参与式项目对改善韩国农村老年农民心血管和脑血管健康的效果。
Effectiveness of a Participatory Program for Improving the Cardiovascular and Cerebrovascular Health of Older Farmers in Rural Korea.
机构信息
Department of Safety Engineering, Seoul National University of Science and Technology, Seoul 01811, Republic of Korea.
Department of Nursing, Korea National University of Transportation, Jeungpyeong 27909, Republic of Korea.
出版信息
Int J Environ Res Public Health. 2023 Feb 12;20(4):3210. doi: 10.3390/ijerph20043210.
BACKGROUND
The aim of this study was to evaluate the effectiveness of a participatory approach to the cardiovascular and cerebrovascular (CCV) health of older farmers in rural Korea.
METHODS
A nonequivalent control group pretest-posttest design was used. Participants included 58 farmers aged ≥ 60 years who were assigned to either an experimental group (n = 28) or a comparative group (n = 30). The experimental group took part in the participatory program for CCV health, while the comparative group received a conventional lecture program for CCV health. The two groups, from pretest to posttest, were compared using the generalized estimating equation (GEE) method.
RESULTS
The participatory program showed a greater effect over time than the conventional lecture program for health empowerment (Χ = 7.92, = 0.005) and self-efficacy in managing CCV health (Χ = 5.94, = 0.015). The average rate of implemented improvements after 3 months was 88.9%, showing that the participatory program was successful.
CONCLUSIONS
The participatory program for CCV health was an effective intervention for the empowerment and self-efficacy of older farmers in managing their own CCV health. Therefore, we recommend replacing lectures with participatory methods in CCV health programs for older farmers.
背景
本研究旨在评估参与式方法对韩国农村老年农民心血管和脑血管（CCV）健康的有效性。
方法
采用非等效对照组前后测设计。参与者包括 58 名年龄≥60 岁的农民，他们被分配到实验组（n=28）或对照组（n=30）。实验组参加了 CCV 健康的参与式计划，而对照组则参加了 CCV 健康的传统讲座计划。使用广义估计方程（GEE）方法比较两组从预测试到后测试的变化。
结果
与传统讲座计划相比，参与式计划在增强健康权能（Χ=7.92，=0.005）和管理 CCV 健康的自我效能（Χ=5.94，=0.015）方面的效果随时间的推移更为显著。3 个月后实施改进的平均比率为 88.9%，表明参与式计划取得了成功。
结论
CCV 健康的参与式计划是增强老年农民管理自身 CCV 健康的权能和自我效能的有效干预措施。因此，我们建议在 CCV 健康计划中用参与式方法取代讲座。
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