Paper
Wednesday, 19 July 2006
This presentation is part of : Health Promotion for Cardiac Patients
Effects of Hospital-Based Health Promotion Program for High Risk Hypertensive Clients
Jeong Lan Joo, PhD, RN, Department of Planning & Strategy, Hanam Sungshim General Hospital, Gwangju, South Korea and Hae Young Kang, PhD, RN, College of Nursing, Chonnam Nat'l Uni.,CRINS, Gwangju, South Korea.
Learning Objective #1: Join our experience of a hospital- based health promotion program for high risk hypertensive clients in Korea.
Learning Objective #2: Understand how to develop a hospital-based health promotion program in good collaboration with team members.
This study was conducted to examine the effects of a hospital-based health promotion program for high risk hypertensive clients at a local hospital in Korea.  The subjects were pre-hypertensive, 1st and 2nd stage of hypertensive groups according to JNC-‡Z and sampled 58 clients (experimental = 29 and control = 29) among the participants in biennial health screening at the same hospital. The health promotion program was developed to modify six risk factors (exercise, diet, weight control, smoking, alcohol and medication) in individual basis. The methods used were personal health contract, counseling, lecture, cell-phone, email, daily log, group-work, OPD visit & physiological checkup individually during 24 weeks from during Dec. 2003 to April 2005. The dependent variables were bio-physiological indices: systolic (SBP) and diastolic blood pressure (DBP), body weight, body mass index (BMI), body fat, triglyceride (TG), total cholesterol (TCH), high density lipids (HDL) and low density lipids (LDL); health promotion life profile (HPLP) and quality of life (QOL). The data were collected by self-reported and clinical tests, and analyzed by Chi-square, t-test, ANCOVA, Tukey's Studentized Range(HSD), and Cronbach's alpha using SAS 8.1.   The findings showed that the hospital-based health promotion program for high risk hypertensive clients had mainly significant effects on physical data such as SBP (F = 9.08, p = .003), DBP (F = 5.79, p = .019), body weight (F = 27.12, p = .001), BMI (F = 6.85, p = .010), and body fat (F = 20.23, p = .001), but insignificant in blood data as TG, TCH, HDL, LDL. Follow-up replication for other chronic conditions and longitudinal studies to produce more significant results are recommended.

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