2018 Volume 45 Issue 6 Pages 723-728
The specific health guidance (SHG) has been carried out since fiscal 2008 and has shown efficient effect. However, it is not obvious whether the guidance conducted by each public health nurse (PHN) has the same effect or not. The purpose of this study is to verify the difference of the SHG effect among PHNs.
Subjects were 233 male staffs of the A company who received the proactive support of the SHG in the fiscal 2012-2015 for the first time and who consulted a health checkup in the next fiscal year of the guidance. 5 PHNs who had experience of 6-15 years were in charge of them.
We analyzed the abdominal circumference, the weight and the BMI of the whole subjects and the subjects grouped by each PHN and we compared these data and the next fiscal data. (the Wilcoxon rank sum test) Then, we compared the amount of change of these checkup items among 5 groups. (the Kruskal-Wallis test)
There was no difference of the background factors among the subjects grouped by each PHN. The health checkup results of whole subjects in the next fiscal decreased significantly. Also the checkup results of each of the groups decreased significantly.
The amount of change of the abdominal circumference (p = 0.622), the weight (p = 0.511) and the BMI (p = 0.378) didn't show the difference among PHNs.
Following factors would be imagined such as standardizing the guidance contents by producing manuals of the SHG, unifying the guidance documents and OJT. Also these results could be obtained because of these PHN's career. We need to verify in the future whether a similar result could be found even if the less experience PHNs or other types of jobs were in charge of.
These results suggest that the SHG effects are similar among 5 PHNs.