• 재활간호학회지
• /
• 제19권2호
• /
• pp.118-127
• /
• 2016

Purpose: This study was to develop an evidence-based clinical practice protocol of physical restraints by adaptation process for patients with a geriatric hospital. Methods: Protocol adaptation process was conducted in accordance with manual for guideline adaptation version 1.0 by ADAPTE collaboration. Results: The adapted physical restraint protocol was consisted of 3 domains and 37 recommendations. The number of recommendations in each domain were: 7 nursing assessment, 19 nursing intervention, and 11 nursing evaluation. More than half (56.8%) of the recommendations were rated as grade B, 37.8% as grade C, and 5.4% were rated as grade D. Conclusion: The adapted physical restraint protocol is expected to contribute as an evidence-based clinical practice protocol for healthcare workers in geriatric hospitals for reducing and improving efficiency of appropriate physical restraints use.

• Perspectives in Nursing Science
• /
• 제8권2호
• /
• pp.139-147
• /
• 2011

Purpose: An integrative literature review was done to identify the best interventions for older adults with dyslipidemia in an effort to promote nursing involvement in the prevention of statin-induced symptoms (SIS). Such awareness could increase the capacity of interventions by geriatric nurses using evidence-based practices in the reassessment of statin therapy. Methods: CINAHL, Pubmed, and ProQuest were searched using these terms: dyslipidemia in, elderly, statins, adverse effects, and quality of life. Eleven articles fitting the inclusion criteria were identified and analyzed. Results: The findings indicate no evidence for the benefit of statin therapy for morbidity/mortality in a high-risk primary prevention set-up, specifically in the elderly population. Although SIS prevails among older adults, there are limited data that confidently support this observation along with nursing interventions specifically for the geriatric nursing community. Conclusion: Future research is necessary to shift nursing intervention with statin users (specifically in older adults) from an illness-based intervention to a preventive care plan to provide optimal care based on evidence. It is essential to involve self-reporting, cooperation, and communication with health care professionals, specifically with geriatric nurses. Additional studies are needed to further direct practice interventions in elderly statin users.

• 대한통합의학회지
• /
• 제10권3호
• /
• pp.257-266
• /
• 2022

Purpose : This systematic review examined evidence published 2000-2021 for occupational therapy interventions for adult Attention Deficit Hyperactivity Disorder (adult ADHD). Methods : In order to find out the studies on the effect occupational therapy intervention on individuals with adult ADHD, studies published from 2000 to February 2022 were searched on Google Academic Search. The keywords used were "adult ADHD" AND "Occupational therapy". A total of 785 studies were searched, and from these, 3 studies were selected based on the application of the selection and exclusion criteria. The included studies comprised of 1 Quasi-experimental design study(one group pre-post test) and 2 randomized controlled trials design studies. The included studies were analyzed in PICO(patients, intervention, comparison, outcomes). Results : As a result of analysing the subjects of the included studies, subjects diagnosed with adult ADHD or classified as high-risk group in Adult ADHD Self-Report Scale test, the number of subjects was 97, and the average age was about 33 years old. Occupational therapy intervention methods for adult ADHD include Tailored Intervention, Computerized Cognitive Training, and Cognitive-Functional Intervention. The Adult ADHD Self-Report Scale was the most used to check the symptoms of ADHD, and the COPM was used the most to measure the effects of occupational therapy interventions. The dependent variables of occupational therapy intervention were occupational performance, quality of life, executive function (behavioral regulation, metacognition), self-regulation function, stress management, and sustained attention. The effect of the intervention was statistically significant in 78.5% of the total. Conclusion : It is expected that the results of this study can be used as basic data for evidence-based practice for occupational therapists to apply adult ADHD interventions. In the field of occupational therapy in Korea, research on various interventions that can improve the occupational performance of adults ADHD should be conducted.

• 근관절건강학회지
• /
• 제25권3호
• /
• pp.205-217
• /
• 2018

Purpose: The purpose of this review was to analyze the characteristics and effectiveness of online-based intervention for infertile women. Methods: We established the PICO (Participant-Intervention-Comparison-Outcome) strategy and conducted a systematic review of 7 literatures retrieved from 3 electronic databases of Ovid-Medline, Ovid-Embase, and the Cochrane Library. Two investigators independently extracted the data and assessed the quality of included studies using Cochrane risk of bias. Results: The pregnancy outcome showed that higher total risk scores (TRS) about lifestyle behavior was significantly associated with lower chance of pregnancy (aHR 0.79, 95% CI 0.72~0.85). Stress was significantly decreased in experimental groups receiving online-based interventions (p<.05). Depression score was significantly lower in groups receiving additional interventions besides on-line interventions than those who used online-based intervention only. The other outcomes, including anxiety, self-efficacy, helpfulness of intervention, perceived social support, and knowledge scores were not significantly different within and between groups in overall. Characteristics of the interventions were heterogeneous. Conclusion: There is evidence that online-based intervention in infertile women enhances the pregnancy and reduces stress levels.

