• 제목/요약/키워드: Intervention Analysis

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일부 대학생들의 성인건강 교육의 효과에 관한 연구 (A Study on the Educational Effectiveness of Chronic Diseases Among University Students)

  • 강희숙;조현
    • 한국학교보건학회지
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    • 제8권1호
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    • pp.143-154
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    • 1995
  • Korea has been recently reducing the quality of life as well as rising medical cost because of the increase of chronic diseases. But we can prevent those chronic diseases through the improvement of environment or life style. We evaluated the educational effectiveness of chronic diseases(hypertention, diabetes, cancer, stroke and other chronic diseases) designed to increase the knowledge, attitude and practice of chronic diseases among university students. Between August 1994 and November 1994, we implemented chronic diseases prevention instruction in intervention students; unmatched control students were selected in same university. We conducted pre- and post-intervention surveys both intervention and control students with self-reported questionnaires(50 items). We assigned score(0-4 points) to items and conducted a analysis of covariance(ANCOVA) with sex, grade and economic status as the covariate, using the SAS PC computer statistical package. And we culculated odds ratio with safety scores between intervention and control students. The results of this study were followed. 1. In demographic characteristics of subjects both pre- and post intervention, we found no significant differences in intervention and control students at religion, father's education, mother's education, mother's occupation and type of residence(p>0.05), but we found significant differences at sex(p<0.001), grade(p<0.001) and economic status(p<0.05). 2. The sex, grade and economic status-adjusted mean prevention knowledge scores for diabetes and stroke increased from the pre- to post-survey in the intervention students(p<0.001), but control students did not increased(p>0.05). As odds ratios in knowledge were below 1, the knowledge of intervention students were higher than control students. 3. The attitudes for general adult health increased from the pre- to post-survey in the intervention students(p<0.05), but control students did not increased(p>0.05). As odds ratios in attitudes were approximately 1, we can not say effectiveness in intervention students 4. The pratices for cancer and stroke increased from the pre- to post-survey in both the intervention and control students(p<0.001). Also odds ratio of hypertention was 0.91, and that of stroke was 1.14. 5. Health related behaviors did not increased from the pre- to post- survey in both the intervention and control students(p>0.05). But odds ratio of drinking was 0.76 and that of body weight was 1.21. 6. Health status did not increased from the pre- to post- survey in both the intervention and control students(p>0.05). As odds ratio of health status was 1.09, prevention education was not effect in intervention students We would like to recommend as follows; 1. University students must learn about prevention of chronic diseases. Because the knowledge of invetervention students was higher than that of control students. 2. The prevention education of chronic diseases should be taught from primary school. 3. Adult health education for university students must be practiced continuously. Education period(l5 weeks) in this study was not complete. 4. The evaluation of chronic diseases was conducted real measurement(such as BP check) as well as self reported-survey. 5. Educational materials(video tape, pamphlet) related the prevention of chronic diseases should be developed at national level. And we must easely use those materials. 6. The prevention education of chronic diseases should be made through mass media as well as school education.

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Ten Year Literature on Psychological and Behavioral Interventions Against Cancer: a Terms Analysis

  • Feng, Rui;Chai, Jing;Wang, De-Bin;Xia, Yi;Cheng, Peng-Lai;Dai, Zhao-Yang
    • Asian Pacific Journal of Cancer Prevention
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    • 제13권10호
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    • pp.5171-5176
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    • 2012
  • We here performed a systematic review of PBIC literature using terms analysis in a hope of both identifying potential trends and patterns and exploring methods leveraging traditional literature reviews in this specific area. Articles meeting inclusion criteria were retrieved from PUBMED and translated into dichotomized article records representing presence or non-presence of MeSH terms and a metric consisting of numbers of times of co-occurrence between all pairs of terms identified using a self-designed program. The occurrence of and relations among the terms were calculated and visualized using Excel2007 and UCINET respectively. A total of 1,742 terms were identified from 997 articles retrieved. Put in a descending order, the lines representing the times of term occurrence formed a typical hyperbolic curve; when plotted along the x-axis of whole MESH terms, the lines clustered within four specific regions. Comparison of term occurrence between 2002 and 2011 revealed priority changes in population and subjects (from general groups to priority groups), intervention approaches (from medicine to exercise and psychotherapy), methodology and techniques (from cohort studies to randomized controlled trials) and outcomes (from health and mental health to quality of life, depression etc.). Networks of the terms featured a number of closely linked groups of topics including method and questionnaires, therapy and outcomes, survival management, psychological assessment and intervention, behavioral intervention (individual and community oriented). Terms analysis revealed interesting trends and patterns about PBIC publications and both the analysis methods and findings have implications for future research and literature reviews.

