J Korean Acad Nurs. 2015 Feb;45(1):25-34. Korean.
Published online Feb 27, 2015.
© 2015 Korean Society of Nursing Science
Original Article

Effects of a Cardiocerebrovascular Disease Prevention Education Program for Postmenopausal Middle-aged Women

Soo Kyung Choi,1 and In Sook Kim2
    • 1Department of Nursing, Christian College of Nursing, Gwangju, Korea.
    • 2Department of Nursing, Chosun University, Gwangju, Korea.
Received August 25, 2014; Revised September 15, 2014; Accepted November 24, 2014.

This is an Open Access article distributed under the terms of the Creative Commons Attribution NoDerivs License. (http://creativecommons.org/licenses/by-nd/4.0/) If the original work is properly cited and retained without any modification or reproduction, it can be used and re-distributed in any format and medium.

Abstract

Purpose

This study was conducted to examine effects of a cardiocerebrovascular disease (CVD) prevention education program on knowledge, self-efficacy and health behavior among postmenopausal middle-aged women.

Methods

A non-equivalent control group pretest-posttest design was used. Participants were 53 postmenopausal middle-aged women who registered in two community culture centers in G metropolitan city. Experimental group (n=26) received a CVD prevention education program 8 times over 8 weeks. Knowledge, self-efficacy and health behavior of the participants were examined with self-report structured questionaries. Data were collected between October 15 and December 11, 2013, and were analyzed using chi-square test, Fisher's exact test, independent t-test, and analysis of covariance with SPSS/PC version 21.0.

Results

After the intervention the experimental group showed significant increases in the knowledge of CVD symptoms (p<.001) and CVD risk factors (p<.001), level of self-efficacy (p=.028) and health behavior (p<.001) compared to the control group. However, no significant difference was found between groups for knowledge of CVD prevention (p<.133).

Conclusion

Results suggest that a CVD prevention education program can be an effective strategy to improve knowledge on CVD symptoms and risk factors, self-efficacy and health behavior for postmenopausal middle-aged women.

Keywords
Cardiocerebrovascular disease; Education; Knowledge; Self-efficacy; Health behavior

Tables

Table 1
Learning Objectives and Lesson Contents of the CVD Prevention Education Program

Table 2
Homogeneity Test of Characteristics and Dependent Variables (N =53)

Table 3
Comparison of Dependent Variables between Two Groups after Treatment (N =53)

Table 4
Analysis of Covariance (ANCOVA) for Knowledge of CVD Risk Factor (N =53)

Notes

This manuscript is a revision of the first author's doctoral dissertation from Chosun University.

