• 제목/요약/키워드: 문헌고찰

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알코올 중독자 성인자녀의 극복력에 대한 통합적 문헌고찰: 조작적 정의와 조정변수 중심으로 (An Integrative Literature Review of Resilience in Adult Children of Alcoholics: Focusing on Operational Definitions and Moderators)

  • 김희경;고윤우
    • 정신간호학회지
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    • 제28권1호
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    • pp.50-63
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    • 2019
  • Purpose: The objective of this study was to explore operational definitions and moderators of the resilience of adult children of alcoholics (ACOA) and its associated variables. Methods: This integrative review was conducted based on a literature review method suggested by Whittemore and Knafl. Databases including PubMed, CINAHL, PsycINFO, and RISS were searched using the combinations of search terms such as; 'adult children of alcoholics,' 'parental alcoholism,' 'resilience,' and 'children of alcoholics.' Results: Seventeen studies were selected for this review. Findings of integrative reviews reported operational definitions for the resilience of ACOA and moderators. The operational definition of ACOA's resilience is: (1) having no behavioral and emotional problem, (2) meeting social and developmental expectancies, (3) having the ability to cope with adversity, (4) having high self-concept, and (5) having a meaningful relationship. In addition, the varying environmental moderators include family communication, qualities of caring environment, parental communication, parentification, and social support. Several moderators were identified as positive effect, self-esteem, alcohol-specific coping style, locus of control, spirituality, the image of God, and dyadic cohesion in marital communication. Conclusion: Our study findings emphasize comprehensive understanding of diverse definition of resilience and moderators in developing nursing interventions to promote resilience in ACOA.

학령기 과체중, 비만 아동 중재에 관한 통합적 문헌고찰 (An Integrative Literature Review of Interventions for School-aged Overweight and Obese Children)

  • 조주현;장상윤;금다정;임지희;김정은
    • Perspectives in Nursing Science
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    • 제16권2호
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    • pp.75-83
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    • 2019
  • Purpose: This study aimed to identify the characteristics of an intervention program for school-aged overweight and obese children through an integrated literature review. Methods: We used five databases (MEDLINE [PubMed], CINAHL, Embase, DBpia, and RISS) to search for studies published between January 1, 2013, and April 18, 2018. The studies were reviewed according to specific inclusion and exclusion criteria. Results: Finally, nine studies were selected and classified into three types: school-based, community-based, and home-based. Specific intervention methods were identified, including exercise, diet, exercise and diet, and cognitive behavioral therapy. Conclusion: Most studies have shown the effectiveness of obesity intervention programs. However, the variables, tools, and methods of measuring the effectiveness of intervention varied, making it difficult to compare the intervention studies. Therefore, future studies should develop objective and integrated measurement tools and evaluate the effects with long-term follow-up.

모유 수유 개별 방문 프로그램의 효과: 체계적 문헌고찰과 메타분석 (Effect of Breastfeeding Individual Visits Program: A Systematic Review and a Meta-Analysis)

  • 조문주;김혜영;박서아
    • 부모자녀건강학회지
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    • 제22권1호
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    • pp.30-42
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    • 2019
  • Purpose: This study was a systematic review and meta-analysis designed to evaluate the effects of breastfeeding individual visit program. Methods: Based on the guidelines of the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA), a systematic search was conducted using four core electronic databases from October 28, 2018 to November 14, 2018. The topics of breastfeeding individual visit program were analyzed using descriptive analysis and the effects of intervention were meta-analyzed using the Review Manager 5.3 software. Results: A total of 13 studies were included in the review and 12 were included for meta-analysis. Breastfeeding individual visit programs were found to be more effective in breastfeeding rates, attitude, skill and self-efficacy compared to group education or non-education. Conclusion: Effective breastfeeding education can help mothers to start and sustain breastfeeding. Breastfeeding individual visits programs that are more effective than group education to maintain breastfeeding for pregnant women should be developed and applied.

