• Title/Summary/Keyword: Systematic review

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Systematic Literature Review on Nursing Department Clinical Practice Research in Korea

  • Jungae Kim
    • International Journal of Advanced Culture Technology
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    • v.11 no.3
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    • pp.142-148
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    • 2023
  • Nursing majors are a combination of theoretical and practical education, and since the advisor cannot participate in all practices in clinical practice, the efficiency and effectiveness of practical education are limited in judging the results according to students' reactions. Therefore, the purpose of this study was to analyze the domestic literature on the efficiency of clinical practice of nursing college students.The analysis target was selected through PRISMA flow, and the results were derived through categorization and questioning based on content analysis. Looking at the results, research related to the adaptation of trainees was mainstream, and specifically, research related to the characteristics, conflicts, clinical practice environment, and interpersonal anguish of trainees was conducted. In addition, it was confirmed that active and systematic intervention of practical guidance professors was required, such as possible safety accidents, emotional labor problems, and dilemmas during the practice period. Through this study, it is suggested that a systematic framework for nursing and clinical practice should be prepared.

Emotional Freedom Techniques (EFT) for Students' Mental Health: A Systematic Review (학생들의 정신건강을 위한 감정자유기법(EFT): 체계적 문헌고찰)

  • Lee, Seung Hwan;Jeong, Bo Eun;Chae, Han;Lim, Jung Hwa
    • Journal of Oriental Neuropsychiatry
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    • v.28 no.3
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    • pp.165-182
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    • 2017
  • Objectives: The purpose of this systematic review was to understand clinical usefulness of Emotional Freedom Techniques (EFT) on students' mental health. Methods: Ten databases were included to extract clinical studies on effects of EFT intervention with students. Characteristics of selected studies were described, and biases were assessed with Risk of Bias (RoB) or Risk of Bias Assessment for Non-Randomized Studies (RoBANS). Results: A total of 14 clinical trials were extracted for analysis. There were 8 randomized-controlled trials (RCTs), 2 non-randomized-controlled trials (nRCTs), and 4 before-after studies. EFT have significant clinical usefulness in public speaking anxiety, test anxiety, stress, depression, learning related emotions, adolescent anxiety, and eating issues. The risk of selection bias in most studies was high or uncertain. Conclusions: EFT is an effective clinical technique for managing students' mental health issues. However, the included studies have been conducted with relatively poor quality and small sample size. Clinical trials with high quality study design and well-designed EFT education programs are needed to generalize clinical usefulness.

Dysphagia Screening Measures for Use in Nursing Homes: A Systematic Review

  • Park, Yeon-Hwan;Bang, Hwal Lan;Han, Hae-Ra;Chang, Hee-Kyung
    • Journal of Korean Academy of Nursing
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    • v.45 no.1
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    • pp.1-13
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    • 2015
  • Purpose: The purpose of this study was to evaluate the psychometric quality and feasibility of measurements for screening dysphagia in older adults to identify the 'right tool' for nurses to use in nursing homes. Methods: A systematic review was done. Electronic databases were searched for studies related to dysphagia screening measurements. A checklist was used to evaluate the psychometric quality and applicability. Tools were evaluated for feasible incorporation into routine care by nurses. Results: 29 tools from 31 studies were identified. Dysphagia screening tools with an acceptable validity and reliability had sensitivity between 68% and 100% and specificity between 52% and 100%. The Gugging Swallowing Screen (GUSS) and the Standardized Swallowing Assessment (SSA) were the tools with high psychometric quality, especially with high sensitivity, that nurses could perform feasibly to identify the risk and to grade the severity of dysphagia and aspiration of nursing home residents. Conclusion: Results show that GUSS and SSA are reliable and sensitive tools for screening dysphagia which nurses can use in nursing homes. Further research is needed to examine feasibility of screening with identified tools, and also, to establish effective and standardized protocols for these tools so they can be effectively incorporated into routine care.

What is the Role of Epidural Injections in the Treatment of Lumbar Discogenic Pain: A Systematic Review of Comparative Analysis with Fusion

