Caliwanagan, Vina Grace M. 4 0
Development of a health program based on a corporate health profile of a selected establishment / 6 6 Vina Grace M. Caliwanagan - - - xviii, 137 pages - - - - - . - . - 0 . - . - 0 .
• Thesis (M.A.) -- Pamantasan ng Lungsod ng Maynila, Intramuros, Manila, 2000.;• A thesis presented to the faculty of Graduate School of Arts, Sciences, Education, and Nursing, Pamantasan ng Lungsod ng Maynila in partial fulfillment of the requirements for the degree of Master of Arts in Nursing.
5
ABSTRACT. Statement of the Problem: 1. Based on Comprehensive Health Assessment Form (CHAF) what is the health profile of the respondents as to: 1.1 Demographic data 1.1.1 Age 1.1.2 Sex 1.1.3 Civil status 1.1.4 Level 1.2 Past Health History 1.2.1 Family health history 1.2.2 Past medical complaints/problems 1.3 Present health history 1.4 Physical assessment 1.5 Laboratory/Diagnostic assessment 1.6 Health risk appraisal 2. What is the Corporate Health Profile (CHP) in terms of: 2.1 Demographics 2.2 Health history 2.3 Health balance 2.4 Health potential 3. Is there a significant relationship between the demographic variables and dimensions of CHP? 4. What health programs can be developed based on the Corporate Health Profile? Research Methodology: The study through the use of CHAF, developed a corporate health program and CHP. This study made used of descriptive method and utilized incidental sampling method for the selection of respondents. It was conducted at one of the five star hotel in Manila and simultaneous to the customary schedule of the employees Annual Physical Examination. The employees attendance rate during the time of the conduct of study was 91% or total of 764 employees. Statistical Treatment: The researcher's intention of analyzing the data was mad possible through the used of percentage distribution, weighted mean and Pearson R Coefficient of Correlation. Summary of Findings: 1. Employee's health profile 1.1 Demographics late The majority of the population belongs to the late years of young adulthood and early years of middle adulthood, 36-50 years old, obtaining 72%. The least number belongs to the age group of 51-65 years old, comprised 4% of the population. There are more male employees (n=618) which is equivalent to 74% than female employees, (n=219) 26% of the population. Eighty percent of the respondents are married, 18% are single and the least number, 2% comprises the widow group. Rank and file group dominates the population of the company. a total of 81% (n=674), the least number of population belongs to the managerial level, 6% (52). 1.2 Health history Hypertension tops the family health history with 311 employees accounted that they have a past history of HPN Twenty employees complained that they have a past history of chest pain, making it as the number one past medical problem. 1.3 Present Health History Hypertension is the common health complaint among the employees of Company A. Analogous to the first finding there are 132 employees presently taking anti-hypertensive drugs. 1.4 Physical assessment Ninety percent of the respondents (n=689) are physically fit in terms of weight or falls under the low risk category. More than three fourth of the workforce or 81% (n=617) of the respondents have a normal BP. A large number of the population of 61% (n=462), have a normal vision. More than half of the population or 55% (n-415) Have no significant findings in their dental profile. 1.5 Laboratory/Diagnostic Exams Amon the numerous laboratory/diagnostic result with significant findings, ECG tested ranked as number one. There were 56 employees who were found out to have significant cardiovascular problems through. 1.5.1 Blood type profile More than half of the population or 63% (n=484) have a blood type O. 1.6 Health risk appraisal 1.6.1 Worksite stress coping mechanism Almost half of the respondents or 43% (n=330) are classified under the moderate risk category in terms of coping mechanism at workplace. 1.6.2 Employees smoking habit More than half of the respondents or 61% (n-467) are non-smoker 1.6.3 Employees alcohol intake Fifty four percent of the workforce or (n=415) consumes less than three drinks of alcohol per week. 1.6.4 Employees' salt intake Half of the population or 57% (n=434) of the respondents add salt/seasoning to their meals less than three times per week. 1.6.5 Employees' fat intake Close to almost half of the population of 45% (n=342) of the employees consumes fat in their meals less than three times per week. 1.6.6 Employees' fiber intake The severe risk category of fiber intake or fiber intake of less than three meals per week ranked as number one, 58% (n=443). 1.6.7 Employees' exercise habit Thirty three percent (n=251) of the workforce do not exercise. 