노인 대상의 고혈압 비약물 중재 프로그램에 관한 국내외 논문 분석 연구

서지정보

· 발행기관 : 노인간호학회
· 수록지 정보 : 노인간호학회지 / 10권 / 2호
· 저자명 : 김선호, 송미순

목차

I. 서 론
Ⅱ. 연구 방법
Ⅲ. 연구 결과
Ⅳ. 논 의
Ⅴ. 결론 및 제언

초록

고혈압은 순환기계 질환 중 유병 수준이 가장 높은
질환이며(WHO, 2002), 연령의 증가에 따라 유병률이
높아지는 것으로 알려져 있다(보건복지부, 2006;
Hajjar & Kotchen, 2003; Ogihara et al., 2003).
미국의 경우 60대 이상 노인 인구에서의 고혈압 유병률
은 65.4% 이며(Hajjar & Kotchen, 2003), 우리나
라의 경우에도 남자의 경우 60대, 여자의 경우 60대와
70대의 고혈압 유병률이 50% 이상에 이르고 있다(보
건복지부, 2006). 노인인구의 급격한 증가로 인해 노인
에서의 고혈압은 중요한 사회적 문제로 부각되고 있으
며, 노인 고혈압 관리의 중요성이 더욱 커지고 있다(고
영국, 2004; 배종화, 1999; 윤영원, 2007).

영어초록

This study was done to identify
effective non-pharmacological intervention programs
for the aged with hypertension by reviewing
related research studies in Korea and other
countries. Method: Analysis was done of 29
related articles, 12 domestic studies and 17
studies from other countries, published between
1980 and 2007. Results: 1) All domestic
studies were quasi-experimental designs, whereas
16 foreign studies were RCTs. Ten foreign
studies and 2 domestic studies used multidisciplinary
approaches. Average number of
participants was 26.9 in Korea and 181.5 in
other countries. Duration of intervention in
other countries was longer than Korea. 2) In
other countries. the most popular intervention
methods were education and counselling focused
on lifestyle modification and exercise, whereas
relaxation and complimentary methods were
most common in Korea. 3) The interventions
that showed significant positive effects on blood
pressure were education and counselling focused
on lifestyle modification (7 studies), exercise (7
studies) and relaxation methods (1 studies).
Conclusion: When developing intervention
programs for the aged with hypertension, it is
essential to use multidisciplinary approaches
focused on changes in health behavior to
improve lifestyle. As for the research design,
larger RCT research studies with longer
intervention periods are necessary to identify
causal relationship.

참고자료

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