Journal of the Korea Academia-Industrial cooperation Society (한국산학기술학회논문지)

The Korea Academia-Industrial cooperation Society (한국산학기술학회)
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Effects of Physical Activity Programs on Sleep among Community-dwelling Elders in Korea: A Systematic Review and Meta-analysis

한국 지역사회 노인의 신체활동 프로그램이 수면에 미치는 효과: 체계적 문헌고찰 및 메타분석

  • Received : 2017.12.05
  • Accepted : 2018.03.09
  • Published : 2018.03.31
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Abstract

This study was a systematic review and meta-analysis designed to investigate the effects of physical activity programs on sleep among community-dwelling elders in Korea. Based on the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analysis) guidelines, research articles published until November 20, 2016 were systematically analyzed and a total of seven papers were finally selected. Meta-analysis of the studies was conducted using Comprehensive Meta-Analysis 3.0. The results showed that the total effect of the physical activity program for elderly people, such as healing yoga, aerobic dance, aquarobics, Korean dance, BeHas exercise, exercise programs and Tai Chi exercise on sleep was Hedges' g=0.577 (95% CI: 0.337-0.817) The BeHas exercise program had the largest effect size on elderly's sleep, with a Hedges' g=0.758 (95% CI: 0.248-1.267). This was followed by the Tai Chi exercise program (Hedges' g=0.697; 95% CI: 0.071-1.324) and the exercise program (Hedges' g=0.650; 95% CI: 0.141-1.159). Therefore, when applying nursing interventions to improve quality of sleep of elderly people living in the community, it would be helpful to apply the BeHas exercise and the Tai Chi exercise, which have a positive effect on sleep of the elderly.

본 연구의 목적은 지역사회에 거주하는 한국 노인을 대상으로 한 신체활동 프로그램이 수면에 미치는 효과를 체계적이고 종합적으로 검증하기 위해 메타분석하는 것이다. 자료수집을 위해 PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analysis) 가이드라인에 따라 2016년 11월 20일까지 출판된 연구물을 체계적으로 수집하고 각 기준에 따라 선별한 결과 총 7편이 메타분석 대상 논문으로 선정되었다. 자료 분석은 Comprehensive Meta-Analysis 3.0 프로그램을 이용하였으며, Q 검정을 통하여 연구들 사이의 동질성 여부를 검정한 후 개별 연구의 효과크기를 병합한 평균 효과크기를 산출하였다. 연구결과, 노인을 대상으로 한 신체활동 프로그램인, 힐링요가, 에어로빅댄스, 아쿠아로빅스, 한국무용, 베하스 운동, 운동프로그램, 타이치 운동이 수면에 미치는 총 효과는 Hedges' g=0.577(95% Confidence Interval (CI):0.337~0.817)로 유의한 효과크기를 보였다. 신체활동 프로그램 중 베하스 운동프로그램은 Hedges' g=0.758(95% CI:0.248~1.267)로 노인의 수면에 가장 큰 효과크기를 보였으며, 타이치 운동프로그램이 Hedges' g=0.697(95% CI:0.071~1.324), 운동프로그램은 Hedges' g=0.650(95% CI:0.141~1.159)의 순으로 효과크기를 보였다. 그러므로 지역사회 거주 노인의 수면의 질 향상을 위한 간호학적 중재를 적용함에 있어, 노인의 수면에 긍정적인 효과를 미치는 베하스 운동과 타이치 운동을 프로그램화 하여 적용하는 것이 도움이 될 것이다. 또한 노인의 수면에 유의한 효과를 미치지 않는 것으로 파악된 중재프로그램의 내용 및 특성, 문제점 등을 분석하여, 향후 노인을 대상으로 한 중재 개발 시 고려할 필요가 있다.

Keywords

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