Evaluation of the Effectiveness and the Level of Self-Management Support on the Metabolic Syndrome Management Program at Public Health Centers in Seoul Metropolitan City
10.4332/KJHPA.2019.29.1.19
- Author:
Dong Ok KIM
1
Author Information
1. Department of Nursing, Gyeongbuk College of Health, Gimcheon, Korea. estgem@gch.ac.kr
- Publication Type:Original Article
- Keywords:
Metabolic syndrome;
Self-management support;
Public health center;
Metabolic Syndrome Management Program
- MeSH:
Cholesterol;
Chronic Disease;
Drinking;
Food Habits;
Health Behavior;
Humans;
Lipoproteins;
Mental Health;
Primary Health Care;
Public Health;
Self Care;
Seoul;
Smoke;
Smoking;
Triglycerides
- From:Health Policy and Management
2019;29(1):19-26
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND: The purpose of this study was to evaluate the effectiveness and the level of self-management support on the Metabolic Syndrome Management Program at public health centers in Seoul metropolitan city. METHODS: The effectiveness on the Metabolic Syndrome Management Program were analyzed using secondary data from 1,312 community residents who were receiving program. The level of self-management support on Metabolic Syndrome Management Program was evaluated using an ‘Assessment of Primary Care Resources and Supports for Chronic Disease Self-Management’ from four public health centers. RESULTS: The effectiveness on the Metabolic Syndrome Management Program was showed that decreased smoking (p=0.044) and drinking (p<0.001), and increased healthy dietary habit (p<0.001) in health behaviors. It was showed that decreased triglyceride (p=0.002) and increased high-density lipoprotein cholesterol (p<0.001) in clinical indicators. The level of self-management support on Metabolic Syndrome Management Program was 98.1 points and it meaned that implementation is done in an organized and consistent manner using a team approach. There was difference in the level of self-management support by public health centers (p=0.003). CONCLUSION: The Metabolic Syndrome Management Program in public health centers was effective, and level of self-management support was done as organizational level, but patient input and mental health were insufficient.
