Effects of a Comprehensive Lifestyle Improvement Program for Middle-aged Women with Cardio-cerebrovascular Disease-related Risk Factors

Mi-Kyoung Park; Jeong-Hee Kim

doi:10.12799/jkachn.2013.24.2.111

Journal List > J Korean Acad Community Health Nurs > v.24(2) > 1058293

Go to TopGo to Top Go to BottomGo to Bottom

TOOLS

Park and Kim: Effects of a Comprehensive Lifestyle Improvement Program for Middle-aged Women with Cardio-cerebrovascular Disease-related Risk Factors

Original Article

Journal of Korean Academy of Community Health Nursing

Journal of Korean Academy of Community Health Nursing 2013; 24(2): 111-122.

Published online: 30 June 2013

DOI: https://doi.org/10.12799/jkachn.2013.24.2.111

Effects of a Comprehensive Lifestyle Improvement Program for Middle-aged Women with Cardio-cerebrovascular Disease-related Risk Factors

Mi-Kyoung Park¹, Jeong-Hee Kim²

¹Department of Nursing, Cheju Tourism College, Jeju, Korea.

²College of Nursing Jeju National University, Jeju, Korea.

Corresponding author: Kim, Jeong-Hee. College of Nursing, Jeju National University, 1 Ara 1-dong Jeju 690-756, Korea. Tel: +82-64-754-3884, Fax: +82-64-702-2686, snukjh@jejunu.ac.kr

Received 24 December 2012 Accepted 27 May 2013

(open-access):

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.

Abstract

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.

Keywords: Cardiovascular diseases, Cerebrovascular disorders, Middle-aged, Women, Lifestyle

Figures and Tables

Figure 1

Conceptual framework of this study.

Table 1

Contents of Comprehensive Lifestyle Improvement Program

CVD=cardio-cerebrovascular disease; Q=question; BP=blood pressure; AC=abdominal circumference; PPT=power point.

Table 2

Homogeneity Test for General and Health Characteristics between Two Groups (N=34)

Ext=experimental group; Cont=control group; DVD=cardio-cerebrovascular diseases; BP=blood pressure.

^†CVD-related medication; ^‡Fisher's exact test.

Table 3

Homogeneity Test of Dependent Variables between Two Groups (N=34)

Exp.=experimental group; Cont.=control group.

Table 4

Effects of Comprehensive Lifestyle Improvement Program on Knowledge, Attitude, Self-efficacy, & Health Behaviors related to CVD Prevention

Exp.=experimental group; Cont.=control group; CVD=cardio-cerebrovascular diseases.

^†Controlled by educational level, spouse, & monthly house income.

References

1. American Heart Association. Understand your risk of heart attack: Risk factors and coronary heart disease. 2012. 08. 08. Retrieved November 20, 2012. from http://www.heart.org/HEARTORG/Conditions/HeartAttack/UnderstandYourRiskofHeartAttack/Understand-Your-Risk-of-Heart-Attack_UCM_002040_Article.jsp.

2. Aldana SG, Greenlaw RL, Diehl HA, Salberg A, Merrill RM, Ohmine S, et al. The behavioral and clinical effects of therapeutic lifestyle change on middle-aged adults. Prev Chronic Dis. 2006. Retrieved October 20, 2012. 3(1):1–16. from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1500954/pdf/PCD31A05.pdf.

3. Artinian NT, Fletcher GF, Mozaffarian D, Kris-Etherton P, Van Horn L, Lichtenstein AH, et al. Interventions to promote physical activity and dietary lifestyle changes for cardiovascular risk factor reduction in adults. Circulation. 2010. 122:406–441. http://dx.doi.org/10.1161/CIR.0b013e3181e8edf1.

4. Bandura A. Bandura A, editor. Exercise of personal and collective efficacy in changing societies. Self efficacy in changing societies. 1995. New york: Cambridge University Press;1–45.

5. Gu MO. A review of research on health promoting behaviors of Korean older adults. Perspect Nurs Sci. 2006. 3(1):17–34.

6. Hyun IS, Park MH, Park KM, Kim CN. The effects of a fall prevention program on the low-income elderly at risk of falls. J Korean Acad Community Health Nurs. 2010. 21(2):200–209.

7. Ju K, So H. Effects of the nutrition education program on self-efficacy, diet behavior pattern and cardiovascular risk factors for the patients with cardiovascular disease. J Korean Acad Nurs. 2008. 38(1):64–73.

8. Jun JS. The effect of telephone consulting program upon the uncertainty of the patients, the level of self-efficiency and self-care ability in CABG surgery patients. 2005. Seoul: Yonsei University;Unpublished master's thesis.

