The Comparison of Health Status and Health Behavior among Hypertension Group, DM Group, and Hypertension DM Group for the Aged Provided with Customized Home Care Service by Visiting Nurses

Hee Kyoung Hyoung; Hyo-Soon Jang

doi:10.12799/jkachn.2011.22.1.11

Articles

Page Path: HOME > J Korean Acad Community Health Nurs > Volume 22(1); 2011 > Article

Original Article
The Comparison of Health Status and Health Behavior among Hypertension Group, DM Group, and Hypertension DM Group for the Aged Provided with Customized Home Care Service by Visiting Nurses: Hee Kyoung Hyoung, Hyo-Soon Jang; Journal of Korean Academy of Community Health Nursing 2014;22(1):11-21.
DOI: https://doi.org/10.12799/jkachn.2011.22.1.11
Published online: April 4, 2014

¹Full-time Lecturer, College of Nursing, Jesus University, Korea.

²Professor, College of Nursing, Jesus University, Korea.

• Received: November 13, 2010 • Revised: March 14, 2011 • Accepted: March 15, 2011

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

700 Views
3 Download
6 Crossref

Full Article

Download PDF

Abstract
NOTES

Abstract

Purpose
This study aims to compare health status and health behavior among the hypertension group, the DM group, and the hypertension-DM group for aged clients of customized home visiting health care services.
Methods
This study was conducted as cross-sectional research. The subjects of this study were 2,235 aged people over 65 living in J City. Data were collected using structured questionnaires and measurements. The collected data were analyzed using the SPSS/WIN 12.0 program, and descriptive statistics, χ² test, t-test and ANOVA were used for the analyses.
Results
BP and glucose control showed a significant difference among the groups. BMI and waist circumference were significantly higher in the hypertension-DM group than in the other groups. Stroke, arthritis, and perceived health status were significantly different among the three groups. Depression was high, but not significantly different among the groups. Smoking and drinking were not significantly different among the groups. Physical activity was very low, especially in the hypertension group. Medication was high, especially in the hypertension-DM group.
Conclusion
It is necessary to consider care plans for the hypertension-DM group, and educate the group for care management. Also, depression and physical activity programs are needed for the aged.
Key Words: Aged; Hypertension; Diabetes mellitus; Home care services

Table 1

Comparison of General Characteristics among the Subjects (N=2,235)

HG=hypertension group; DMG=diabetes mellitus group.

Table 2

Comparison of Health-related Status among the HG, DMG and Hypertension · DMG (N=2,235)

HG=hypertension group; DMG=diabetes mellitus group.

Table 3

Comparison of Health Behaviors among the HG, DMG and Hypertension · DMG (N=2,235)

HG=hypertension group; DMG=diabetes mellitus group.

^†Fisher's exact test.

NOTES

This study was supported by the Jesus University Research Grant of 2010.

