고혈압은 순환기계 질환 중 유병 수준이 가장 높은 질환이며(WHO, 2002), 연령의 증가에 따라 유병률이 높아지는 것으로 알려져 있다(보건복지부, 2006; Hajjar & Kotchen, 2003; Ogihara et al., 2003). 미국의 경우 60대 이상 노인 인구에서의 고혈압 유병률 은 65.4% 이며(Hajjar & Kotchen, 2003), 우리나 라의 경우에도 남자의 경우 60대, 여자의 경우 60대와 70대의 고혈압 유병률이 50% 이상에 이르고 있다(보 건복지부, 2006). 노인인구의 급격한 증가로 인해 노인 에서의 고혈압은 중요한 사회적 문제로 부각되고 있으 며, 노인 고혈압 관리의 중요성이 더욱 커지고 있다(고 영국, 2004; 배종화, 1999; 윤영원, 2007).
This study was done to identify effective non-pharmacological intervention programs for the aged with hypertension by reviewing related research studies in Korea and other countries. Method: Analysis was done of 29 related articles, 12 domestic studies and 17 studies from other countries, published between 1980 and 2007. Results: 1) All domestic studies were quasi-experimental designs, whereas 16 foreign studies were RCTs. Ten foreign studies and 2 domestic studies used multidisciplinary approaches. Average number of participants was 26.9 in Korea and 181.5 in other countries. Duration of intervention in other countries was longer than Korea. 2) In other countries. the most popular intervention methods were education and counselling focused on lifestyle modification and exercise, whereas relaxation and complimentary methods were most common in Korea. 3) The interventions that showed significant positive effects on blood pressure were education and counselling focused on lifestyle modification (7 studies), exercise (7 studies) and relaxation methods (1 studies). Conclusion: When developing intervention programs for the aged with hypertension, it is essential to use multidisciplinary approaches focused on changes in health behavior to improve lifestyle. As for the research design, larger RCT research studies with longer intervention periods are necessary to identify causal relationship.
I. 서 론 Ⅱ. 연구 방법 Ⅲ. 연구 결과 Ⅳ. 논 의 Ⅴ. 결론 및 제언