국내 간호사의 재난간호 역량: 주제범위 문헌고찰 (The Competency in Disaster Nursing of Korean Nurses: Scoping Review)

  • 이은자;양정은
    • 동서간호학연구지
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    • 제27권2호
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    • pp.153-165
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    • 2021
  • Purpose: The aim of study was to identify ranges of Korean nurses' competency in disaster nursing. Methods: A scoping review was conducted using the Joanna Briggs Institute methodology. The review used information from four databases: RISS, ScienceON, EBSCO Discovery Service, and CINAHL. In this review, key words were 'disaster', 'nurs*', 'competenc*', 'ability' and 'preparedness'. Inclusion and exclusion criteria were identified as strategies to use in this review. The inclusion criteria for this review focused on the following: Korean nurse, articles related to disaster nursing competency, peer-review articles published in the full text in Korean and English. Review articles were excluded. Results: Nineteen studies were eligible for result extraction. A total of 10 categories of disaster nursing competency were identified: Knowledge of disaster nursing, crisis management, disaster preparation, information collection and sharing, nursing record and document management, communication, disaster plan, nursing activities in disaster response, infection management, and chemical, biological, radiation, nuclear, and explosive management. Conclusion: It is necessary to distinguish between Korean nurses' common disaster nursing competency, professional disaster nursing competency, and disaster nursing competency required in nursing practice. Therefore, future research will be needed to explore and describe disaster nursing competency.

여성 난임 환자에게 적용되는 온라인 기반 중재의 특성 및 효과 분석: 체계적 문헌고찰 (Characteristics and Effectiveness of Online-based Intervention for Infertile Women: A Systematic Review)

  • 김찬희;이선희
    • 근관절건강학회지
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    • 제25권3호
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    • pp.205-217
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    • 2018
  • Purpose: The purpose of this review was to analyze the characteristics and effectiveness of online-based intervention for infertile women. Methods: We established the PICO (Participant-Intervention-Comparison-Outcome) strategy and conducted a systematic review of 7 literatures retrieved from 3 electronic databases of Ovid-Medline, Ovid-Embase, and the Cochrane Library. Two investigators independently extracted the data and assessed the quality of included studies using Cochrane risk of bias. Results: The pregnancy outcome showed that higher total risk scores (TRS) about lifestyle behavior was significantly associated with lower chance of pregnancy (aHR 0.79, 95% CI 0.72~0.85). Stress was significantly decreased in experimental groups receiving online-based interventions (p<.05). Depression score was significantly lower in groups receiving additional interventions besides on-line interventions than those who used online-based intervention only. The other outcomes, including anxiety, self-efficacy, helpfulness of intervention, perceived social support, and knowledge scores were not significantly different within and between groups in overall. Characteristics of the interventions were heterogeneous. Conclusion: There is evidence that online-based intervention in infertile women enhances the pregnancy and reduces stress levels.

산욕기 산모의 유방간호에 대한 체계적 문헌고찰 (A Systematic Review of Breast Care for Postpartum Mothers)

  • 송지아;허명행
    • 여성건강간호학회지
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    • 제25권3호
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    • pp.258-272
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    • 2019
  • Purpose: The purpose of this study was to identify nursing interventions for the postpartum breast care of mothers and determine the effectiveness of interventions for breast pain and engorgement by systematic review. Methods: Eight national and international databases were reviewed to retrieve and collect randomized controlled trial and controlled clinical trial literature published up to March 2015. Two reviewers independently selected the studies and performed data abstraction and validation. The risk of bias was assessed using Cochrane criteria. A meta-analysis of the studies was performed to analyze the data. Results: The meta-analysis showed that breast massage, along with routine breast care, resulted in a 3.52-point reduction in pain on a 10-point visual analogue scale. Meta-analysis of therapy with cold cabbage leaves and routine breast care showed a pain reduction of 0.54 points. Meta-analysis of cold cabbage leaf application in the experimental group versus cold compress therapy in the comparison group showed a pain reduction of 0.44 points. Meta-analysis of cold cabbage leaf application and routine breast care showed an engorgement reduction of 0.67 points. Conclusion: The results of the analysis of 12 articles showed that hot and cold compresses, breast massage, and cabbage application were effective for postpartum breast pain and engorgement.

국내 간호대학생 대상 재난간호 연구의 동향 : 체계적 문헌고찰 (Trends of Nursing Research on Disasters for Nursing Students in Korea: A Systematic Review)

  • 강숙정;하지혜
    • 한국보건간호학회지
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    • 제36권1호
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    • pp.90-106
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    • 2022
  • Purpose: This study was conducted to identify trends of nursing research on disaster for nursing students in Korea through a systematic review. Methods: A systematic review was conducted across international and domestic electronic databases, and 13 of 506 studies were identified for this review. Results: The most commonly used variables in the study were 'disaster nursing competency (23.5%)' and 'disaster awareness (20.6%)'. In addition, the major factors influencing the disaster nursing competency of nursing students were analyzed as 'disaster preparedness'. However, many tools were developed for the needs of researchers rather than those that were sufficiently valid and reliable. Also, most studies did not use the theoretical framework. Conclusion: There is necessary to develop an instrument with confirmed reliability and validity to measure disaster nursing competency of nursing students. Finally, disaster education and research should be conducted based on the theoretical framework to enhance the disaster nursing competency of nursing students.