향기요법 간호중재의 통증완화 효과 - 체계적 문헌고찰과 메타분석 - (Aromatherapy Nursing Intervention for Pain Relief A Systematic Review and Meta Analysis)

  • 강린;서문경애
    • 디지털융복합연구
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    • 제14권6호
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    • pp.271-283
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    • 2016
  • 본 연구는 체계적 문헌고찰과 메타분석을 이용하여 향기요법 간호중재의 통증완화에 대한 효과를 산출하고자 하였다. 연구출처는 KERIS, KISS, DBpia, Cochrane Library, Ovid-Medline와 Pubmed를 통해서 2000년부터 2014년까지 출판된 연구로 총 20개의 연구에 1029명의 대상자를 메타분석하였다. 연구대상이 되는 주요어는 PICO와 아로마, 향기, 향흡입, 향마사지, 아로마테라피, 통증, 통증관리 등이다. 메타분석결과를 살펴보면, 향기요법 간호중재의 통증완화에 대한 효과는 전체 효과뿐만 아니라 하위요인에서도 통계학적으로 유의한 차이를 나타내었다. 연구결과를 바탕으로 향기요법 간호중재가 통증완화 효과를 나타냈 수 있다는 근거자료를 확보하기 위해서는 추후연구가 필요하다고 사료된다.

뇌성마비 아동의 수중 중재가 관절가동범위와 대동작기능 및 균형에 미치는 효과 : 메타분석 (Effects of Aquatic Intervention on Range of Motion, Gross Motor Function and Balance in the Children with Cerebral Palsy : Meta-Analysis)

  • 최기복;조성현
    • 대한통합의학회지
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    • 제7권3호
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    • pp.71-83
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    • 2019
  • Purpose: This meta-analysis aimed to analyze to the effects of aquatic exercise programs in children with cerebral palsy and identify directions for future research. Methods: A systematic search based on the PRISMA guidelines was undertaken for studies conducted between 2006 and 2018 on aquatic exercise programs in children with cerebral palsy. A total of 10 studies were selected according to the inclusion criteria. The methodological quality was assessed using the Risk of Bias Tool for Randomized Controlled Trials (RoB) and Risk-of-Bias Assessment Tool for Non-randomized Studies (RoBANS). A meta-analysis software (CMA 3.0) was used to calculate the mean effect size, effect size by intervention (Halliwick and Watsu Aquatic methods), and effect size by outcome. Results: The mean effect size was 0.457. The effect size by intervention was largest for the Halliwick method, followed by the Watsu method. The effect size by outcome was largest for range of motion, followed by the gross motor function measure, the Pediatric Berg Balance Scale, and the Modified Ashworth Scale. Meta-regression analysis showed effect size increased when sample size, number of sessions, and length of sessions increased. Conclusion: The results show that aquatic exercise programs have a positive effect on children with cerebral palsy. Therefore, it is necessary to develop a guideline that recommends the appropriate intervention and the identifies the direction of future studies on aquatic exercise programs.

