Development and Evaluation of an Integrated Health Management Program for Psychiatric Patients with Metabolic Syndrome.

Purpose: This study developed an integrated health management program for metabolic syndrome in psychiatric patients and examined its effects on self-efficacy, healthy lifestyle, physiological indicators, knowledge of metabolic syndrome, attitudes toward healthy behavior, and social support. Methods...

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Publicado en:Journal of Korean Academy of Nursing Vol. 52; no. 3; pp. 261 - 278
Autores principales: Yun Bock Kwak, Ji Young Kim
Formato: research tables/charts Journal Article
Publicado: Korean Society of Nursing Science Jun2022
Acceso en línea:Ver este registro en EBSCOhost
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        20053673
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      jtl: Journal of Korean Academy of Nursing
      issn: 20053673
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    pubinfo:
      dt: Jun2022
      vid: 52
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      pid: 42744
      pub: Korean Society of Nursing Science
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        158062896
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        10.4040/jkan.21222
        158062896
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        atl: Development and Evaluation of an Integrated Health Management Program for Psychiatric Patients with Metabolic Syndrome.
      aug:
        au:
          Yun Bock Kwak
          Ji Young Kim
        affil: College of Nursing, Jeonbuk National University, Jeonju, Korea
      sug:
        subj:
          Psychiatric Patients
          Metabolic Syndrome X
          Program Development
          Program Evaluation
          Health Care Delivery, Integrated
          Human
          Descriptive Statistics
          Data Analysis Software
          Conceptual Framework
          Self-Efficacy
          Life Style
          Health Behavior
          Support, Social
          Pretest-Posttest Design
          Analysis of Covariance
      ab: Purpose: This study developed an integrated health management program for metabolic syndrome in psychiatric patients and examined its effects on self-efficacy, healthy lifestyle, physiological indicators, knowledge of metabolic syndrome, attitudes toward healthy behavior, and social support. Methods: A non-equivalent control group pretest posttest design was used. The participants were 65 psychiatric patients with metabolic syndrome in psychiatric rehabilitation centers, with 33 in the experimental group and 32 in the control group. The experimental group participants engaged in daily mobile application and walking exercises three times a week for more than 40 minutes over 8 weeks, while those in the control group were provided education booklets. The outcomes were measured using self-report questionnaires, anthropometrics, and blood analyses. Intervention effects were analyzed using the independent t-test, Mann--Whitney U test, ANCOVA, and Ranked ANCOVA. Results: The experimental group showed a significant increase in self-efficacy (F = 8.85, p = .004, ηp² = .13) and knowledge of metabolic syndrome (t = 2.60, p = .012, d = 0.60) compared to the control group. Additionally, the experimental group demonstrated a significant decrease in waist circumference (Z = - 2.34, p = .009, d = 0.58) and body mass index (Z = - 1.91, p = .028, d = 0.47) compared to the control group. Conclusion: The integrated health management program for psychiatric patients with metabolic syndrome is effective in improving self-efficacy and knowledge of metabolic syndrome and decreasing physiological indicators such as waist circumference and body mass index.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: Korean
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