Hypertensive Patients
Jihyon Pahn
Journal of Korean Public Health Nursing.2024; 38(3): 331. CrossRef
Factors Influencing the Control of Hypertension According to the Gender of Older Adults
Hye Young Choi, Eunha Kim
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Association between Patient Experience and Medication Compliance of Dyslipidemia: Using Korea National Health and Nutrition Examination Survey (2015)
Ho-Hyoun Yim, Hwan-Sik Hwang, Hoon-Ki Park, Kye-Yeung Park, Miso Park
Korean Journal of Family Medicine.2021; 42(2): 116. CrossRef
Medication Adherence and Effective Management of Hypertension
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Korean Journal of Family Medicine.2021; 42(2): 89. CrossRef
Factors Influencing 1-Year Medication Adherence of Korean Ischemic Stroke Survivors
Gye-Gyoung Kim, Duck-Hee Chae, Man-Seok Park, Sung-Hee Yoo
International Journal of Behavioral Medicine.2020; 27(2): 225. CrossRef
Real-World Effectiveness and Safety of a Single-Pill Combination of Olmesartan/Amlodipine/Hydrochlorothiazide in Korean Patients with Essential Hypertension (RESOLVE): A Large, Observational, Retrospective, Cohort Study
Sung-Ji Park, Si Jae Rhee
Advances in Therapy.2020; 37(8): 3500. CrossRef
Factors Associated with Awareness, Treatment, and Control Rate of Hypertension among Korean Young Adults Aged 30–49 Years
Yong Woo Jeon, Hyeon Chang Kim
Korean Circulation Journal.2020; 50(12): 1077. CrossRef
Psychological Resistance to Drug Therapy in Patients with Hypertension: A Qualitative Thematic Analysis
Jiyeon Kang, Yeon Jin Jeong
Korean Journal of Adult Nursing.2020; 32(2): 124. CrossRef
Health Behaviors and Quality of Life in the Elderly with High Blood Pressure
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Journal of Digital Contents Society.2018; 19(11): 2159. CrossRef

[English] Factors Influencing the Stages of Change in Medication Adherence in Patients with Hypertension: Young Soon Byeon, Soon Ock Kim, Jeong Hyun Cho; J Korean Acad Community Health Nurs. 2012;23(2):189-200. Published online June 30, 2012; DOI: https://doi.org/10.12799/jkachn.2012.23.2.189

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2 Citations

Abstract PDF

PURPOSE
The purpose of this study is to identify factors associated with the stages of change in medication adherence in patients with hypertension.
METHODS
Participants were 323 patients with hypertension. Sociodemographic/medication-related characteristics, stages of change, processes of change, self efficacy and decisional balance were self-administered.
RESULTS
Stages of change were significantly different according to gender, age, job and living arrangement. A multinominal logistic regression analysis has revealed that gender, age, living arrangement, self-liberation, and self-efficacy were significantly associated with the precontemplation stage. Age and self-liberation were significantly associated with the contemplation stage. Gender, age, living arrangement, and self-liberation were significantly associated with the preparation stage. Gender and helping relationship were significantly associated with the action stage. This model explained 52.0% of the stages of change in medication adherence.
CONCLUSION
The tailored intervention strategies based on the stages of change may be needed for improving medication adherence in patients with hypertension.

Citations

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Influencing factors from the Transtheoretical Model on the Execution of Self-Management Behaviors among Community-Residing Older Adults with Hypertension
Yang Heui Ahn, Young Mi Lim, KiYon Kim, Ki-Kyoung Kim, Hee-Young Song
Journal of Korean Public Health Nursing.2016; 30(1): 105. CrossRef
Factors Influencing Medication Adherence in Patients with Hypertension: Based on the 2008 Korean National Health and Nutrition Examination Survey
Eunhee Cho, Chung Yul Lee, Insook Kim, Taewha Lee, Gwang Suk Kim, Hyeonkyeong Lee, Jisook Ko, Kyongeun Lee
Journal of Korean Academy of Community Health Nursing.2013; 24(4): 419. CrossRef

