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박경민 ( Park Kyung-Min ) - 계명대학교 간호대학
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Abstract
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고혈압은 세계적으로 10-20%의 유병율은 나타내고 있으며 우리나라의 만성질환 중 유병율이 27.9%로 가장 높다 (Ministry of Health and Welfare, 2005). 고혈압은 우리나라의 5대 사망원인인 악성 신생물(39.1%), 뇌혈관 질환(24.8%), 심장 질환(14.0%), 당뇨병(8.4%), 만성하기도 질환(6.8%)(Korea National Statistical Office, 2005) 중 뇌혈관 질환 (24.8%), 심장 질환(14.0%)등 순환기 질환의 주요 위험 요인이 된다(Korea National Statistical Office, 2005). 고혈압 정의는 Joint National Committee(JNC-Ⅶ)의 가이드라인을 이용하고 있으며 JNC-Ⅶ에서의 정상혈압은 수축기 혈압이 119mmHg 미만이고 이완기 혈압이 79mmHg 미만이라고
정의했다. 고혈압 전단계는 수축기 혈압이 120-139mmHg이고 이완기 혈압이 80-89mmHg이라고 했다. 이 수치는 고혈압 예방의 중요성이 더욱 더 강화되었다는 것을 말해 준다.
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Purpose: This study is to analyse the community-based hypertension control program of public health centers in Daegu and Gyeongbuk.
methods:It analyzed purpose, goal, management activity and strategy, educational media and educational materials for hypertension control from 17 public health centers in Daegu and Gyeongbuk that had been doing program on hypertension, through a questionnaire.
Results:The purposes of hypertension control program of public health centers are complication prevention 88.2% , enhancement of self care ability 88.2%, enhancement of quality of life 82.4%, reduction of mortality 52.9%, in order. The goals of hypertension control program are reduction of risk factors and mobility 82.4%, improving of recognition 76.5%, maintenance of normal blood pressure, 64.7%, detection of patient, 58.8%, monitoring 41.2%, in order. The control activities are registration and follow up 88.2% , early detective program 76.5%, risk factor control 47.0% and staff training 29.4% , in order. The control strategies are lecture 88.2%, mass media and web 41.2%, in order The educational medias are reflet, pocket book, panel and video for adolescent and middle aged women. The educational medias are reflet, panel, pocket book and video for elderly and public population, in order. The educational contents are drinking , smoking, exercise for adolescent, and nutrition, exercise, stress for middle aged women and complication, nutrition, exercise for elderly and nutrition, exercise, complication for public population, in order.
Conclusion:Educational materials should be developed focusing on prevention and observance of risk factors through daily living.
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KeyWords
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고혈압 관리 프로그램, 보건소
Hypertension control program, Public health centers
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원문 및 링크아웃 정보
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등재저널 정보
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