• 대한간호학회지
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• 제46권4호
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• pp.475-489
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• 2016

Purpose: This study was a systematic review and meta-analysis designed to investigate the effects of stimulation-oriented interventions for behavioral problems among people with dementia. Methods: Based on the guidelines of the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA), a literature search was conducted using seven electronic databases, gray literature, and other sources. Methodological quality was assessed using the Scottish Intercollegiate Guidelines Network (SIGN) for randomized controlled trials (RCTs). Data were analyzed using R with the 'meta' package and the Comprehensive Meta-Analysis (CMA 2.0) program. Results: Sixteen studies were included for meta-analysis to investigate the effect of stimulation-oriented interventions. The quality of individual studies was rated as '++' for eight studies and '+' for the rest. The effect sizes were analyzed according to three subgroups of interventions (light, music, and others); Hedges' g=0.04 (95% CI: -0.38~0.46), -0.23 (95% CI: -0.56~0.10), -0.34 (95% CI: -0.34~0.00), respectively. To explore the possible causes of heterogeneity ($I^2=62.8%$), meta-regression was conducted with covariates of sample size, number of sessions, and length of session (time). No moderating effects were found for sample size or number of sessions, but session time showed a significant effect (Z=1.96, 95% CI: 0.00~0.01). Finally, a funnel plot along with Egger's regression test was performed to check for publication bias, but no significant bias was detected. Conclusion: Based on these findings, stimulation-oriented interventions seem to have a small effect for behavioral problems among people with dementia. Further research is needed to identify optimum time of the interventions for behavioral problems among dementia pateints.

• International Journal of Human Ecology
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• 제14권2호
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• pp.25-40
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• 2013

Addressing challenging behavior in young children with special needs is an important issue. This study analyzed the results of literature on parent-implemented behavioral interventions designed to manage the challenging behavior of children with developmental disabilities under 8 years of age. Seventeen relevant studies published in peer-reviewed English journals during the last 15 years were selected for review. The literature review showed that adequately trained parents can serve as a competent intervention agent, thereby making significant contributions to mitigating children's behavior problems. The reviewed studies also demonstrated that parents could play a variety of important roles such as informants and trainers in behavioral interventions. However, the conclusions on parent-implemented behavioral intervention may be tentative rather than conclusive due to previous research limitations including the lack of treatment integrity and social validity data. In addition, this review discussed several implications for practitioners, indicated the limitations of the reviewed studies, and presented suggestions for future research.

• 보건의료산업학회지
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• 제13권4호
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• pp.67-82
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• 2019

Objectives: This study aimed to evaluate digital interventions on psychological well-being in patients with cancer through an integrated review. Methods: Fifteen studies were selected using PubMed, CINAHL, Scopus, DBpia, and RISS. The Scottish Intercollegiate Guidelines Network was used by two reviewers to evaluate independently the quality of the selected articles. Results: Digital interventions for improving psychological well-being in cancer patients were most often based on cognitive behavioral therapy alone or a combination of interventions with professionals and other patients. In addition, a number of interventions were established on internet-based mindfulness therapy. Conclusions: Providing cognitive behavioral intervention alone did not significantly improve the level of depression or anxiety of patients with cancer. Meanwhile, interventions, including cognitive behavior therapy and interactions with professionals and other patients, were found to reduce significantly the level of depression or anxiety in the experimental group.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제32권2호
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• pp.51-62
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• 2021

Objectives: Tic disorder is a neurodevelopmental disorder characterized by multiple involuntary movements of muscles or vocalization. Although tic symptoms subside as the patient ages, some patients suffer from significant functional impairments related to severe tic symptoms. This manuscript aimed to review the latest scientific evidences for the effect of cognitive-behavioral interventions on tic disorder. Methods: The relevant studies were identified by searching medical research databases. We focused our search on studies published between 2000 and 2020 in order to reflect the latest scientific evidence. A total of 821 articles were identified in the initial database search and 27 articles were finally included for the review after the exclusion of duplicated and irrelevant articles. Results: Behavioral therapies including habit reversal training, Comprehensive Behavioral Intervention for Tics, and exposure and response prevention were the most widely studied interventions for tic disorder and are recommended as first-line treatments for tic disorders with high confidence. Cognitive psychophysiologic approaches were also reported to be effective. Conclusion: Further studies are needed to support the future treatment of tics with low-cost and more widely available treatments, in order to ensure better treatment outcomes.