  • Manchikanti, Laxmaiah;Staats, Peter S.;Nampiaparampil, Devi E.;Hirsch, Joshua A.
    • The Korean Journal of Pain
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    • v.28 no.2
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    • pp.75-87
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    • 2015
  • Background: Lumbar discogenic pain without pain mediated by a disc herniation, facet joints, or the sacroiliac joints, is common and often results in chronic, persistent pain and disability. After conservative treatment failure, injection therapy, such as an epidural injection, is frequently the next step considered in managing discogenic pain. The objective of this systematic review is to determine the efficacy of lumbar epidural injections in managing discogenic pain without radiculopathy, and compare this approach to lumbar fusion or disc arthroplasty surgery. Methods: A systematic review of randomized trials published from 1966 through October 2014 of all types of epidural injections and lumbar fusion or disc arthroplasty in managing lumbar discogenic pain was performed with methodological quality assessment and grading of evidence. The level of evidence was based on the grading of evidence criteria which, was conducted using 5 levels of evidence ranging from levels I to V. Results: Based on a qualitative assessment of the evidence for both approaches, there is Level II evidence for epidural injections, either caudal or lumbar interlaminar. Conclusions: The available evidence suggests fluoroscopically directed epidural injections provide long-term improvement in back and lower extremity pain for patients with lumbar discogenic pain. There is also limited evidence showing the potential effectiveness of surgical interventions compared to nonsurgical treatments.

Association between genetic polymorphisms and external apical root resorption: A systematic review and meta-analysis

  • Nowrin, Shifat A;Jaafar, Saidi;Rahman, Norma Ab;Basri, Rehana;Alam, Mohammad Khursheed;Shahid, Fazal
    • The korean journal of orthodontics
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    • v.48 no.6
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    • pp.395-404
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    • 2018
  • Objective: To date, only a few studies have investigated the relationships between genetic polymorphisms and external apical root resorption (EARR). Hence, the aim of this systematic review was to explore the relationship between different gene polymorphisms and their association with EARR. Methods: A complete literature search was conducted by two independent reviewers. The PubMed, Science Direct, and Scopus databases were searched. In addition, the bibliographies of all textbooks and relevant articles were searched manually. A meta-analysis was performed using data entered into the electronic databases until February 28, 2017. Results: On the basis of the search, we identified 17 and 7 publications for the systematic review and meta-analysis, respectively. Odds ratio (OR) was used to evaluate the association of the interleukin 1B (+3954) polymorphism and the risk of EARR. The overall OR from the studies was used to estimate the risk of EARR. However, no association was found and no publication bias was apparent for the risk of EARR in patients receiving orthodontic treatment. Conclusions: More research on the relationship between gene polymorphism and EARR is necessary to determine better specificity of possible interactions.

A Systematic Review on Smart Manufacturing in the Garment Industry

  • Kim, Minsuk;Ahn, Jiseon;Kang, Jihye;Kim, Sungmin
    • Fashion & Textile Research Journal
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    • v.22 no.5
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    • pp.660-675
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    • 2020
  • Since Industry 4.0, there is a growing interest in smart manufacturing across all industries. However, there are few studies on this topic in the garment industry despite the growing interest in implementing smart manufacturing. This paper presents the feasibility and essential considerations for implementing smart manufacturing in the garment industry. A systematic review analysis was conducted. Studies on garment manufacturing and smart manufacturing were searched separately in the Scopus database. Key technologies for each manufacturing were derived by keyword analysis. Studies on key technologies in each manufacturing were selected; in addition, bibliographic analysis and cluster analysis were conducted to understand the progress of technological development in the garment industry. In garment manufacturing, technology studies are rare as well as locally biased. In addition, there are technological gaps compared to other manufacturing. However, smart manufacturing studies are still in their infancy and the direction of garment manufacturing studies are toward smart manufacturing. More studies are needed to apply the key technologies of smart manufacturing to garment manufacturing. In this case, the progress of technology development, the difference in the industrial environment, and the level of implementation should be considered. Human components should be integrated into smart manufacturing systems in a labor-intensive garment manufacturing process.

Neurofeedback Training for Anxiety: A Systematic Review (불안 감소를 위한 생기능자기조절 훈련(뉴로피드백) 임상연구: 체계적 문헌고찰)

  • Cho, Min-kyu;Lim, Wan-hyun;Lee, Go-Eun;Lim, Jung-Hwa
    • Journal of Oriental Neuropsychiatry
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    • v.29 no.2
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    • pp.79-97
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    • 2018
  • Objectives: The purpose of this systematic review was to investigate the clinical effects of neurofeedback training on reducing anxiety. Methods: Eight databases were used to extract clinical reports on neurofeedback intervention for anxiety reduction published until 2016. We analyzed the characteristics of selected studies and evaluated biases using the Risk of Bias (RoB) assessment. Results: A total of 22 clinical trials were extracted for the analysis. The risk of bias in most studies was high or unclear. The Chinese Classification of Mental Disorders-3 (CCMD-3) was the most frequently used diagnostic criteria, the Hamilton Rating Scale for Anxiety (HAMA) was the most frequently used assessment tool, and the alpha wave activity increase, sensorimotor rhythm (SMR), and theta wave training were the most frequently used intervention methods. All papers showed a statistically significant decrease of anxiety symptoms; however, significant adverse events were not reported. Conclusions: Neurofeedback intervention might be beneficial for reducing anxiety. However, the quality of the studies used in the analysis was low, and the heterogeneity of the population and interventions was revealed. Therefore, more scientifically designed clinical studies regarding neurofeedback training are required.

