DOI QR코드

DOI QR Code

호스피스 간호중재 프로그램 효과에 관한 융·복합 메타분석

A convergent meta-analysis of the effect of hospice nursing intervention

  • 투고 : 2018.09.28
  • 심사 : 2018.11.20
  • 발행 : 2018.11.28

초록

본 연구의 목적은 호스피스 간호중재 연구방향과 호스피스 간호중재 프로그램 활용의 기초자료를 제공하기 위한 메타분석연구이다. 연구주제어는 '호스피스', '중재'로 2002년부터 2017년부터 학술연구정보서비스 외 기타 호스피스 관련 학술지에 발표된 논문을 검색하여 최종 15편의 논문을 선정하였다. 선정된 논문 15편은 메타분석 소프트웨어인 CMA2를 이용하여 출판편향, 효과 크기산출, 비중복 백분위(U 3), 신뢰구간, 동질성 검증을 하였다. 연구결과 출판 편향성은 안정적이었으며 호스피스 간호중재 프로그램 효과 크기는. 99로 유의하였으며 조절 효과는 출판연도 2003~2007년(ES=1.24), 출판형식은 학술지(ES=1.33), 연구자의 주전공은 간호학(ES=1.02), 대상자의 나이 29~30세(ES=1.09), 추후 회기(ES=1.06), 아로마(ES=1.12)로 유의하였다. 본 연구는 국내 호스피스 간호중재 프로그램의 융, 복합적 변인에 관한 메타분석을 처음 시도한 것에 의의를 두며, 호스피스 중재연구 방향과 프로그램 활용에 구체적 방향을 제시하여 호스피스프로그램 운영에 도움이 될 것이다.

The purpose of this study is to develop a hospice intervention program and present basic study data using a method of Meta analysis. Fifteen theses from 2002 to 2017 were collected from the on-line database at Korean Education and Research Information Service and other journals related hospice. Main keywords were 'hospice' and intervention'. The selected 15 theses were analyzed with publication bias, outcome of effect size, non-overlap percentage(U3), 95% confidence intervals and homogeneity. The result of the study is summarized as follows; Publication bias was stable and the effect size of hospice program was significant at. 99. The effective and significant regulation effects were publication years with 2003 to 2007(ES=1.24), publication types with journals(ES=1.33), majors with nursing sciences(ES=1.02), ages with 29 to 30(ES=1.09), later session(ES=1.06) and aroma(ES=1.12). Accordingly, this thesis has its meaning in that it used a Meta-analysis to analyze domestic theses of hospice intervention programs for the first time in Korea. This thesis will prodide specific guidance to researchers trying to develop and utilize hospice intervention programs resulting in helpful usages in professional hospice institutions with implementations of programs.

키워드

DJTJBT_2018_v16n11_419_f0001.png 이미지

Fig. 1. Funnel plot

Table 1. Process of study selection for meta-analysis

DJTJBT_2018_v16n11_419_t0001.png 이미지

Table 2. Subject thesis of analysis

DJTJBT_2018_v16n11_419_t0002.png 이미지

Table 3. General characteristics of the hospice nursing intervention program

DJTJBT_2018_v16n11_419_t0003.png 이미지

Table 4. Overall effect size

DJTJBT_2018_v16n11_419_t0004.png 이미지

Table 5. Hospice nursing intervention program effect size according to characteristics of published

DJTJBT_2018_v16n11_419_t0005.png 이미지

Table 6. The effect size according to the characteristics of participants of hospice nursing intervention program

DJTJBT_2018_v16n11_419_t0006.png 이미지

Table 7. Effect size according to hospice intervention program operation size

DJTJBT_2018_v16n11_419_t0007.png 이미지

Table 8. Hospice program type and psychological, physiological dependent variable effect size