• 대한간호학회지
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• 제37권4호
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• pp.529-539
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• 2007

Purpose: This quantitative meta analysis sought to determine the effectiveness of SMIs. Method: Forty-six experimental studies with a randomized or nonequivalent control group pre-post test design were included in the analysis. The selected studies were classified according to the sample characteristics, the types and methods of the interventions, and the types of outcome variables. Six intervention types were distinguished: cognitive-behavioral intervention(CBT), relaxation techniques(RT), exercise(EX), multimodal programs 1 and 2(MT1, 2), and organization-focused interventions(OTs). Effect sizes were calculated for the 4 outcome categories across intervention types: psycho-social outcome, behavioral-personal resources, physiologic, and organizational outcome. Results : Individual worker-focused interventions(ITs) were more effective than OTs. A small but significant overall effect was found A moderate effect was found for RT, and small effects were found for other ITs, The effect size for OTs was the smallest. The interventions involving CBT and RT appeared to be the preferred means of reducing worker's psycho-social and organizational outcomes. With regard to physiologic outcomes, RT appeared to be most effective. CBT appeared to be most effective in reducing psycho-social outcomes. The effects of OT were non-significant, except for the psycho-social outcomes. Conclusions: SMIs are effective. Interventions involving RT and CBT are more effective than other types.

• 정신신체의학
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• 제4권1호
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• pp.85-90
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• 1996

Cognitive-behavioral approach to two cases with chronic headache was presented. Cognitive-behavioral interventions focus on indirectly altering symptom-related physiological activity by changing the way patients cope with headache-eliciting stressors. This treatment focuses directly on the patients' cognitive and behavioral changes. Cognitive-behavioral treatment can be divided into three phases Education, self-monitoring, and problem-solving or coping-skills training. Literature reviews on the follow-up evaluation of therapeutic effectiveness revealed that cognitive-behavioral treatment is effective in the management of chronic headache.

• Child Health Nursing Research
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• 제7권2호
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• pp.161-178
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• 2001

The purpose of this study was to identify nursing interventions performed by neonatal nursing unit nurses. For data collection this study used the taxonomy of Nursing Intervention Classification(NIC : 486 nursing intervention) which was modified by McCloskey & Bulecheck(2000). The new 58 nursing interventions was translated into Korean, and then modified by pannel group, which consist of clinical experts and nursing scholars and finally the 419 nursing interventions was selected. The data were collected from 112 nurses. 168 nursing interventions were performed at least monthly by 50％ or more of the nurses. The high frequency of performed nursing interventions were Family domain. 37 nursing interventions were performed at least once a day. The nursing interventions receiving the highest item mean score were neonatal care, neonatal monitoring, photo-therapy; neonate, bottle feeding and temperature regulation. 56 nursing interventions were rarely performed by 90％ or more of the nurses. Most of them were in the behavioral domain. The rarely used interventions were urinary bladder training, art therapy, religious addiction prevention, religious ritual enhancement and bladder irrigation. Therefore, neonatal nursing units nurses used interventions in the Physiological: basic domain most often on a daily basis and the interventions in the behavioral domain least often. These findings will help in building of a standardized language for the neonatal nursing units and enhance the quality of nursing care. Further study will be needed to classify each intervention class and nursing activity and validate NIC in pediatric care unit.

• Child Health Nursing Research
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• 제23권3호
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• pp.394-404
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• 2017

Purpose: The purpose of this study was to review interventions available to nurses caring for siblings of children with cancer. Methods: Searches of CINAHL, MEDLINE, PubMed, EMBASE, and RISS identified ten intervention studies published from January, 2000 to November, 2016. Results: Ten studies on interventions for siblings of pediatric cancer patients were identified as follows: 4 included camps, 4 included support groups, and 2 provided individual interventions. Theoretical frameworks were mainly cognitive behavioral theory and most studies were led by psychologists and multidisciplinary teams. The purpose of the interventions was primarily enhancing psychosocial adjustment. Siblings' fear of disease, self-esteem, and social support were improved significantly after the interventions. Findings were inconsistent with regard to depression, anxiety, behavioral problems, post-traumatic stress, health-related quality of life, and siblings' perceptions of the illness. Conclusion: Study findings showed the potential for enhancing emotional and behavioral outcomes in siblings of children with cancer. However, the number of studies was very small, and several methodological limitations were identified. In the future, more randomized controlled trials with larger samples are needed to extend the evidence base. Moreover, future research should identify sibling's characteristics and circumstances most likely to bring benefits to the siblings.