[English] Cost-benefit Analysis of Home Visiting Care for Vulnerable Populations with Hypertension: Young Ko, In Sook Lee; J Korean Acad Community Health Nurs. 2011;22(4):438-450. Published online December 31, 2011; DOI: https://doi.org/10.12799/jkachn.2011.22.4.438

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10 Citations

Abstract PDF

PURPOSE
This study was to investigate the effect of home visiting care service and to evaluate the effect from the cost-benefit perspective.
METHODS
Target participants were enrolled in 2007~2008 for home visiting care and provided with a home visiting nursing service for more than 18 months in J Ward of S City. Of 391 participants, 244 who satisfied the inclusion criteria were used in the final analysis. Cost-benefit analysis was done using the net benefit and benefit/cost ratio.
RESULTS
After providing the home care nursing service, the blood pressure control rate increased from 50.8% to 75.4%. Of the subjects, 39.8% maintained their blood pressure level within the target range. As a whole, the net benefit of home visiting care per person ranged from 434,964.86 to 447,112.43 won and the benefit/cost ratio ranged from 2.82 to 2.84.
CONCLUSION
Home visiting care for vulnerable populations with hypertension was effective in both maintaining blood pressure and reducing blood pressure to the target range. Therefore these results are especially useful for establishing the value of home visiting services for policy makers as well as for prioritizing vulnerable populations.

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Types of Perception of Home Visiting Oral Health Care Services for Korean Older Persons: A Q Methodology Study
Sue-Hyang Lee, Soo-Myoung Bae, Bo-Mi Shin, Sun-Jung Shin
International Journal of Environmental Research and Public Health.2020; 18(1): 214. CrossRef
Nursing Students' Practice Experience on Community Visiting Nursing
Jae-Hyun Ha, Jeong-Hee Park
Journal of Korean Academy of Community Health Nursing.2020; 31(1): 43. CrossRef
Cost-Benefit Analysis of Occupational Therapy in Center for Dementia Based on Public Data
Seung-Hyun Cho, Kyung-Yoon Kam, Sung-Yoon Bae, Nam-Hoon Cho, Hye-Won Oh, Young-Ae Yang
Journal of Korean Society of Occupational Therapy.2018; 26(2): 99. CrossRef
Comparison of Working Conditions among Non-regular Visiting Nurses in Public Health Centers based on Their Employment Types
Hee Girl Kim, Ryoun-Sook Lee, Soong-Nang Jang, Kwang Byung Kim, Young Ran Chin
Journal of Korean Academy of Community Health Nursing.2018; 29(3): 267. CrossRef
The Study for Improvement of Frailty and Depression in the Health Vulnerable Elderly of Home Visiting Health Care Service
Youngji Kim, Song-Nang Jang
Journal of the Korean Geriatrics Society.2016; 20(2): 85. CrossRef
The Cost-Benefit Analysis of the NutriPlus Program in Daejeon Dong-gu Health Center
Hyun Ju Kim, Sung Han Kim
The Korean Journal of Food And Nutrition.2015; 28(4): 717. CrossRef
Estimating need for Home Visiting Nurse from Public Health Centers
Hyun-Ji Bae, Jinhyun Kim
Perspectives in Nursing Science.2015; 12(1): 23. CrossRef
Development of the evaluation tool for the food safety and nutrition management education projects targeting the middle class elderly: Application of the balanced score card and the structure-process-outcome concept
Hyeja Chang, Hyoi Yoo, Harim Chung, Hyesang Lee, Minjune Lee, Kyungeun Lee, Changhee Yoo, Junghwa Choi, Nayoung Lee, Tongkyung Kwak
Journal of Nutrition and Health.2015; 48(6): 542. CrossRef
Effectiveness of Telemedicine: Videoconferencing for Low-Income Elderly with Hypertension
Hanna Choi, Jeongeun Kim
Telemedicine and e-Health.2014; 20(12): 1156. CrossRef

[English] The Development and Effects of a Medication Adherence Intervention Program for Hypertensive Patients: Soon Ock Kim; J Korean Acad Community Health Nurs. 2011;22(3):342-354. Published online September 30, 2011; DOI: https://doi.org/10.12799/jkachn.2011.22.3.342