NIC 간호중재 분류체계를 이용한 간호중재분석;정형외과 간호단위를 중심으로 (Analysis of the Nursing Interventions performed by orthopedic surgery care unit using NIC)

  • 권미숙;박경숙
    • 간호행정학회지
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    • 제8권4호
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    • pp.655-667
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    • 2002
  • Purpose : This study analysis of nursing interventions and core nursing interventions performed orthopedic surgery care unit. Method : The data were collected from 55 nurses of 4 general hospital from July. 10, 2002 to Aug. 30, 2002. The instrument for this study was the Korean translation of 486 nursing intervention classifications developed by McColskey & Bulechek in 2000. In the 486 nursing interventions 350 nursing interventions were selected 8 among the 10 more than 5 years working group in orthopedic surgery care unit. Self frequency checking performed by 350 nursing interventions were used secondary questionnaire In the orthopedic surgery care unit nurses. Results : 1. The most frequently used nursing interventions domains were "Physiological : basic" and then "Physiological: complex", "Health system" "Behavior", "Family", "Safety". 2. Orthopedic surgery care unit core nursing interventions were performed several times a day by 50% or more of orthopedic surgery care unit and this result were 4 of domain, 11 of class, 26 core nursing interventions. This core nursing interventions were 5 of "Physiological : basic", 17 of "Physiological: complex", 1 of "Safety", 3 of "Health system" and have no "Behavior", "Family". Conclusion : This study analyzed nursing intervention of orthopedics and reestablished nursing intervention concept and I hope this study will be helpful for the nurse to be a professional by applying this to actual clinic, for development in qualified nursing and for establishment nursing information system.

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국내 간호연구에서 적용된 심상요법 효과에 대한 메타분석 (A Meta-Analysis of the Effects of Imagery)

  • 오원옥;석민현
    • 대한간호학회지
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    • 제32권2호
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    • pp.265-276
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    • 2002
  • This study was to identify the trends and contents of imagery interventions and to evaluate the effects of imagery interventions by using meta-analysis. Method: The materials used for this study were 15 imagery intervention studies carried out from Jan. 1995 to Dec. 2001. The studies were analyzed and evaluated in different categories: 1) types of dependent variables 2) types of imagery 3) interval of imagery 4) total duration of imagery 5) sample characteristics 6) intervention method. Result: 1) Behavioral imagery was more prevalent than dynamic imagery. There were wide variations in duration, and interval of interventions. Imagery intervention had moderate effects on psychological variables (state of anxiety, depression & and stress etc.) and had moderate to large effects on physiological variable(pulse rate, cortisol etc.). Behavioral imagery had larger effects than dynamic imagery. Imagery applied to the public had larger effect on decreasing the state of anxiety and stress than applied to the patients. But imagery applied to the patients had a larger effect on decreasing depression than applied to the public. The imagery intervention method by using the individual approach had greater effect than group approach method. Conclusion: These results of this study will be used to guide the development of imagery interventions to nursing practice. Also, various types of imagery interventions need to be developed based on the characteristics of nursing practice.

메타분석을 이용한 당뇨중재의 효과분석 (A Meta-Analysis of Korean Diabetes Patient Studies from 1977 to 2008)

  • 진영란;소은선;이효영
    • 한국보건간호학회지
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    • 제25권1호
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    • pp.5-16
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    • 2011
  • Objectives: This study analyzed the effects of diabetes interventions published in journals of nursing, medical and public health, to suggest directions for future research. Methods: A comprehensive search of three databases was undertaken (Korean studies, Riss4U, RICHIS) using research terms such as "diabetes", "nursing", "public health", "intervention" and "program". One hundred fifty four original articles were retrieved and 21 articles were finally analyzed. The analyzed articles satisfied the inclusion criteria and their effect size was calculated. Results: Most studies about diabetes intervention were published form 2001. 2005 (57.1%). The psycho-social variables, 'self-efficacy' and 'self-care' presented good effects on exercise or exercise prescription intervention. In addition, the physiological variables, 'fasting blood sugar' and 'glycosylated glucose' presented good effects on the interventions using four more elements or the interventions held in a public health center. Conclusion: Further research should consider the essential elements that benefit diabetes patients' behaviors or physiological indicators.