• 한국콘텐츠학회논문지
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• 제17권6호
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• pp.540-550
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• 2017

본 연구는 치매환자의 행동심리증상에 미치는 다양한 비약물적 중재의 효과를 확인하고, 중재 별로 주요하게 작용된 증상이 무엇인지를 알아보고자 메타분석을 실시하였다. 자료 수집은 국 내외 검색엔진을 이용하였으며, 2000년 1월부터 2016년 6월까지 출판된 연구를 대상으로 하였다. 치매환자에게 적용한 비약물적 중재의 효과를 제시한 사전-사후실험연구 가운데 실험군과 대조군이 있는 무작위통제실험연구(Randomized Controlled Trial; RCT)를 대상으로 하였다. 최종 선정된 23편의 연구를 분석한 결과, 치매환자에게 적용한 다양한 비약물적 중재 연구 전체의 효과크기는 -0.33으로 "보통"의 효과크기가 나타났다. 세부적인 비약물적 중재 별 효과크기는 작업치료가 -0.26로 "보통"의 효과크기, 다감각자극이 -0.65로 "보통이상"의 효과크기로 임상적으로 유의한 차이가 있음이 증명되었다(p<.05). 중재 별로 주요하게 작용된 행동심리증상으로는 가정기반 프로그램에서는 주로 공격성, 기억력과 관련된 문제행동에 영향을 주었다. 또한, 회상치료와 작업치료는 대체적으로 무감정, 다감각자극과 음악치료는 불안이나 초조행동에 주요 변화가 있었음을 확인할 수 있었다. 본 연구 결과를 통하여 다양한 비약물적 중재가 치매환자의 행동심리증상에 효과가 있음을 확인할 수 있었으며, 중재 별로 주요하게 작용된 증상을 확인 할 수 있었다. 따라서 추후 임상에서 치매환자를 위한 비약물적 중재 시, 각 환자의 행동심리증상에 적합한 중재를 선택하여 접근하는 노력이 필요 할 것이다.

• 정신신체의학
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• 제31권1호
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• pp.1-9
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• 2023

신경인지장애 환자들은 인지저하 뿐만 아니라 초조, 공격성, 우울, 배회 등의 정신행동증상들을 나타내며 이로 인해 환자와 가족이 상당한 고통을 받게 된다. 정신행동증상의 치료를 위해서는 환자 중심의, 비약물학적인 치료가 우선되어야한다. 본 논문은 신경인지장애 환자에서 나타나는 정신행동증상을 관리하고 치료하기 위한 비약물학적인 개입에 대하여 기술하였다. 초조, 우울, 무감동, 불면, 배회 등의 정신행동증상을 조절하기 위해서는 환경변화, 약물 등의 유발 인자를 파악하고 평가한 뒤, 그러한 문제를 해결해주는 것이 중요하다. 비약물학적인 개입 방법으로는 안심시키기, 활동 격려하기, 주의를 분산시키기, 환경을 변화시키기 등을 들 수 있다. 환자의 관점에서 행동을 이해하고, 그들의 요구와 능력에 맞게 접근해야한다. 비약물학적인 개입 방법으로 회상요법, 음악치료, 향기요법, 다중감각자극요법, 운동요법, 광선치료, 마사지 요법, 인지중재치료, 애완동물요법 등의 다양한 요법이 시행되고 있으며, 이러한 접근 방법이 환자의 우울, 무감동, 초조, 공격성, 불안, 배회, 불면 등의 증상을 호전시켜준다고 알려져 있다. 그러나, 효과에 대한 증거 수준이 높지 않아 향후에 좀 더 광범위하고 정확한 효과 검증 연구가 필요하다.