2. The CHP in terms of: 2.1 Demographics The male population and the 36-50 age group dominates all level of the company's hierarchy from rank and file to managerial position. 2.2 Health history Family history of HPN is consistent among all levels and gender. The male, manager group has the highest percentage of having a family history of HPN. 2.3 Health balance 2.3.1 Top three medical problem according to levels Hypertension is the number one medical problem among all levels from rank and file to managerial position. Among the rank and file employees, asthma and urinary tract infection (UTI) ranked second and third medical problem respectively. On the supervisory level, arthritis ranked second and it was followed by diabetes mellitus (DM) and ranked as third. On managerial level, arthritis, DM, UTI all tied on the second slot. 2.3.2 Top three medical problem according to age The most common medical problem among the age group of 20-35 years of age is UTI, it was followed by HPN AND and asthma accordingly. Among the age group of 36-50 years old HPN is the most common medical problem, asthma and DM ranked as second and third respectively. Hypertension is the number one medical problem among the age group of 51-65 years of age, followed by arthritis as second and DM as third. 2.3.3 Top medical problem according to sex Hypertension is the most common medical problem among male and female employees. Asthma ranked as second and DM as third most common medical problem among male employees. On the other hand, UTI ranked as second and arthritis as third most common medical problem among female employees. Morbidity rate among different demographic area The managerial position has the highest morbidity rate (16%) in level area. While the age group of 51-65 years of age got 35%, has the highest morbidity rate in gender area. 2.3.4 Classification based on Medical Rating System. Half of the population of 54% (n=454) of the respondents are classified as physically based on Medical Rating System. 2.4 Health Potential Fifty two percent (n=399) of the respondents are belong to Risk A Category. 3. Significant relationship between the demographic variables and dimensions of CHP. 3.1 Demographics and Health Balance (HP) There is a very high correlation between age and level of demographics and HPN. 3.2 Demographics and Health Potential There is a very high correlation between age and level demographics and stress, smoking, alcohol, salt intake, fat intake, exercise and weight. There is a very high correlation between age and fiber intake. There is a very low correlation between level and fiber intake. 4. The developed worksite wellness program is geared towards a health heart. The program named as Bagong Puso sa Bagong Siglo. The whole program is composed of three levels: Awareness, Health Management Process and Supportive Environment. Conclusions: 1. The null hypothesis is rejected since there is significant relationship between the age and level demographics and dimensions of CHP. 2. Hypertension is the most prominent health problem of the company. 3. Lifestyle greatly affects the health balance and health potential of an individual. 4. Majority of the population belongs to the risk A category or low risk group. 5. The three dimensions of CHP namely: health history, health potential and health balance have a significant relationship in the health status of the employee. 6. There is a growing need of different worksite wellness program within the corporate policies and procedures to create a new corporate culture towards a more healthy and productive company. Recommendations: Based from the findings and conclusions derived from the study, the following recommendations are given. 1. Implementation of the proposed corporate wellness program ('Bagong Puso sa Bagong Siglo). 2. There is a need to redirect the diet and activity lifestyle habits of employees to achieve and maintain high level of wellness of workplace. The administration should support the employees by providing low cost promotion ideas, facilities and materials that will support positive lifestyle like: cafeteria with healthy foods, support groups, resource library, newsletter, wellness week, and theme week. 3. Recognition/citation should be given to individuals/departments to encourage high level of enthusiasm and increase number of attendance during the implementation process of the program. 4. Replicate the study or further research in: 4.1 other corporations 4.2 other institutions such as schools and hospitals 5. Similar researches/related studies are needed to have a solid framework in creating new fields in nursing profession. 6. A course related to health forecasting and program management (including budget appropriation) can be opened to graduate studies to strengthen the building of blocks of corporate health assessment, corporate health profiling, and program development.