DJTJBT_2018_v16n11_419_t0008.png 이미지

참고문헌

  1. National Statistical Office. (2016). 2015 Cause of death statistics in 2016. Statistics Korea. Retrieved from http://kostat.go.kr/portal/korea/kor_nw/2/6/2/index.board?bmode=read&aSeq=356345
  2. National Statistical Office. (2016). 2015-2065 Future Population Projections. Retrieved from http://www.index.go.kr/potal/main/EachDtlPageDetail.do?idx_cd=1010
  3. National Cancer Information Center, Korea. (2015). Hospice and Palliative Care. Seoul: National Cancer Information Center. Retrieved from http://hospice.cancer.go.kr/home/contentsInfo.do?menu_no=430
  4. National health insurance. (2017). Hospice and palliative care Medical care and survival of patients in the course of dying. National health insurance. Retrieved from http://www.law.go.kr/Hospice and palliative care Medical care and survival of patients in the course of dying/(14013)
  5. National Cancer Center. (2017). Hospice palliative care status and statistics. National Cancer Center. Retrieved from http://www.hospice.cancer.go.kr/hospice/
  6. J. S. Park, S. Y. Yoon & Y. Jung. (2013). The Status of Home-Based Hospice Care in Korea.. Korean J Hosp Palliat Care, 16(2), 98-107. DOI : Doi.org/10.14475/kjhpc.2013.16.2.098
  7. National cancer management business. (2017). Hospice palliative medical business. National Cancer Center. Retrieved from http://www.ncc.re.kr/
  8. Korean Hospice Relief Nursing Society (2015). Hospice palliative care. Seoul: Hyunmunsa.
  9. M. W. L. Cheung. (2015). Meta-analysis: A structural equation modeling approach. Singapore: John Wiley& Sons, Ltd.
  10. G. H. Jo, A. R. Park & J. J. Lee. (2015). Integrated palliative care interventions were performed in patients with terminal cancer Effects on Quality of Life: Meta-analysis, Korean J Hosp Palliat Care, 18(2), 136-147. DOI:http://libproxy.ks.ac.kr/b5c56e7/_Lib_Proxy_Url/dx. doi.org/10.14475/kjhpc.2015.18.2.136
  11. R. E. Menzies, M. Zuccala, L. Sharpe & I. Dar-Nimrod. (2018). The effects of psychosocial interventions on death anxiety: A meta-analysis and systematic review of randomised controlled trials. Journal of anxiety disorders, 59(1), 64-73. DOI: https://doi.org/10.1016/j.janxdis.2018.09.004
  12. D. Papadopoulos, A. Papadoudis, M. Kiagia & K. Syrigos. (2018). Nonpharmacologic Interventions for Improving Sleep Disturbances in Patients With Lung Cancer: A Systematic Review and Meta-analysis. Journal of pain and symptom management, 55(5), 1364-1381. DOI:https://doi.org/10.1016/j.jpainsymman.2017.12.491
  13. M. Mayahara, J. Wilbur, L. Fogg & S. M. Breitenstein. (2018). Behavioral Pain Intervention for Hospice and Palliative Care Patients: An Integrative Review. American Journal of Hospice and Palliative Medicine, 35(9), 45-60. DOI:https://doi.org/10.1177/1049909118775421
  14. S. S. Oh. (2007). "Meta-analysis : theory and practice, Seoul.: Konkuk University Press.
  15. W. L. Kleinert, R. S. CoddingCodding, T. Minami & K. Gould. (2018). A Meta-analysis of the Taped Problems Intervention. Journal of Behavioral Education, 27(1), 53-80. DOI:https://doi.org/10.1007/s10864-017-9284-5
  16. R. Rosenthal & R. L. Rosnow. (1991). Essentials of behavioral research: methods and data analysis. 2nd ed. McGraw-Hill series in psychology. New York: McGraw-Hill.
