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치매교육을 위한 가상현실 프로그램에 대한 체계적 고찰

A Systematic Review of the Virtual Reality Program for Dementia Education

  • 김수현 (계명대학교 간호대학 대학원) ;
  • 박희옥 (계명대학교 간호대학)
  • Kim, Suhyun (College of Nursing, Keimyung University) ;
  • Park, Heeok (College of Nursing, Keimyung University)
  • 투고 : 2020.12.20
  • 심사 : 2021.03.20
  • 발행 : 2021.03.28

초록

본 연구는 치매교육으로 제공한 국내·외 가상현실 프로그램의 특성, 효과, 적용 전략 등을 확인하는 체계적고찰 연구이다. 연구방법은 2020년 7월까지 국내·외에서 발표된 문헌을 대상으로 국외는 CINAHL, Cochrane, EMBASE, Pubmed 전자 데이터베이스를 사용하였으며, 국내는 RISS, KISS, DBpia에 대한 검색을 시행하였다. 선정기준과 배제기준을 근거로 최종 6편의 논문이 분석에 사용되었다. 분석결과 선정된 문헌의 연구대상자는 비전문 간병인 2편(33.3%), 일반인 1편(16.7%), 간호학생과 의학 및 약학대 학생을 포함한 학생들 3편(50.0%)이었다. 가상현실 프로그램은 총 5개(공감능력, 치매 지식과 편안감을 포함한 치매태도, 자신의 능력에 대한 신뢰, 양자관계척도)영역에 효과가 있었으며, 이 중 공감능력에 대한 평가가 가장 많았으며 공감능력을 측정한 연구의 75%에서 가상현실 프로그램이 유의한 효과를 나타내었다. 본 연구 결과를 통해 공감을 기반으로 한 인간중심적 간호에 가상현실 기술을 활용할 수 있음을 확인하였다.

This study is a systematic review study to confirm the characteristics, effects, and application strategies of domestic and foreign virtual reality programs provided by dementia education. This study is based on the literature published up to July 2020, CINAHL, Cochrane, EMBASE, and Pubmed electronic databases were used overseas, and RISS, KISS, and DBpia were searched in Korea. Based on the selection criteria and exclusion criteria, the final six papers were used for analysis. As a result of the analysis, the subjects of the selected literature were two informal caregivers (33.3%), one general (16.7%), and three students (50.0%) including nursing students and medical and pharmacy students. The virtual reality program was effective in a total of five areas(empathy ability, dementia attitude including knowledge and comfort of dementia, trust in own abilities, dyadic relationship scale), of which 75% of the studies measured empathy ability had significant effects. The results of this study confirm that virtual reality technology can be used for human-centered nursing based on empathy.