References

    1. Park HK. National cardiovascular disease preventive management strategies; Paper presented at: Korean cardiology-related societies joint scientific session & The pulse of Asia 2013 Seoul; 2013 April 19-20; Hilton Hotel. Seoul: The Korean Society of Cardiology;
    1. Statistics Korea. 2012 annual report on the causes of death statistics [Internet]. Daejeon: Author; 2013 [cited 2013 May 15].
    1. World Health Organization. United Nations high-level meeting on noncommunicable disease prevention and control: NCD summit to shape the international agenda. New York, NY: Author; 2011 [cited 2013 May 15].
    1. Stirrat C, Mann S. Perceptions of cardiovascular risk factors among cardiology outpatients. Heart Lung Circ 2008;17 Suppl 2:S22–S23. [doi: 10.1016/j.hlc.2008.03.051]
    1. World Health Organization. WHO Global Report. Geneva, CH: Author; 2005.
    1. Health Insurance Review & Assessment Service. Disclosure of cardiocerebrovascular disease evaluation results [Internet]. Seoul: Author; 2012 [cited 2013 May 15].
    1. American Heart Association. Warning signs of heart attack, stroke & cardiac arrest [Internet]. Dallas, TX: Author; 2013 [cited 2013 May 15].
    1. Kirchberger I, Heier M, Kuch B, Wende R, Meisinger C. Sex differences in patient-reported symptoms associated with myocardial infarction (from the population-based MONICA/KORA Myocardial Infarction Registry). Am J Cardiol 2011;107(11):1585–1589. [doi: 10.1016/j.amjcard.2011.01.040]
    1. Women's cardiovascular health. An official position statement of the Association of Women's Health, Obstetric & Neonatal Nursing. J Obstet Gynecol Neonatal Nurs 2011;40(5):662–664. [doi: 10.1111/j.1552-6909.2011.01289.x]
    1. Lloyd-Jones D, Adams RJ, Brown TM, Carnethon M, Dai S, De Simone G, et al. Heart disease and stroke statistics-2010 update: A report from the American Heart Association. Circulation 2010;121(7):e46–e215. [doi: 10.1161/circulationaha.109.192667]
    1. Lisabeth LD, Brown DL, Hughes R, Majersik JJ, Morgenstern LB. Acute stroke symptoms: Comparing women and men. Stroke 2009;40(6):2031–2036. [doi: 10.1161/strokeaha.109.546812]
    1. Worrall-Carter L, Ski C, Scruth E, Campbell M, Page K. Systematic review of cardiovascular disease in women: Assessing the risk. Nurs Health Sci 2011;13(4):529–535. [doi: 10.1111/j.1442-2018.2011.00645.x]
    1. Korea Centers for Disease Control and Prevention. Surveillance and quality management of out-of-hospital cardiac arrest [Internet]. Cheongju: Author; 2011 [cited 2013 May 13].
    1. Innes KE, Selfe TK, Taylor AG. Menopause, the metabolic syndrome, and mind-body therapies. Menopause 2008;15(5):1005–1013. [doi: 10.1097/01.gme.0b013e318166904e]
    1. Korea Centers for Disease Control and Prevention. In-depth analyses of the third national Health and nutrition examination survey (KNHANES III): Health examination [Internet]. Cheongju: Author; 2007 [cited 2013 May 13].
    1. Gu MO, Yu JS, Kweon IK, Kim HW, Lee EO. A review of research on self efficacy theory applied to health related behavior. J Nurs Acad Soc 1994;24(2):278–302.
    1. Bandura A. Self-efficacy mechanism in human agency. Am Psychol 1982;37(2):122–147.
    1. Kim EY, Hwang SY. Development and evaluation of a small group-based cardiocerebrovascular disease prevention education program for male bus drivers. J Korean Acad Nurs 2012;42(3):322–332. [doi: 10.4040/jkan.2012.42.3.322]
    1. Park HJ. In: The effects of lifestyle modification education program on the workers' knowledge, attitude and behavior to prevent cerebrocardiovascular diseases in middle and small-sized industries [master's thesis]. Seoul: Dongguk University; 2008.
    1. Lee HJ. In: Development and evaluation of community education program for cardiocerebrovascular high-risk patients [dissertation]. Daegu: Kyungpook National University; 2010.
    1. Park MK, Kim JH. Effects of a comprehensive lifestyle improvement program for middle-aged women with cardio-cerebrovascular disease-related risk factors. J Korean Acad Community Health Nurs 2013;24(2):111–122. [doi: 10.12799/jkachn.2013.24.2.111]
    1. Chonnam National University Hospital Regional Cardiocerebrovascular Center. Education manual for patient and family [Internet]. Gwangju: Author; 2010 [cited 2013 July 20].
    1. Bandura A. Regulation of cognitive processes through perceived selfefficacy. Dev Psychol 1989;25(5):729–735. [doi: 10.1037/0012-1649.25.5.729]
    1. American Heart Association. Coronary artery disease: Coronary heart disease [Internet]. Dallas, TX: Author; 2013 [cited 2013 May 13].
    1. Sherer M, Maddux JE, Mercandante B, Prentice-dunn S, Jacobs B, Rogers RW. The self-efficacy Scale: Construction and validation. Psychol Rep 1982;51(2):663–671.
    1. Becker DM, Levine DM. Risk perception, knowledge, and lifestyles in siblings of people with premature coronary disease. Am J Prev Med 1987;3(1):45–50.
    1. Shin KR, Shin SJ, Kim JS, Kim JY. The effects of fall prevention program on knowledge, self-efficacy, and preventive activity related to fall, and depression of low-income elderly women. J Korean Acad Nurs 2005;35(1):104–112.
    1. Song KJ. In: The effects of self-efficacy promoting cardiac rehabilitation program on self-efficacy, health behavior, and quality of life [dissertation]. Seoul: Seoul National University; 2001.
    1. Song AR. Development of and educational program for the management of menopause and it's effect. J Korean Acad Nurs 1998;28(2):280–290.
    1. Lowdermilk DL, Perry SE. In: Yoo EK, Kim MH, Kim SA, Park SA, Shin HS, Ahn S, et al.Maternity & women's health care. Seoul: Hyunmoon; 2005.
    1. Shin HS, Lee J, Lee KH, Song YA. Health behavioral patterns associated with psychologic distress among middle-aged Korean women. Asian Nurs Res 2007;1(1):61–67. [doi: 10.1016/s1976-1317(08)60009-2]

Metrics
Share
Tables

1 / 4

PERMALINK