9. Kim EY, Hwang SY. Development and evaluation of a small group-based cardiocerebrovascular disease prevention education program for male bus drivers. J Korean Acad Nurs. 2012. 42(3):322–332. http://dx.doi.org/10.4040/jkan.2012.42.3.322.

10. Kim MY. The effect of the combined exercise on body composition, atheriosclerosis indics and inflammation markers response in the elderly women with cardiovascular disease. Korean J Sports. 2011. 9(2):407–418.

11. Kim SK, Lee BS. Knowledge, attitude, and preventive health behavior of high school students on the six most common cancers in Korea. Keimyung J Nurs Sci. 2006. 10(1):135–148.

12. Korea Institute for Health and Social Affairs. Issue Brief No. Policy 2007-07. In-depth analyses of the third national health and nutrition examination survey: The health interview and health behavior survey part. 2007. 04. Retrieved 5, 2011. Seoul: Author;from http://www.kihasa.re.kr/html/jsp/.

13. Lee HJ. Effect of individual health education the medical clinic of public health centers on knowledge, self-efficacy, and self-care behavior in clients with hypertension. J Korean Acad Public Health Nurs. 2004. 18(1):80–89.

14. Lee HJ, Kam S. Educational needs of elderly hypertensive or diabetes patients and educators for education program development of cardiocerebrovascular high-risk group. J Agric Med Community Health. 2010. 35(2):177–192.

15. Lee SY, Lee KS, Koo J, Yim HY, Kim HR, Park C, et al. Effectiveness of tailored health promotion program for reducing cardiovascular risk factors in subway workers. Korean J Occup Environ Med. 2006. 18(1):15–24.

16. Ministry of Health & Welfare. Issue No. 11-1460000-003066-01. Guidelines for the check ups for transitional periods of life. 2007. 04. Retrieved May 5, 2011. Seoul: Author;from http://www.mohw.go.kr/front/jb/sjb030301vw.jsp?PAR_MENU_ID=03&MENU_ID=030503&page=1&CONT_SEQ=178431.

17. Ministry of Health and Welfare, & Korea Centers for Disease Control and Prevention. Issue No. 11-1351159-000027-10. 2010 Korean health statistics: Korea national health and nutrition examination survey. 2011. 12. Retrieved October 30, 2012. Seoul: Author;from http://knhanes.cdc.go.kr/knhanes/index.do.

18. Moon EH, Kim KW. Evaluation of nutrition education for hypertension patients aged 50 years and over. Korean J Community Nutr. 2011. 16(1):62–74.

19. National Health Insurance. More than 80 women's cardiovascular disease 2.5 times more than men. 2011. 08. 05. Retrieved December 12, 2011. from http://www.nhic.o.kr/portal/site/main/MENU_WBDCC01.

20. 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. http://dx.doi.org/10.1001/archinte.165.18.2142.

21. Park BY. Factors influencing the health promotion behaviors among middle-aged women. 2008. Seoul: Ewha Womans University;Unpublished master's thesis.

22. Park HJ. The effects of lifestyle modification education program on the workers' knowledge, attitude, and behavior to prevent cerebrocardiovascular diseases in middle and small-sized industries. 2008. Seoul: Dongguk University;Unpublished master's thesis.

23. Park JW, Kim YS, Kim GY. Effects of a occupational health promotion program for prevention of cardiovascular disease. J Korean Acad Nurs. 2002. 32(2):196–205.

24. Park JS, Lee C, Yoo YG. Study on the correlation between junior college physical education majors' levels of health information and attitudes/behaviors to good health. J Arts Phys Educ. 2004. 15:95–124.

25. Park SY, Park CJ, Park JS. The effects of cancer prevention and early detection education on cancer-related knowledge, attitudes, and preventive health behavior of middle-aged women in Korea. J Korean Acad Adult Nurs. 2001. 13(3):441–450.

26. Ryan P. Miller JF, editor. Facilitating behavior change in the chronically ill. Coping with chronic illness overcoming powerlessness. 1992. Philadelphia, PA: Davis Company;376–396.

27. Smith SC Jr. Current and future direction of cardiovascular risk prediction. Am J Cardiol. 2006. 97(2A):28A–32A. http://dx.doi.org/10.1016/j.amjcard.2005.11.013.

28. Stirrat C, Mann S. Perceptions of cardiovascular risk factors among cardiology outpatients. Heart Lung Circ. 2008. 17:Suppl 2. S22–S23.

29. World Health Organization. Global status report on noncommunicable diseases 2010. 2011. 04. Retrieved November 20, 2012. Geneva, Switzerland: Author;from http://whqlibdoc.who.int/publications/2011/9789240686458_eng.pdf.

TOOLS

Similar articles