Journal of Industrial Convergence (산업융합연구)

DAEHAN Society of Industrial Management (대한산업경영학회)
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Effectiveness of online-based education for self-care in ostomates: systematic review

장루보유자의 자가간호를 위한 온라인 기반 교육의 효과: 체계적 문헌고찰

  • Jeongwon Yeom (Dept of Nursing, Ansan University) ;
  • Inhee Park (Dept of Nursing, Shinsung University)
  • 염정원 (안산대학교 간호학과) ;
  • 박인희 (신성대학교 간호학과)
  • Received : 2024.07.08
  • Accepted : 2024.10.20
  • Published : 2024.10.28
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Abstract

With an increase in the number of individuals with ostomies globally, online-based programs are being used to educate ostomates. Therefore, this study analyzed the effects, characteristics, outcomes, and implications of online self-care education programs for ostomates. This systematic review searched the MEDLINE, Cumulative Index to Nursing and Allied Health Literature (CINAHL), and Cochrane Central Register of Controlled Trials (Central) electronic databases to conduct a meta-analysis of randomized controlled trials published up to December 2023. Two investigators independently extracted data and assessed study quality based on the risk of bias. Of the 519 identified studies, eight were relevant, which were divided by intervention: three studies used telehealth, three used mobile applications, and two, multimedia learning training. The educational programs in the relevant studies focused on ostomy knowledge, self-care, and prevention of complications; while some included psychological support. Online-based education programs can improve ostomy patients' adjustment and self-efficacy, reduce complications, and improve quality of life. Online-based education programs have easier accessibility by patients and nurses; it can effectively improve ostomy patients' quality of life and prevent future complications.

본 연구의 목적은 장루보유자를 위한 온라인 기반 자가관리 교육 프로그램의 효과, 특성, 결과 및 시사점을 분석하는 것이다. 2023년 12월까지 발표된 무작위대조임상시험의 문헌고찰을 수행하기 위해 MEDLINE, CINAHL, Cochrane(Central) 전자데이터베이스를 검색하여 체계적 고찰을 수행하였다. 두 명의 연구자가 독립적으로 데이터를 추출하고 편향성위험에 따라 연구의 질을 평가하였다. 확인된 519개의 논문 중 8개의 논문을 최종 분석하였으며, 중재방법에 따라 3편의 논문은 원격의료, 3편은 모바일 애플리케이션, 2편은 멀티미디어 학습교육으로 구분되었다. 중재교육 프로그램은 장루지식, 자가관리, 장루 합병증 예방, 심리적지지 등의 내용이 있었다. 장루보유자의 온라인 기반 교육 프로그램은 장루적응과 자기효능감 향상과 합병증 예방, 삶의 질을 개선함을 확인하였다.

Keywords

Acknowledgement

This research was funded by National Research Foundation of South Korea (Grant number RS-2023-00277244).

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