지역사회 노인의 외로움 중재를 위한 비대면 서비스의 효과 분석 및 개발안 마련: 체계적 문헌고찰 (Effectiveness Analysis and Development Plan of Non-face-to-face Service for Loneliness of the Elderly in the Community: A Systematic Review)

  • 최희경;이선희
    • 근관절건강학회지
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    • 제29권1호
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    • pp.28-40
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    • 2022
  • Purpose: The purpose of this study is to reduce loneliness through a systematic review by analyzing the effectiveness, composition and method of non-face-to-face services on the elderly living in the local community. Methods: From June 11 to 15, 2021, related papers were searched using six databases: Ovid-Medline, Ovid-Embase, Cochrane library, KISS, Koreamed, and RISS. Two authors independently assessed the quality of selected studies and data was synthesized. Results: Non-face-to-face services promoted loneliness and social isolation, social support and quality of life, other emotional responses, attitudes and usability, and diet and exercise. As the composition and method of services are being tried in various ways, it is necessary to develop a comprehensive service using ICT to provide systematic intervention to the elderly in the local community. Conclusion: Reflecting the difficulties in implementing face-to-face services due to COVID-19, it is expected to be used as basic data for developing comprehensive non-face-to-face services that meet the major needs of the elderly people and maintain the continuity of care.

한국인 제2형 당뇨 환자의 당뇨발 궤양 예방교육 프로그램의 효과: 체계적 문헌고찰 (Effectiveness of Korean Patient Education in Preventing Diabetic Foot Ulcer: A Systematic Review)

  • 주명진;김선녀;손수경
    • 근관절건강학회지
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    • 제28권3호
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    • pp.223-233
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    • 2021
  • Purpose: This study aimed to systematically review the contents and effectiveness of education programs for preventing diabetic foot ulcer among patients with type 2 diabetes mellitus in Korea. Methods: Six electronic databases were searched using search terms, and 748 articles were identified. Ten articles were eligible based on inclusion and exclusion criteria. Article quality was evaluated using a critical evaluation checklist for manuscripts before performing the systematic review. Results: Although education programs for preventing diabetic foot ulcers have been continuously studied for 20 years, the number of studies is small, and to our knowledge, there have been no studies reporting on the subsequent prevalence of foot ulcers or amputations. While the effect of these education programs on knowledge (ES=1.23) and self-management behavior (ES=.96) was shown to be statistically significant, it was not shown to be significant in preventing diabetic foot ulcers (ES=.03). Conclusion: The actual preventive effect on the prevalence of foot ulcers, through education programs for preventing diabetic foot ulcer could not be determined. Our findings highlight a potential need for studies aimed at developing effective programs to improve education on preventing diabetic foot ulcers.

류마티스 관절염 환자의 통증 감소를 위한 프로그램의 효과: 체계적 문헌고찰 (Effect of Program for Pain Reduction in Patients with Rheumatoid Arthritis: A Systematic Review)

  • 전병현;이창훈;정종혁;이명수
    • 근관절건강학회지
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    • 제28권2호
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    • pp.200-208
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    • 2021
  • Purpose: The purpose of this study was to establish the foundations for the application of appropriate programs for pain reduction in patients with rheumatoid arthritis. Methods: The literature on patients with rheumatoid arthritis were found on an electronic search site for South Korean academic papers. The search terms "rheumatism" and "rheumatoid arthritis" were used independently. The combined terms "rheumatism and pain" and "rheumatoid arthritis and pain" were also used. For the meta-analysis, the R version 3.5.1 program was utilized. Results: The meta-analysis of eight papers showed a large effect size of -4.11. The programs were most effective in the order of aquatic exercise, aromatherapy, self-help education, muscle strength exercises, and tai chi. Conclusion: This study could provide the basis for presenting appropriate programs for pain management in patients with rheumatoid arthritis.