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24 2, 2017 8J Muscle Jt Health Vol. 24 No. 2, 77-88, August, 2017

ISSN 1975-9398 (Print) | ISSN 2288-789x (Online)https://doi.org/10.5953/JMJH.2017.24.2.77

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The Effects of Cardiocerebrovascular Disease Prevention Education Program on Knowledge of Cardiocerebrovascular Disease, Depression,

and Physiological Parameters among Older People

Oh, Mi Jung1) Lee, In Jeong2) Chang, Koung Oh1)

1)Department of Nursing Science, Youngsan University, Yangsan2)Yangsan City Public Health Center, Yangsan, Korea

Purpose: The purpose of this study was to examine the effects of cardiocerebrovascular disease prevention program for older adults who were members of a elderly school located in Y city on knowledge of cardiocerebrovascular disease, depression, and physiological parameters. Methods: Nonequivalent control group pretest-posttest design was employed. A total of 50 older people living in Y city were assigned into an experimental group (n=26) or a control group (n=24). The experimental group participated in a 8-weeks cardiocerebrovascular disease prevention program from October 10 to December 2 in 2016. Data were analyzed with SPSS/WIN 21.0 using descriptive statistics, x2 test, Fisher's exact test, and t-test. Results: The results indicated significant differences between the experimental group and control group in the scores of knowledge of cardiocerebrovascular disease (t=-4.60, p

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Vol. 24 No. 2, 2017 81

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Table 1. Contents of Health School Program

Week Contents Self-efficacy promotion strategies

1 Introduction of cardiocerebrovascular disease prevention program and knowing each other

Meditation therapy to stabilize the mind 1, 2Stress management for prevention of cardiovascular disease 1, 2

- Daily stress managementPromoting blood circulation 1, 2

- Body stretching, stretching muscles and joints of arms and legs to strengthen rotational movement

Strengthening a positive thinking Improving confidenceSupport, encouragement, complimentSending exts to encourage to perform tasks

2 Meditation therapy to stabilize the mind 1, 2 Common understanding in blood pressureDefinition and types of high blood pressure1, 2

- Blood pressure and the definition and type of high blood pressurePromoting blood circulation 1, 2


Strengthening a positive thinking Improving confidenceSupport, encouragement, complimentSending texts to encourage to perform tasks

3 Meditation therapy to stabilize the mind 1, 2 Risk factors of high blood pressure1, 2

- High blood pressure risk factors which are able or impossible to change

- Daily words (to prevent complications in daily life) Promoting blood circulation 1, 2



4 Meditation therapy to stabilize the mind 1, 2 Coping with emergencies of stroke and cerebrovascular disease 1, 2

- Watching a video- Exams and practices

Promoting blood circulation 1, 2- Body stretching, stretching muscles and joints of arms and legs to

strengthen rotational movement


5 Meditation therapy to stabilize the mind 1, 2 Tooth health in people with stroke or cardiovascular disease 1, 2 Promoting blood circulation 1, 2



6 Meditation therapy to stabilize the mind 1, 2 Story of diabetes and cardiovascular diseases 1,2

- Diabetes definition, type, therapy and diet therapy 1 Dietary therapy for cardiovascular diseases 2 Promoting blood circulation 1, 2



7 Meditation therapy to stabilize the mind 1, 2 Healthy brain 1, 2 Self foot massage method 1, 2 Promoting blood circulation 1, 2



8 Meditation therapy to stabilize the mind 1, 2 Healthy heart 1, 2 Self foot massage method 1, 2 Promoting blood circulation 1, 2




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Table 2. Homogeneity Test of Subjects Characteristics

Characteristic CategoriesTotal (N=50) Exp. (n=26) Cont. (n=24)

x2 or t pn (%) or MSD n (%) n (%)

Gender MaleFemale

23 (46.0)27 (54.0)

12 (24.0)14 (28.0)

11 (22.0)13 (26.0)

.01 .982

Age (year) 66~6970~7475~7980Average

23 (46.0)21 (42.0) 5 (10.0)1 (2.0)

70.003.91

10 (20.0)14 (28.0)2 (4.0)0 (0.0)

13 (26.0) 7 (14.0)3 (6.0)1 (2.0)

3.85 .260

Marital state With spouseWithout spouse

39 (78.0)11 (22.0)

21 (42.0) 5 (10.0)

18 (36.0) 6 (12.0)

0.24 .623

Religion BuddhismProtestantCatholicNoneOthers

28 (56.0) 7 (14.0) 6 (12.0) 8 (16.0)1 (2.0)

17 (34.0)3 (6.0)1 (2.0)4 (8.0)1 (2.0)

11 (22.0)4 (8.0)