5
2 = =
2
2 --0------
6 --0-- 2 --------
0 2 --
--20------
--------20--
--------20--
----2
T Fil RA413 / .C35 20002
/ 2
/
/
Development of a health program based on a corporate health profile of a selected establishment / 6 6 Vina Grace M. Caliwanagan - - - xviii, 137 pages - - - - - . - . - 0 . - . - 0 .
• Thesis (M.A.) -- Pamantasan ng Lungsod ng Maynila, Intramuros, Manila, 2000.;• A thesis presented to the faculty of Graduate School of Arts, Sciences, Education, and Nursing, Pamantasan ng Lungsod ng Maynila in partial fulfillment of the requirements for the degree of Master of Arts in Nursing.
5
ABSTRACT. Statement of the Problem: 1. Based on Comprehensive Health Assessment Form (CHAF) what is the health profile of the respondents as to: 1.1 Demographic data 1.1.1 Age 1.1.2 Sex 1.1.3 Civil status 1.1.4 Level 1.2 Past Health History 1.2.1 Family health history 1.2.2 Past medical complaints/problems 1.3 Present health history 1.4 Physical assessment 1.5 Laboratory/Diagnostic assessment 1.6 Health risk appraisal 2. What is the Corporate Health Profile (CHP) in terms of: 2.1 Demographics 2.2 Health history 2.3 Health balance 2.4 Health potential 3. Is there a significant relationship between the demographic variables and dimensions of CHP? 4. What health programs can be developed based on the Corporate Health Profile? Research Methodology: The study through the use of CHAF, developed a corporate health program and CHP. This study made used of descriptive method and utilized incidental sampling method for the selection of respondents. It was conducted at one of the five star hotel in Manila and simultaneous to the customary schedule of the employees Annual Physical Examination. The employees attendance rate during the time of the conduct of study was 91% or total of 764 employees. Statistical Treatment: The researcher's intention of analyzing the data was mad possible through the used of percentage distribution, weighted mean and Pearson R Coefficient of Correlation. Summary of Findings: 1. Employee's health profile 1.1 Demographics late The majority of the population belongs to the late years of young adulthood and early years of middle adulthood, 36-50 years old, obtaining 72%. The least number belongs to the age group of 51-65 years old, comprised 4% of the population. There are more male employees (n=618) which is equivalent to 74% than female employees, (n=219) 26% of the population. Eighty percent of the respondents are married, 18% are single and the least number, 2% comprises the widow group. Rank and file group dominates the population of the company. a total of 81% (n=674), the least number of population belongs to the managerial level, 6% (52). 1.2 Health history Hypertension tops the family health history with 311 employees accounted that they have a past history of HPN Twenty employees complained that they have a past history of chest pain, making it as the number one past medical problem. 1.3 Present Health History Hypertension is the common health complaint among the employees of Company A. Analogous to the first finding there are 132 employees presently taking anti-hypertensive drugs. 1.4 Physical assessment Ninety percent of the respondents (n=689) are physically fit in terms of weight or falls under the low risk category. More than three fourth of the workforce or 81% (n=617) of the respondents have a normal BP. A large number of the population of 61% (n=462), have a normal vision. More than half of the population or 55% (n-415) Have no significant findings in their dental profile. 1.5 Laboratory/Diagnostic Exams Amon the numerous laboratory/diagnostic result with significant findings, ECG tested ranked as number one. There were 56 employees who were found out to have significant cardiovascular problems through. 1.5.1 Blood type profile More than half of the population or 63% (n=484) have a blood type O. 1.6 Health risk appraisal 1.6.1 Worksite stress coping mechanism Almost half of the respondents or 43% (n=330) are classified under the moderate risk category in terms of coping mechanism at workplace. 1.6.2 Employees smoking habit More than half of the respondents or 61% (n-467) are non-smoker 1.6.3 Employees alcohol intake Fifty four percent of the workforce or (n=415) consumes less than three drinks of alcohol per week. 1.6.4 Employees' salt intake Half of the population or 57% (n=434) of the respondents add salt/seasoning to their meals less than three times per week. 1.6.5 Employees' fat intake Close to almost half of the population of 45% (n=342) of the employees consumes fat in their meals less than three times per week. 1.6.6 Employees' fiber intake The severe risk category of fiber intake or fiber intake of less than three meals per week ranked as number one, 58% (n=443). 1.6.7 Employees' exercise habit Thirty three percent (n=251) of the workforce do not exercise. 