The Journal of the Korea Contents Association (한국콘텐츠학회논문지)

The Korea Contents Association (한국콘텐츠학회)
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Exercise Effect Applied to Patients Who Underwent Lung Resection with Lung Cancer: Systematic Review and Meta-Analysis

폐암으로 폐 절제술을 시행한 환자에게 적용한 운동 효과: 체계적 문헌고찰과 메타분석

  • 박영주 (영남외국어대학 간호학과) ;
  • 배필원 (영남외국어대학 간호학과)
  • Received : 2018.05.03
  • Accepted : 2018.06.22
  • Published : 2018.06.28
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Abstract

The purpose of this study was to investigate systematic review and meta-analysisto identify exercise intervention effect applied to patients who underwent lung resection with lung cancer. A total of 1,322 publications were searched from 1990 to 2016 through domestic and foreign electronic databases, and the final 13 publications were selected through literature selection process. Finally, eight RCT (randomized controlled trial) and five NRCT (non-randomized controlled trial) were identified, including 925 participants. The results of the meta-analysis of the effect sizes of the intervention on the outcome variables showed that the health-related quality of life EORTC QOL-C13/30 (the European Organization for Research and Treatment of Cancer Core Quality of Life Questionnaire) (MD-0.50 95 % CI -0.83-0.18) and SF-36 PCS (the Medical Outcomes 36-Item Short Form Health Survey PCS) (MD 0.75, 95 % CI 0.41-1.10) in the intervention group were significantly higher than the control group. The results of this study suggest that exercise interventions can potentially improve the quality of life of patients who underwent lung resection with lung cancer.

본 연구는 폐암으로 폐절제술을 시행 받은 환자에게 적용한 운동 중재를 파악하고 그 효과의 차이를 규명하기 위하여 체계적 문헌고찰 및 메타분석을 실시하였다. 국내외 전자데이터베이스를 통해 1990년부터 2016년까지 총 1,322개의 논문이 검색되었으며, 문헌 선별 과정을 통해 최종 13개의 문헌을 선정하였다. 최종적으로 925명을 대상자가 포함된 8개의 대조군이 있는 무작위 대조군(randomized controlled trial; RCT)논문와 5개의 대조군이 있는 비무작위 대조군(non-randomized controlled trial; NRCT)논문을 확인하였다. 결과변수에 대한 중재의 효과크기를 메타분석한 결과, 중재군의 건강관련 삶의 질 EORTC QOL-C13/30 (the European Organization for Research and Treatment of Cancer Core Quality of Life Questionnaire) (MD-0.50 95 % CI -0.83-0.18)과 중재군의 건강관련 삶의 질 SF-36 PCS (the Medical Outcomes 36-Item Short Form Health Survey PCS) (MD 0.75, 95 % CI 0.41-1.10)에서 대조군보다 통계적으로 유의하게 높게 나타났다. 따라서 본 연구의 결과는 운동 중재가 폐암으로 폐 절제술을 시행 받은 환자의 건강관련 삶의 질을 잠재적으로 향상시킬 수 있음을 시사한다.

Keywords

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