[针对中小企业中有心血管危险因素的男性员工,使用移动健康应用程序的健康伙伴关系计划的效果:一项随机对照试验]
[Effects of a Health Partnership Program Using Mobile Health Application for Male Workers with Cardiovascular Risk Factors in Small and Medium Enterprises: A Randomized Controlled Trial].
作者信息
Kim Eun Jin, Hwang Seon Young
机构信息
Department of Nursing, Kyung-in Women's University, Incheon, Korea.
Department of Nursing, Hanyang University, Seoul, Korea.
出版信息
J Korean Acad Nurs. 2024 Feb;54(1):44-58. doi: 10.4040/jkan.23090.
PURPOSE
This study aimed to apply a health partnership program using commercially available mobile health apps to improve cardiovascular risk factors in male employees and verify its effectiveness.
METHODS
Using a randomized control group pretest-posttest design, male employees with cardiovascular risk factors from five small and medium-sized workplaces were randomly assigned to an experimental group (n = 32) and a control group (n = 31). The experimental group was encouraged to use three mobile health apps for 12 weeks to acquire the necessary cardiovascular disease-related information and practice strengthening training, walking, and diet management appropriate to their level. They also received feedback on their weekly activities and motivational text messages from health partners. Hypotheses were tested using the SPSS WIN 22.0.
RESULTS
The experimental group showed a significant difference compared to the control group in terms of their perception of mobile health app ( < .05), self-efficacy for exercise and diet, self-management partnership, and cardiovascular disease prevention health behavior ( < .001). In particular, there were significant decreases in the body mass index, ratio, serum fasting blood sugar, total cholesterol, and triglyceride in the experimental group ( < .001); however, there was no significant difference in high-density lipoprotein-cholesterol.
CONCLUSION
Intervention using mobile apps based on partnership with health managers is effective in improving the objective cardiovascular risk index in male employees; therefore, such intervention should be continuously used as a useful lifestyle modification strategy in the workplace.
目的
本研究旨在应用一项使用市售移动健康应用程序的健康伙伴关系计划,以改善男性员工的心血管危险因素并验证其有效性。
方法
采用随机对照前后测设计,将来自五个中小型工作场所的有心血管危险因素的男性员工随机分为实验组(n = 32)和对照组(n = 31)。鼓励实验组使用三款移动健康应用程序12周,以获取必要的心血管疾病相关信息,并进行适合其水平的强化训练、步行和饮食管理。他们还收到了健康伙伴关于其每周活动的反馈和激励短信。使用SPSS WIN 22.0对假设进行检验。
结果
实验组在移动健康应用程序认知(<.05)、运动和饮食自我效能、自我管理伙伴关系以及心血管疾病预防健康行为(<.001)方面与对照组相比有显著差异。特别是,实验组的体重指数、比率、血清空腹血糖、总胆固醇和甘油三酯显著下降(<.001);然而,高密度脂蛋白胆固醇没有显著差异。
结论
基于与健康管理者合作的移动应用程序干预对于改善男性员工的客观心血管风险指数是有效的;因此,这种干预应持续作为工作场所有用的生活方式改变策略加以应用。