국내 암환자의 오심구토에 적용한 비약물적 중재효과의 메타분석 (A Meta-Analysis of Intervention Studies on Nausea and Vomiting in Cancer Patients)

  • 오복자;유지현
    • 성인간호학회지
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    • 제23권4호
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    • pp.340-350
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    • 2011
  • Purpose: This study was designed to analyze the characteristics and effect size of published intervention studies related to nausea & vomiting among cancer patients. Methods: A total of 1,083 studies were retrieved. From these studies, 20 studies met the inclusion criteria with a total of 698 participants. Two authors independently extracted data from the selected studies and assessed the methodological quality. The data were analyzed by the RevMan 5.0 program of Cochrane library. Results: The twenty studies utilized various non-pharmacological interventions: Nine studies on acupuncture (45%), Five studies utilized massage (25%), Two studies used oral cryotherapy (10%) and Four studies used other therapies. In the twenty studies the effect size of the intervention studies reported a higher effect sizes for massage (d=-1.62) and acupuncture (d=-0.89). Conclusion: This study suggests that non-drug therapy can reduce the levels of nausea and vomiting intensity. Massage and acupuncture interventions studies were more numerous and this may account for the higher effect rate.

아로마테라피 중재를 적용한 간호학 논문 분석 (An Analysis of Aromatherapy Intervention Studies in Nursing)

  • 채영란;원수진
    • Journal of Korean Biological Nursing Science
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    • 제15권2호
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    • pp.54-64
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    • 2013
  • Purpose: This study aimed to analyze the effects and intervention methods of aromatherapy studies in nursing. Methods: A systematic literature review was conducted. Nursing literature databases were searched to identify intervention studies published in Korea between 2000 and 2011. Finally, 53 articles were included in the review. Results: The most preferred application method of aromatherapy was massage. The major dependent variables were anxiety, depression, pain, and sleep disturbance. 76.5% of the studies reported positive effects on anxiety. 93.8% of the studies reported positive effects on depression. 86.7% of the studies reported positive effects on pain. 92.3% of the studies reported positive effects on sleep disturbance. Psychometric measurements were mainly used in the studies. Only 33.9% of the studies adopted physical or physiological measurements. The most prevalent physical or physiological instrument was vital signs. Conclusion: Aromatherapy had positive effects on anxiety, depression, pain, and sleep disturbance measuring when using psychometric instruments. However, there was no sufficient evidence measuring when using physical or physiological instruments. These need to be studied using well-designed, randomized, controlled trials, and should encourage the use of both psychometric and physiological measures for aromatherapy intervention in nursing studies.

The effect of aromatherapy on pain in individuals with diabetes: a systematic review and meta-analysis

  • Mi-Kyoung Cho;Mi Young Kim
    • Journal of Korean Biological Nursing Science
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    • 제26권2호
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    • pp.71-82
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    • 2024
  • Purpose: This study systematically analyzed the impact of aromatherapy on pain in individuals with diabetes. Methods: A search was performed in seven electronic databases based on the PICO-SD (Population, Intervention, Comparison, Outcome, Study Design) framework. The population (P) of interest was individuals with diabetes, and the intervention (I) included aromatherapy targeting pain reduction. The comparison (C) consisted of control groups that received no intervention, another intervention, or usual care. The outcome (O) measured was pain. The quality of the selected literature was assessed using the Joanna Briggs Institute checklist. In MIX 2.0 Pro, the pooled overall effect of pain was calculated using Hedge's g and a random-effects model, and heterogeneity was calculated using the Q statistic and Higgin's I2 values. Meta-regression and exclusion sensitivity analyses were performed. Results: Five articles and seven studies were included, showing a significant pooled overall effect of aromatherapy on diabetes-related pain (Hedge's g = -1.83, 95% CI: -2.76 to -0.91). Meta-regression demonstrated that effectiveness in reducing pain was associated with studies conducted in West Asia, those with IRB approval, and those receiving funding. Additionally, interventions involving subjects under 60, lavender oil (vs. turpentine oil or blended oils), massage therapy (vs. topical application), fewer hours per session, and more repeated measurements (vs. pre/post measurements) were associated with pain reduction. Conclusion: Aromatherapy, especially with lavender oil, effectively manages diabetes-related pain. Short-duration massage application is also effective. A personalized selection of oil type and application method could optimize therapeutic outcomes for individuals with diabetes.