2. The CHP in terms of: 2.1 Demographics The male population and the 36-50 age group dominates all level of the company's hierarchy from rank and file to managerial position. 2.2 Health history Family history of HPN is consistent among all levels and gender. The male, manager group has the highest percentage of having a family history of HPN. 2.3 Health balance 2.3.1 Top three medical problem according to levels Hypertension is the number one medical problem among all levels from rank and file to managerial position. Among the rank and file employees, asthma and urinary tract infection (UTI) ranked second and third medical problem respectively. On the supervisory level, arthritis ranked second and it was followed by diabetes mellitus (DM) and ranked as third. On managerial level, arthritis, DM, UTI all tied on the second slot. 2.3.2 Top three medical problem according to age The most common medical problem among the age group of 20-35 years of age is UTI, it was followed by HPN AND and asthma accordingly. Among the age group of 36-50 years old HPN is the most common medical problem, asthma and DM ranked as second and third respectively. Hypertension is the number one medical problem among the age group of 51-65 years of age, followed by arthritis as second and DM as third. 2.3.3 Top medical problem according to sex Hypertension is the most common medical problem among male and female employees. Asthma ranked as second and DM as third most common medical problem among male employees. On the other hand, UTI ranked as second and arthritis as third most common medical problem among female employees. Morbidity rate among different demographic area The managerial position has the highest morbidity rate (16%) in level area. While the age group of 51-65 years of age got 35%, has the highest morbidity rate in gender area. 2.3.4 Classification based on Medical Rating System. Half of the population of 54% (n=454) of the respondents are classified as physically based on Medical Rating System. 2.4 Health Potential Fifty two percent (n=399) of the respondents are belong to Risk A Category. 3. Significant relationship between the demographic variables and dimensions of CHP. 3.1 Demographics and Health Balance (HP) There is a very high correlation between age and level of demographics and HPN. 3.2 Demographics and Health Potential There is a very high correlation between age and level demographics and stress, smoking, alcohol, salt intake, fat intake, exercise and weight. There is a very high correlation between age and fiber intake. There is a very low correlation between level and fiber intake. 4. The developed worksite wellness program is geared towards a health heart. The program named as Bagong Puso sa Bagong Siglo. The whole program is composed of three levels: Awareness, Health Management Process and Supportive Environment. Conclusions: 1. The null hypothesis is rejected since there is significant relationship between the age and level demographics and dimensions of CHP. 2. Hypertension is the most prominent health problem of the company. 3. Lifestyle greatly affects the health balance and health potential of an individual. 4. Majority of the population belongs to the risk A category or low risk group. 5. The three dimensions of CHP namely: health history, health potential and health balance have a significant relationship in the health status of the employee. 6. There is a growing need of different worksite wellness program within the corporate policies and procedures to create a new corporate culture towards a more healthy and productive company. Recommendations: Based from the findings and conclusions derived from the study, the following recommendations are given. 1. Implementation of the proposed corporate wellness program ('Bagong Puso sa Bagong Siglo). 2. There is a need to redirect the diet and activity lifestyle habits of employees to achieve and maintain high level of wellness of workplace. The administration should support the employees by providing low cost promotion ideas, facilities and materials that will support positive lifestyle like: cafeteria with healthy foods, support groups, resource library, newsletter, wellness week, and theme week. 3. Recognition/citation should be given to individuals/departments to encourage high level of enthusiasm and increase number of attendance during the implementation process of the program. 4. Replicate the study or further research in: 4.1 other corporations 4.2 other institutions such as schools and hospitals 5. Similar researches/related studies are needed to have a solid framework in creating new fields in nursing profession. 6. A course related to health forecasting and program management (including budget appropriation) can be opened to graduate studies to strengthen the building of blocks of corporate health assessment, corporate health profiling, and program development.
5
2 = =
2
2 --0------
6 --0-- 2 --------
0 2 --
--20------
--------20--
--------20--
----2
T Fil RA413 / .C35 20002
/ 2
/
/