Effectiveness of acupuncture as an adjunctive therapy for lung cancer: A systematic review and meta-analysis

  • Shen, Lei;Gwak, Si Ra;Joo, Jong Cheon;Park, Soo Jung
    • Journal of Korean Traditional Oncology
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    • v.25 no.1
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    • pp.25-39
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    • 2020
  • Objectives : Lung cancer is one of the most common cancer and the leading cause of cancer deaths worldwide. This study aimed to evaluate the role of acupuncture as an adjunctive therapy for lung cancer. Methods : We conducted a systematic review and meta-analysis on the role of acupuncture therapy in lung cancer treatment by electronic and manual searching in ninedatabases, including PubMed, Cochrane library, Embase, Korean databases, and Chinese medical databases. Results : A total of 21 trials were included in the meta-analysis. The study results showed that acupuncture therapy had significant efficacy in immuneregulation, including CD3 andCD4. Further analysis revealed that acupuncture therapy significant improvements in quality of life, including Karnofsky performance status(KPS)score, functional assessment of cancer therapy-lung cancer subscale (FACT-L) and European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30). In addition, the pooled studies also showed that acupuncture therapy reduced cancer pain and chemotherapy-induced nausea and vomiting. Conclusions : Our study provides moderate evidence of the efficacy of the acupuncture therapy in the treatment of lung cancer.

Effects of Foot Reflexology on Fatigue, Sleep and Pain: A Systematic Review and Meta-analysis

  • Lee, Jeong-Soon;Han, Mi-Sook;Chung, Young-Hae;Kim, Jin-Sun;Choi, Jung-Sook
    • Journal of Korean Academy of Nursing
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    • v.41 no.6
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    • pp.821-833
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    • 2011
  • Purpose: The purpose of this study was to evaluate the effectiveness of foot reflexology on fatigue, sleep and pain. Methods: A systematic review and meta-analysis were conducted. Electronic database and manual searches were conducted on all published studies reporting the effects of foot reflexology on fatigue, sleep, and pain. Forty four studies were eligible including 15 studies associated with fatigue, 18 with sleep, and 11 with pain. The effects of foot reflexology were analyzed using Comprehensive Meta-Analysis Version 2.0. The homogeneity and the fail-safe N were calculated. Moreover, a funnel plot was used to assess publication bias. Results: The effects on fatigue, sleep, and pain were not homogeneous and ranged from 0.63 to 5.29, 0.01 to 3.22, and 0.43 to 2.67, respectively. The weighted averages for fatigue, sleep, and pain were 1.43, 1.19, and 1.35, respectively. No publication bias was detected as evaluated by fail-safe N. Foot reflexology had a larger effect on fatigue and sleep and a smaller effect on pain. Conclusion: This meta-analysis indicates that foot reflexology is a useful nursing intervention to relieve fatigue and to promote sleep. Further studies are needed to evaluate the effects of foot reflexology on outcome variables other than fatigue, sleep and pain.

Factors Relating to Quality of Life in Korean Breast Cancer Patients: Systematic Review and Meta-analysis (한국 유방암 환자의 삶의 질에 대한 관련요인: 체계적 문헌고찰과 메타분석)

  • Park, Kyung-Yeon;Kim, Minju;Yang, Young Ok
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.24 no.2
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    • pp.95-105
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    • 2017
  • Purpose: A systematic literature review and meta-analysis were conducted to synthesis research findings on relationships of quality of life with multi-dimensional correlates in Korean breast cancer patients. Methods: For the study purpose, 18 studies were selected through a systematic process of searching the literature. Results: Among the general characteristics, variables having a significant relationship with quality of life were age (ES=.19), marital status (ES=.15), education (ES=.19), economic status (ES=.16), job status (ES=.10), and religion (ES=.13). Among the disease characteristics, type of treatment (ES=.12), length of time since diagnosis (ES=.13), stage of disease (ES=.14), length of time since operation (ES=.10), frequency of treatment (ES=.19), wound site and pain (ES=.16) were shown to have a significant relationship with quality of life. Depression (ES=-.60), one of the psychological factor, was the variable most significantly related to quality of life. Conclusion: The findings indicate that the variables which strongly impact quality of life in breast cancer patients are depression and pain.