  17. L. V. Hedges & J. L. Vevea. (1998). Fixed-and random-effects models in meta-analysis. Psychological methods, 3(4), 486..DOI:http://psycnet.apa.org/buy/1998-11538-006 https://doi.org/10.1037/1082-989X.3.4.486
  18. Cohen. (1998). Statistical power analysis for the behavioral sciences. New York : Academic Press.
  19. M. Borenstein, L. V. Hedges, J. P. T. Higgins & Rothstein. (2009). Introduction to meta-analysis. West Sussex. UK: Wiley.
  20. J. Cocoran, P, Dattalo, M. Crowley, E. Brown & L. Grindle. (2011). A systemic review of psychosocial intervention for suicidal adlescent. Children and youth Services Review, 33(9), 2112-2118.. DOI:https://doi.org/10.1016/j.childyouth.2011.06.0
  21. Y. C. Min & P. J. Oh. (2011). A meta-analysis of intervention studies on cancer pain. Journal of Korean Oncology Nursing, 11(1), 83-92. DOI:https://doi.org/10.5388/jkon.2011.11.1.83
  22. K. H. Jo, A. R. Park & J. J. Lee. (2015). Effects of integrated palliative care intervention on quality of life in terminal cancer patients: A meta-analysis. Korean Journal of Hospice and Palliative Care, 18(2), 136-147. DOI:http://libproxy.ks.ac.kr/b5c56e7/_Lib_Proxy_Url/dx. doi.org/10.14475/kjhpc.2015.18.2.136
  23. P. J. Oh & Y. H. Kim. (2012). Meta-Analysis of Spiritual Intervention Studies on Biological, Psychological, and Spiritual Outcomes. Journal of Korean Academy of Nursing, 42(6), 833-842. DOI:http://dx.doi.org/10.4040/jkan.2012.42.6.833
  24. K. Pische. (2015). Integrative & Holistic Oncology Nursing. Beginnings, 35(3), 18-2 DOI:https://www.ncbi.nlm.nih.gov/pubmed/26357824
  25. K. H. Park & Y. S. Tae. (2016). Development and Effects of self-efficacy promoting program in breast cancer patients receiving chemotherapy. Journal of holistic Nursing Science, 9, 1-15. DOI: http://www.riss.kr/link?id=A105460472
  26. V. A. Lambert & C. E. Lambert. (2008). Nurses' workplace stressors and coping strategies. Indian J Palliative Care, 14(1), 38. DOI: 10.4103/0973-1075.41934
  27. J. R. Curtis, P. D. Treece, E. L. Nielsen, J. Gold, P. S. Ciechanowski, S. E. Shannon & R. A. Engelberg. (2016). Randomized trial of communication facilitators to reduce familydistress and intensity of end-of-life care. American Journal of Respiratory and Critical Care Medicine, 193(2), 154-162. DOI:https://doi.org/10.1164/rccm.201505-0900OC
  28. S. H. Ha & E. M. Choi. (2013). A Study on Comparison of Current usage of Informed Consent for Group Counseling. Korea Journal of Counseling, Korean Counseling Association, 14(2), 1033-1050. DOI:https I410-ECN-0102-2014-300-001733622
  29. E. J. Dunn, R. Markert, K. Hayes, J. McCollom, L. Bains, D. Kahlon & G. Kumar. (2018). The Influence of Palliative Care Consultation on Health-Care Resource Utilization During the Last 2 Months of Life: Report From an Integrated Palliative Care Program and Review of the Literature. American Journal of Hospice and Palliative Medicine, 35(1), 117-122. DOI : https://doi.org/10.1177/1049909116683719
  30. S. Y. Chang. (2008). Effects of aroma hand massage on pain, state anxiety and depression in hospice patients with terminal cancer. Journal of Korean Academy of Nursing, 38(4), 493-502. DOI:http://www.dbpia.co.kr/Article/NODE0202664 https://doi.org/10.4040/jkan.2008.38.4.493
  31. Y. S. Park. (2015). A Meta-Analysis of the Effects of Aromatherapy Hand Massge. Journal of Digital Convergence, 13(1), 469-479. DOI : 10.14400/JDC.2015.13.1.469