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Purpose: This quasi-experimental study was performed to investigate the effects of a health promotion program(HPP) on self-efficacy, healthy lifestyle and blood lipid profile in employees with hyperlipidemia. Methods: The subjects were forty-three employees who were diagnosed as having hyperlipidemia during routine health examination at two worksites in Seoul in 2001. Of the forty-three subjects, thirty were allocated to the experimental group and the remaining thirteen were allocated to the control group. Data were collected from September 24, 2001 to March 16, 2002. The HPP was applied to the experimental group for 11 weeks and included health education, diet counseling, watching videos, conference, and so on. The health education included information about exercise, smoking cessation, and abstinence from drinking alcohol and seven sessions of hyperlipidemia education. The experimental group was requested to keep a daily health promotion lifestyle diary. This diary was analyzed by a dietician and subjects were instructed based on the results. As for data analyses, wilcoxon signed rank test and wilcoxon rank sum test and x2-test were carried out using SAS program. Results: 1. Self-efficacy scores of the experimental group were significantly more increased than those of the control group (experimental: 5.86 10.80, control: -4.04 11.91, p=0.018). 2. Healthy lifestyle scores of the experimental group were significantly more increased than those of the control group (experimental: 0.19 0.26, control: -0.05 0.29, p=0.024). 3. Blood total cholesterol values of the experimental group were significantly more decreased than those of the control group (experimental: -13.07 30.10㎎/㎗, control: 10.00 26.57㎎/㎗, p=0.033). 4. Blood triglyceride values of the experimental group were significantly more decreased than those of the control group (experimental: -29.17 192.40㎎/㎗, control: 63.31 107.53㎎/ ㎗, p=0.050). Conclusion: These findings indicate that the HHP could be effective in improving self-efficacy, healthy lifestyle and blood HDL cholesterol and decreasing blood total cholesterol in employees with hyperlipidemia. Therefore, the HHP could be suggested as an effective nursing intervention for employees in the worksite by ultimately preventing cerebral and cardiac vessel complications related to hyperlipidem.
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본 연구는 환자 간접 접촉군인 병원행정관리자와 환자 직접 접촉군인 작업치료사의 환자 의료정보 보호행동 실천도를 알아보기 위해 시도되었다. 담당직무별로 비교해 보았을 때는 환자의료정보 보호․관리․감독에 대한 정기적인 교육은 병원행정관리자(3.16±1.037)보다는 작업치료사(3.17±1.129)가 잘 받고 있었음에도 불구하고, 환자 직접 접촉군인 작업치료사(3.52±.809)가 환자 간접 접촉군인 병원행정관리자(3.92±.724)보다 의료정보 보호행동 실천도는 낮게 나타났다. 작업치료사는 환자와 많은 대화 및 소통을 하는 동안 항상 의료정보 누설의 위험성에 노출되어 있으면서도, 대부분의 항목에서 의료정보 보호에 관한 관심이 비교적 적고 그 내용에 대해 거의 인지하지 못하는 것으로 나타났다. 이에 각 직업군별 맞춤형 교육시스템을 마련하고, 의료정보 보호에 관한 질 관리 활동을 정기적으로 실행하면서 지속적인 홍보와 교육을 하고, 본인들의 수준을 점검하고, 그 러한 활동을 통하여 의료정보 보호에 관한 인식을 고취 시킬 필요가 있다고 제언하는 바이다. Attempts were made in this paper to compare the practice of protective actions for information of patients' medical treatment between hospital administrators who do not make direct contact with patients and occupational therapists who usually do. The comparison between jobs in charge showed that occupational therapists did not practice much protective actions for information of patients' medical treatment (3.52±.809) compared to hospital administrators (3.92±.724), even though the former had received regular education about protection, management and supervision of patients' medical information more often (3.17±1.129) than the latter (3.16±1.037). In spite of the fact that occupational therapists were exposed frequently to the danger of revealing medical information in the process of their job performance through talks and communications with patients, they displayed relatively little concern for and awareness of keeping information of medical treatment from being leaked by them. It is thus suggested to promote awareness of medical staff to protect medical information by means of flexible educational system for each occupational group, periodical monitoring, continuing public relation, training and quality control for protection of medical information, as well as routine self-examination of such practice.