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우리나라 전 인구 3대 사망원인의 하나인 뇌혈과 질환의 직접적인 원인이 되고 있는 본태성 고혈압자를 대상으로 하여 이들에게 우리 고유의 건강 양생술인 단전호흡술을 적용하여 심신을 자가조절, 이완시키므로써 결과적으로 혈압하강을 유도한 것이다. 본태성 고혈압은 교감신경계의 긴장도 항진으로 인해 혈압이 상승된다는 견해에 근거를 둔 것이다. 결과적으로 단전호흡술의 혈압하강 효과 뿐 아니라 대상자가 주관적으로 지각하는 스트레스 정도, 혈중 코디졸 농도가 감소하였으므로 본태성 고혈압 대상자를 위한 효과적인 간호중재 방법임이 확인되었다. 따라서 단전호흡술은 고혈압 치료를 위한 행동요법의 일 방안임을 제시한 점과, 각종 스트레스에 노출도어 있는 정상인에게도 건강유지와 증진을 위한 예방차원에서 독자적인 간호중재술로 널리 보급하여 활용할 수 있으리라는 점에서 연구의 의의 를 찾을 수 있겠다.
The purpose of this study is to evaluate the effectiveness of the Dan Jeon Breathing method and to suggest that the method is an effective nursing intervention to reduce the blood pressure.
The Dan Jeon breathing method is composed of thirty-minute program including Dan -Jeon Breathing, a kind of abdominal-deep breathing, free gymnastics, mental concentration, physical strength exercise, and suggestion.
The Quasi-experimental design was used in this study. In order to evaluate the devised the Dan Jeon breathing method, the non-synchronized research method with non-equivalent control group was employed.
The results of this study can be summerized as follows ;
1. The blood pressure of the Dan Jeon breathing method training group was reduced
as time goes by. When the training was finished, the systolic blood pressure was
lower than the baseline blood pressure by 15.80mmHg(Y=1.11X+147.78, P
=.0001, R´=0.89), and the diastolic blood pressure was lower than the baseline
blood pressure by 10.91mmHg(Y= -0.85X+98.9, P=.0001, R2=0.96).
2. The score of perceived stress of the Dan Jeon breathing method training group
of ter training was lower than that of other groups (F = 2.5 1, P =.09).
3. The serum cortisol level of the Dan Jeon breathing method training group was re-
duced as compared with that of there groups (F = 3.21, P=.05).
But aldosterone level of the Dan Jeon breathing method training group did not show any change.
The result proved that the Dan Jeon breathing method was an effective behavioral therapy to reduce blood pressure of the client with the essential hypertension from this study. The Dan Jeon breathing method might be an effective nursing intervention de-vice to protect the ego structure of the clients, to promote their well-being and to reconstruct them by setting mind and body at ease. The Dan Jeon breathing method can be used in clinic as well as in community as an independent nursing intervention. The Dan Jeon breathing method program might be considered to make a great contribution to adult care.
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