工作场所心脏健康促进项目对长期护理中心血管病行为风险因素的影响：一项随机对照试验。

The worksite heart health improvement project's impact on behavioral risk factors for cardiovascular disease in long-term care: A randomized control trial.

机构信息

University of Maryland Baltimore, School of Nursing, 655 W Lombard Street, Room 645D, Baltimore, MD 21201, United States.

University of Maryland Baltimore, School of Nursing, 655 W Lombard Street, Room 390D, Baltimore, MD 21201, United States.

出版信息

Int J Nurs Stud. 2018 Oct;86:107-114. doi: 10.1016/j.ijnurstu.2018.06.011. Epub 2018 Jun 28.

DOI:10.1016/j.ijnurstu.2018.06.011

PMID:30005312

Abstract

BACKGROUND

Long-term care workers are at high risk for cardiovascular disease, in part because of their poor health habits.

OBJECTIVE

The purpose of this study is to test the impact of the Worksite Heart Health Improvement Project (WHHIP) on subjective behavioral cardiovascular risk factors over time among long-term care staff.

DESIGN

The WHHIP was a 12-month cluster randomized control trial conducted in four long-term care facilities. The exercise, nutrition, and stress management intervention lasted 9-months and was implemented during paid work time.

SETTING AND PARTICIPANTS

Ninety-eight long-term care workers consented to participate in the study.

METHODS

Survey data included: mood, dietary salt intake, dietary fat intake, sleep quality, and sleep duration.

RESULTS

A significant positive short-term intervention effect at 9-month (p = .037) and long-term effect at 12-month for mood (p = .039) was found, signifying reduction in mood symptoms in the treatment group over time. The intervention group also showed longer sleep time (p = .016) and better sleep quality (p = .046) at 12-months. The intervention group had less dietary sodium intake at 9-months (p = .036); yet, this was not maintained over time.

CONCLUSION

The WHHIP demonstrated the ability to improve participants' mood, sleep and sodium intake over time. Lessons learned particularly the challenges faced implementing the WHHIP and the solutions recommended provide critical insights to strengthen future programs with this population.

摘要

背景

长期护理工作者由于健康习惯不佳，患心血管疾病的风险较高。

目的

本研究旨在检验工作场所心脏健康改善计划（WHHIP）对长期护理人员主观行为心血管风险因素的长期影响。

设计

WHHIP 是一项为期 12 个月的群组随机对照试验，在四家长期护理机构进行。为期 9 个月的运动、营养和压力管理干预措施在工作时间进行。

地点和参与者

98 名长期护理工作者同意参与研究。

方法

调查数据包括：情绪、膳食盐摄入量、膳食脂肪摄入量、睡眠质量和睡眠时间。

结果

在 9 个月时发现了短期干预效果显著（p=0.037），在 12 个月时发现了长期干预效果显著（p=0.039），表明治疗组的情绪症状随时间逐渐减轻。干预组在 12 个月时睡眠时间也更长（p=0.016），睡眠质量更好（p=0.046）。干预组在 9 个月时的膳食钠摄入量减少（p=0.036），但随着时间的推移并未保持。