5 (10.0)4 (8.0)0 (0.0)

5.02 .291

Education level NoneElementary schoolMiddle school High schoolCollege

1 (2.0) 7 (14.0)15 (30.0)15 (30.0)12 (24.0)

0 (0.0) 3 (6.0)

12 (24.0) 5 (10.0) 6 (12.0)

1 (2.0)4 (8.0)3 (6.0)

10 (20.0) 6 (12.0)

8.14 .073

Economic level High MiddleLow

3 (6.0)33 (66.0)14 (28.0)

0 (0.0)16 (32.0)10 (20.0)

3 (6.0)17 (34.0)4 (8.0)

5.53 .063

Smoking YesNo

3 (6.0)47 (94.0)

2 (4.0)24 (48.0)

1 (2.0)23 (46.0)

0.28 1.000

Drinking Every daySometimesNot at all

2 (4.0)10 (20.0)38 (76.0)

1 (2.0)4 (8.0)

21 (42.0)

1 (2.0) 6 (12.0)17 (34.0)

0.74 .739

Exercise Every daySometimesNot at all

2 (4.0)21 (42.0)27 (54.0)

0 (0.0)12 (24.0)14 (28.0)

2 (4.0) 9 (18.0)13 (26.0)

2.39 .398

Sleep time (hours) 66~77~88~9

16 (32.0)23 (46.0) 9 (18.0)2 (4.0)

12 (24.0) 9 (18.0)4 (8.0)1 (2.0)

4 (8.0)14 (28.0) 5 (10.0)1 (2.0)

5.13 .164

Meal RegularIrregular

37 (74.0)13 (26.0)

17 (34.0) 9 (18.0)

20 (40.0)4 (8.0)

2.09 .148

Health condition Very goodComparativelyUsuallyNot a littleNot very

2 (4.0)25 (50.0)11 (22.0)10 (20.0)2 (4.0)

0 (0.0)13 (26.0) 7 (14.0)4 (8.0)2 (4.0)

2 (4.0)12 (24.0)4 (8.0)

6 (12.0)0 (0.0)

5.19 .287

Disease condition HypertensionDiabetesHyperlipidemiaHypertension+diabetesHypertension+hyperlipidemia

16 (32.0)19 (38.0) 9 (18.0) 5 (10.0)1 (2.0)

7 (14.0)10 (20.0)4 (8.0)4 (8.0)1 (2.0)

9 (18.0) 9 (18.0) 5 (10.0)1 (2.0)0 (0.0)

1.34 .188

Exp.=Experimental group; Cont.=Control group; Fisher's exact test.

Vol. 24 No. 2, 2017 85

,

Table 3. Homogeneity Test of Outcome Variables (N=50)

Variables Exp. (n=26) Cont. (n=24)

t p MSD MSD

Knowledge of cardiocerebrovasscular disease 39.737.31 41.008.20 -0.58 .566

Depression 9.543.01 10.332.51 -1.05 .299

Blood pressure (mmHg) SystolicDiastolic

140.399.99 91.159.93

138.759.47 89.1710.18

0.590.70

.556

.488

Blood glucose (mg/dL) 152.5433.27 143.1326.15 1.11 .274

Exp.=Experimental group; Cont.=Control group.

Table 4. Differences of Mean Values of Knowledge of Cardiocerebrovascular Disease, Depression, Blood Pressure and Blood Glucose between the Two Groups (N=50)

Variables Groups Pre Post Difference

t p MSD MSD MSD

Knowledge of cardiocerebrovascular disease

Exp. (n=26)Cont. (n=24)

39.737.31 41.008.20

48.1510.1140.468.91

-8.4211.83 0.549.26

-4.60 .001

Depression Exp. (n=26)Cont. (n=24)

9.543.01 10.332.51

7.814.78 9.333.05

1.733.11 1.002.11

3.65 .001

Blood pressure(mmHg)

Systolic Exp. (n=26)Cont. (n=24)

140.399.99138.759.47

121.5410.08131.2511.06

18.8514.23 7.5012.34

6.58 .001

Diastolic Exp. (n=26)Cont. (n=24)

91.159.93 89.1710.18

78.089.3985.008.85

13.0812.53 4.1713.81

4.56 .001

Blood glucose (mg/dL) Exp. (n=26)Cont. (n=24)

152.5433.27 143.1326.15

134.4221.01135.8318.83

18.1232.79 7.2926.25

3.04 .004

Exp.=Experimental group; Cont.=Control group.

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³ × ÚÓ°/ ÒÿÔÖk¤m ák ¤mf ß³g³ × fÓ ) Ä¦=zÓý Â¹ Ù . of nursin g science, youn...

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