키워드

참고문헌

  1. World Health Organization. (2019). Dementia: World Health Organization, Geneva: Cited 2019 December 11. Web Site. https://www.who.int/news-room/fact-sheets/detail/dementia
  2. Korea Ministry of Health and Welfare. (2015). Third(2016-2020) Dementia management master paln. Sejong: Korea Ministry of Health and Welfare.
  3. Teichmann, B., Bauer, J. M., Beyreuther, K., & Kruse, A. (2019). Research on the care of people with dementia in acute care hospital settings. Zeitschrift fur Gerontologie und Geriatrie. 52(4), 208-211. DOI : 10.1007/s00391-019-01632-1
  4. Son, G. S. (2006). Stress and burn-out experience in caregivers of patients with senile dementia. Journal of Korean Academy of Rural Health Nursing, 1(1), 40-48. DOI : 10.22715/JKARHN.2006.1.1.040
  5. Park, J. H. (2017). Influencing factors on dementia nursing performance of nurses in long-term care hospitals. Master's thesis, Catholic University of Daegu.
  6. Kim, Y. J. (2014). A systematic review on the effects of intervention for caregivers of people with dementia to reduce their burden. Therapeutic Science for Rehabilitation, 3(1), 19-29. DOI : 10.22683/tsnr.2014.3.1.019
  7. Jeon, B. R. & Kim. D. J. (2019). Systematic review on intervention program for family caregivers of people with dementia. The Journal of Occupational Therapy for the Aged and Dementia, 13(1), 51-62. https://doi.org/10.34263/jsotad.2019.13.1.51
  8. Smits, C. H., De Lange, J., Droes, R. M., Meiland, F., Vernooij‐Dassen, M., & Pot, A. M. (2007). Effects of combined intervention programmes for people with dementia living at home and their caregivers: A systematic review. International Journal of Geriatric Psychiatry, 22(12), 1181-1193. DOI : 10.1002/gps.1805
  9. Bellani, M., Fornasari, L., Chittaro, L., & Brambilla, P. (2011). Virtual reality in autism: State of the art. Epidemiology and Psychiatric Sciences, 20(3), 235-238. DOI : 10.1017/s2045796011000448
  10. Son, J. Y. (2017). A review of research on augmented reality based educational contents for students with autism spectrum disorders. Journal of Digital Contents Society, 18(1), 35-46. DOI : 10.9728/dcs.2017.18.1.35
  11. So, Y. H. (2016). The impact of academic achievement by presence and flow-mediated variables in a simulation program based on immersive virtual reality. Journal of Communication Design, 57, 57-69. DOI : 10.1016/j.ijnss.2020.06.010
  12. Han, H. J., & Lee, G. Y. (2020). The analysis on pre-service teachers' perception on the educational use of virtual reality. The Journal of Korean Association of Computer Education, 23(5), 61-70. https://doi.org/10.32431/KACE.2020.23.5.007
  13. Ju, Y. M. (2020). Systematic review of virtual reality based rehabilitation for dementia. The Journal of Korean Society of Cognitive Rehabilitation, 9(1), 61-80.
  14. Clay, F., Howett, D., FitzGerald, J., Fletcher, P., Chan, D., & Price, A. (2020). Use of Immersive Virtual Reality in the Assessment and Treatment of Alzheimer's Disease: A Systematic Review. Journal of Alzheimer's Disease, 75(1), 23-43. DOI : 10.3233/jad-191218
  15. Kim, O., Pang, Y., & Kim, J. H. (2019). The effectiveness of virtual reality for people with mild cognitive impairment or dementia: A meta-analysis. BMC psychiatry, 19(1), 219. https://doi.org/10.1186/s12888-019-2180-x
  16. Moher, D., Liberati, A., Tetzlaff, J., & Altman, D. G. (2010). Preferred reporting items for systematic reviews and meta-analyses: The PRISMA statement. International Journal of Surgery, 8(5), 336-341. https://doi.org/10.1016/j.ijsu.2010.02.007
  17. Kim, S. Y., Park, J. E., Seo, H. J., Lee, Y. J., Jang, B. H., Son, H. J., Suh, H. S., &. Shin, C. M. (2011). NECA's guidance for undertaking systematic reviews and meta-analyses for intervention. Seoul: National Evidence-based Healthcare Collaborating Agency, 25.
  18. Wijma, E. M., Veerbeek, M. A., Prins, M., Pot, A. M., & Willemse, B. M. (2018). A virtual reality intervention to improve the understanding and empathy for people with dementia in informal caregivers: Results of a pilot study. Aging & Mental health, 22(9), 1121-1129. DOI : 10.1080/13607863.2017.1348470
  19. Jutten, L. H., Mark, R. E., Janssen, B. W. J. M., Rietsema, J., Droes, R. M., & Sitskoorn, M. M. (2017). Testing the effectivity of the mixed virtual reality training Into D'mentia for informal caregivers of people with dementia: Protocol for a longitudinal, quasi-experimental study. BMJ open, 7(8), e015702. DOI : 10.1136/bmjopen-2016-015702
  20. Peng, X., Wu, L., Xie, X., Dai, M., & Wang, D. (2020). Impact of virtual dementia tour on empathy level of nursing students: A quasi-experimental study. International Journal of Nursing Sciences, 7(3), 258-261. DOI : 10.1016/j.ijnss.2020.06.010
  21. Adefila, A., Graham, S., Clouder, L., Bluteau, P., & Ball, S. (2016). MyShoes-the future of experiential dementia training. The Journal of Mental Health Training, Education and Practice, 11(2), 91-101. DOI : 10.1108/jmhtep-10-2015-0048
  22. Gilmartin-Thomas, J. F. M., McNeil, J., Powell, A., Malone, D. T., Wolfe, R., Larson, I. C., ... Bell, J. S. (2018). Impact of a virtual dementia experience on medical and pharmacy students' knowledge and attitudes toward people with dementia: A controlled study. Journal of Alzheimer's Disease, 62(2), 867-876. DOI : 10.3233/jad-170982
  23. Jeong, J. W., Kim, H. T., & Park, J. H. (2018). Effects of dementia experience using virtual reality on public awareness and attitude toward dementia patients. Journal of the HCI Society of Korea, 13(4), 5-14. https://doi.org/10.17210/jhsk.2018.11.13.4.5
  24. Healthcare Bigdata. (2018). Total amount of inpatient care benefits by disease. Web Site. http://opendata.hira.or.kr/op/opc/olapHifrqSickInfo.do#none
  25. Cerejeira, J., Lagarto, L., & Mukaetova-Ladinska, E. (2012). Behavioral and psychological symptoms of dementia. Frontiers in Neurology, 3, 73. https://doi.org/10.3389/fneur.2012.00073
  26. Park, H. J., & Park, H. O. (2018). Coping behaviors of geriatric hospital nurses to the BPSD in persons with dementia. Asia-pacific Journal of Multimedia Services Convergent with Art, Humanities, and Sociology, 8(2), 825-838. DOI : 10.21742/AJMAHS.2018.02.66