1. Choi JS. The effect of early detection of hypertension and diabetes on smoking and alcohol drinking. Health Soc Welf Rev. 2007;27(1):103–130.
2. Choi YS, Kim HL. Factors related to self-care behavior and the control of hypertension in the low-income elderly. J Korean Acad Community Health Nurs. 2006;17(4):441–450.
3. Jeong JY, Choi YJ, Jang SN, Hong KS, Choi YH, Choi MK, et al. Awareness, treatment, and control rates of hypertension and related factors of awareness middle aged adult and elderly in Chuncheon: Hallym aging study. J Prev Med Public Health. 2007;40(4):305–312. Article PubMed
4. Kim GY, Park JY, Kim BW. Short-term glycemic control and related factors in association with compliance in diabetic patients. Korean J Prev Med. 2000;33(3):349–363.
5. Kim SH, Kang HS. The relationship between depression, self-care activity and HbA1c in clients with type-2 diabetes mellitus. J Korean Acad Fundam Nurs. 2008;15(2):178–185.
6. Ko Y, Lee IS. Factors affecting the self-rated health of vulnerable elderly. J Korean Acad Community Health Nurs. 2009;20(1):31–40.
7. Korean Society for the Study of Obesity. The diagnosis and evaluation of the obesity 2009;08 06 Retrieved November 6, 2010. from http://www.kosso.or.kr/board.download.php?%20%20code=koreaobesity&comm=&num=687&field=data file
8. Korean Stroke Society. The cause of stroke 2005;10 09 Retrieved January 17, 2011. from http://stroke.or.kr/stroke/viewC.php?code=talk&number=4#:link_01
9. Rhee BD. Treatment of hypertension in diabetes mellitus. J Korean Acad Fam Med. 2001;22(5):603–608.
10. Lee HJ, Park KY, Park HS. Self care activity, metabolic control, and cardiovascular risk factors in accordance with the levels of depression of clients with type 2 diabetes mellitus. J Korean Acad Nurs. 2005;35(2):283–291. Article PubMed PDF
11. Lee MJ. The life-style and the self-care of the patients with hypertension and diabetes in Jinhae city. Gimhae: Inje University; 2006. Unpublished master's thesis.
12. Lee YH, Ko SH, Kang JH. Physical activity and hypertension of the elderly in rural areas. J Korean Acad Community Health Nurs. 2006;17(4):472–481.
13. Ministry for Health, Welfare and Family Affairs. Health & welfare. Seoul: Ministry for Health, Welfare and Family Affairs Press; 2008.
14. Ministry for Health, Welfare and Family Affairs. Chronic disease management in 2009. Seoul: Ministry for Health, Welfare and Family Affairs Press; 2009.
15. Ministry for Health, Welfare and Family Affairs. Report for visiting health services in 2008. Seoul: Ministry for Health, Welfare and Family Affairs Press; 2009.
16. Ministry for Health, Welfare and Family Affairs. Manual for visiting health services in 2009. Seoul: Ministry for Health, Welfare and Family Affairs Press; 2009.
17. Ministry for Health, Welfare and Family Affairs & Korea Centers for Disease Control and Prevention. 2008 National Health Nutrition Survey. Seoul: Ministry for Health, Welfare and Family Affairs Press; 2010.
18. Ministry for Health, Welfare and Family Affairs. Manual for visiting health services in 2010. Seoul: Ministry for Health, Welfare and Family Affairs Press; 2010.
19. Panagiotakos DB, Kromhout D, Menotti A, Chrysohoou C, Dontas A, Pitsavos C, et al. The relation between pulse pressure and cardiovascular mortality in 12,763 middle-aged men from various parts of the world: A 25-year follow-up of the seven countries study. Arch Intern Med. 2005;165(18):2142–2147. Article PubMed
20. Park KS, Moon JS, Park SN. Self-care, family support and depression in elderly patients with diabetes mellitus. J Korean Acad Fundam Nurs. 2009;16(3):345–352.
21. Park YS, Lee BH, Kim JS, Yoo JH, Lee JK, Lee MK. The effects of depressive symptom to metabolic and glycemic control among type 2 diabetes patients. J Korean Acad Fam Med. 2005;26(12):744–751.
22. Yoo TW. Treatment of hypertension in diabetes mellitus. J Korean Acad Fam Med. 2002;23(4):48–53.
23. Yoon CH, Lee SJ, Choo SY, Moon OR, Park JH. Continuity of care of patient with diabetes and its affecting factors in Korea. J Prev Med Public Health. 2007;40(1):51–58. Article PubMed
24. Yun ZY, Lee DW, Jung HS, Park KH, Lee SH, Park JJ, et al. Change of selection to antihypertensive drugs in hypertensive patients with diabetes mellitus: In Pohang - Gyeongju primary care research network. Korean J Fam Med. 2009;30(3):197–201. Article

Figure & Data

References

Citations

Citations to this article as recorded by

Benefit analysis of visiting healthcare in public health centers
Sukja Ko, Young-Ho Jung, Jae Yong Lee
Korean Journal of Health Education and Promotion.2018; 35(5): 69. CrossRef
Depression and Cognitive Function of the Community-dwelling Elderly
Seong Ok Seo, Ae Young So
Journal of Korean Academy of Community Health Nursing.2016; 27(1): 1. 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
The Comparison of Health Behaviors, Use of Health Services, and Health Expenditures among Diabetic Patients according to the Practice of Exercise
Ji Eun Cha, Soon Nyung Yun
Journal of Korean Academy of Community Health Nursing.2015; 26(1): 31. CrossRef
Effects of an Extreme Heat Adaptation Program in Hypertensive Patients
Seong Hee Jeong, Nam Soon Kim, Sumi Chae, Eun Ju Lee
Journal of Korean Biological Nursing Science.2014; 16(3): 164. CrossRef
Client-Centered Self Management Program for Chronic Disease Patients: Focusing on Hypertension, Diabetes Mellitus
Yeon Yi Song, Kang-Sook Lee, Hyun-Young Cho, Binna Lee
Korean Journal of Health Education and Promotion.2014; 31(4): 93. CrossRef

Country-specific access statistics

Country	Reference
United States	9

Excel Download

PubReader
Cite

CITE

export Copy Format

Close

XML Download

We recommend