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Abstract PDF

PURPOSE
This study was to estimate the effectiveness of an intervention program using the trans-theoretical model on the stages of change, the process of change, decisional balance, self-efficacy, the levels of medication adherence, and blood pressure difference.
METHODS
A similar experiment was conducted using a nonequivalent control group pre- and post-test design. The study subjects were 108 hypertensive patients. The program was administered to the experimental group while educational materials were given to the control group. Descriptive analysis, 2-test, t-test, and repeated measures ANOVA were used with SPSS 17.0 to analyze collected data.
RESULTS
After treatment with this program, the experimental group showed stage of change (chi2=52.917, p<.001), cognitive (F=13,528, p<.001), behavioral process of change (F=10.808, p<.001), benefits (F=5.569, p=.012), loss of medication adherence (F=15.661, p<.001), self-efficacy (F=5.407, p=.011), levels of medication adherence (F=51.442, p<.001).
CONCLUSION
There was a significant improvement in the experimental group who participated in the TTM medication adherence intervention program. Given that this intervention program motivated and stimulated hypertensive patients to adhere to the prescribed medications, the TTM medication adherence intervention program is expected to be an effective and practical intervention method for health improvement.

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Testing a Middle-Range Theory of Self-Care of Chronic Illness: A Validation for Korean Adult Patients with Severe Hypertension
Eunha Gil, Heeyoung Oh
Journal of Korean Academy of Nursing.2018; 48(5): 521. CrossRef
Development of tailored nutrition information messages based on the transtheoretical model for smartphone application of an obesity prevention and management program for elementary-school students
Ji Eun Lee, Da Eun Lee, Kirang Kim, Jae Eun Shim, Eunju Sung, Jae-Heon Kang, Ji-Yun Hwang
Nutrition Research and Practice.2017; 11(3): 247. CrossRef
Factors Influencing Medication Adherence in Patients with Hypertension: Based on the 2008 Korean National Health and Nutrition Examination Survey
Eunhee Cho, Chung Yul Lee, Insook Kim, Taewha Lee, Gwang Suk Kim, Hyeonkyeong Lee, Jisook Ko, Kyongeun Lee
Journal of Korean Academy of Community Health Nursing.2013; 24(4): 419. CrossRef

[English] The Effects of Hand Moxibustion and Hand Press Pellet on Blood Pressure, Blood Lipids and Blood Cell Components in Aged Women with Essential Hypertension: Yoo Sun Shin, Eun Ha Kim; J Korean Acad Community Health Nurs. 2011;22(2):100-110. Published online June 30, 2011; DOI: https://doi.org/10.12799/jkachn.2011.22.2.100

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Abstract PDF

PURPOSE
The purpose of this study was to evaluate the effects of hand moxa and hand press pellet on blood pressure, blood lipids and blood cell components in elderly women.
METHODS
This study was conducted as a quasi-experiment with none equivalent control group pre-post test design. The participants were elders who had essential hypertension. There were 18 members in the experimental group and 20 members in the control group. The experimental group received hand moxibustion and hand press pellet 3 times a week for 12 weeks. The results were analyzed using 2 test, t-test, Fisher's exact test and repeated measures ANOVA with the SPSS/WIN program.
RESULTS
There were significant decreases in blood pressure in the experimental group compared to the control group. No significant difference was observed in total triglyceride, LDL cholesterol and HDL cholesterol between the two groups. Differences in hemoglobin and hematocrit were not significant either. However, there were significant increases in RBC in the experimental group after the intervention.
CONCLUSION
The results suggest that combined hand therapy contributes to the decrease of blood pressure among the elderly with hypertension. Therefore combined hand therapy is recommended as a complementary nursing intervention strategy for the elderly with essential hypertension.

Citations

Citations to this article as recorded by

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Yeo Ju Kim, Hyojung Park
Korean Journal of Adult Nursing.2020; 32(6): 610. CrossRef
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Journal of East-West Nursing Research.2014; 20(2): 73. CrossRef

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