• 보건의료기술평가
• /
• 제6권2호
• /
• pp.95-99
• /
• 2018

As technologies develop, the digital health sector is gradually expanding. Internationally, the global summit for Digital Health named Global Digital Health Partnership (GDHP) was launched in 2018. Many countries are participating in GDHP and share their policy experiences on digital health and find the ways to cooperate with participating countries (13 countries, including South Korea, and Hong Kong). This article reviewed the international trends in digital health policy environment and evidence assessment focusing on GDHP activities, and derived implications for health technology assessment of digital health. Consequently, to assess the intervention effects of digital health is very complex and the assessment should be considered multidimensional aspects (social, clinical, and technical). In addition the patient experience should be assessed qualitatively. Health technology assessment (HTA) should assess the effect of digital health policies to changes in health care systems resulting from the application of advanced technologies related to the 4th Industrial Revolution. Digital health is also related to new HTA, HTA of existing technologies, and R&D on the promising health technology. Therefore, it is necessary to review the trends of the technology's management policy consistently through the HTA of digital health.

• 한국산학기술학회논문지
• /
• 제20권4호
• /
• pp.293-302
• /
• 2019

본 연구는 노인 운전자를 대상으로 한 컴퓨터 기반 운전중재 프로그램에 대해 체계적으로 분석함으로써, 노인을 위한 운전중재에 대한 근거를 제시하고자 하였다. 연구 분석을 위해 2009년 1월부터 2018년 10월까지 출판된 문헌들을 대상으로 하였으며, 국외 문헌은 'Pubmed, Goggle Scholar, Science Direct'에서 검색하였고, 국내 문헌은 'RISS, Keris, KISS'를 통하여 검색하였다. 총 359편의 논문이 검색되었고, 포함기준과 배제기준을 바탕으로 분석하여 최종 10편의 논문이 분석에 사용되었으며, 근거수준 I이 8편(80%), III가 2편(20%)이었다. 분석결과 노인에게 적용한 컴퓨터 기반 중재 방법에는 운전 시뮬레이터가 7편(70%)으로 가장 많았으며, 비디오 영상훈련 2편(20%), 닌텐도 Wii 프로그램이 1편(10%)을 차지하였다. 대부분의 연구에서 운전 시뮬레이터는 노인들의 인지영역과 시지각 능력을 훈련하고, 다양한 모의 상황에서 위험 상황에 대처하는 능력을 향상시켜 주었으며, 다른 중재방법들도 노인들에게 긍정적인 영향을 미쳤다. 노인 운전자를 평가한 평가 항목에서는 운전 시뮬레이터를 사용한 운전수행능력 평가가 가장 많았으며, 그 외 주의력, 시공간 능력, 인지기능, 위험인지 평가, 우울 및 불안평가 등이 시행되었다. 노인 운전자를 대상으로 한 컴퓨터 기반 운전중재 프로그램은 다양한 영역들을 훈련하고 평가하기에 적절하며, 안전운전을 위한 중재도구로 효과적으로 활용될 수 있을 것으로 기대한다.

• Clinical and Experimental Pediatrics
• /
• 제51권9호
• /
• pp.922-934
• /
• 2008

Developmental language disorder is the most common developmental disability in childhood, occurring in 5-8% of preschool children. Children learn language in early childhood, and later they use language to learn. Children with language disorders are at increased risk for difficulties with reading and written language when they enter school. These problems often persist through adolescence or adulthood. Early intervention may prevent the more serious consequences of later academic problems, including learning disabilities. A child's performance in specific speech and language areas, such as phonological ability, vocabulary comprehension, and grammatical usage, is measured objectively using the most recently standardized, norm-referenced tests for a particular age group. Observation and qualitative analysis of a child's performance supplement objective test results are essential for making a diagnosis and devising a treatment plan. Emphasis on the team approach system in the evaluation of children with speech and language impairments has been increasing. Evidence-based therapeutic interventions with short-term, long-term, and functional outcome goals should be applied, because there are many examples of controversial practices that have not been validated in large, controlled trials. Following treatment intervention, periodic follow-up monitoring by a doctor is also important. In addition, a systematized national health policy for children with speech and language disorders should be provided.

• 대한지역사회영양학회지
• /
• 제9권1호
• /
• pp.81-89
• /
• 2004

A systematic review and meta-analysis of the literatures was conducted to evaluate the effectiveness of nutrition intervention by dietitian. The 31 studies that were all randomized controlled trials, were identified from computerized search of published researches on MEDLINE, Embase database until January, 2003 and review of reference lists. The main search terms were the combination “dietitian”, “dietary intervention”, “nutrition intervention” or “nutritional intervention” and “effectiveness”. The subgroup analysis was performed by the publication year, quality score, type of disease, content of intervention, intervention provider, type of intervention (nutritional counseling and education/nutrilion counseling and education + diet modification), method of intervention (individual/group/individual + group) and follow-up period. Two reviewers independently selected trials for inclusion, assessed the quality and extracted the data. The meta-analysis of 31 studies based on the random effect model showed that the medical nutrition therapy was significantly effective in treating the diseases (effect size 0.1715 : 95% confidence interval 0.0938-0.2491). This study showed the clear evidence of the effectiveness of nutrition intervention through the meta-analysis. So the nutrition intervention by dietitian should be recommended and recognized as the effective therapy of treating the diseases. Also the nutrition intervention should be conducted regularly to maintain the effectiveness of the nutrition intervention. The nutrition intervention was significantly effective in treating the diseases on the random effect model (effect size 0.1715 : 95% confidence interval 0.0938-0.2491).

• 한국콘텐츠학회논문지
• /
• 제18권10호
• /
• pp.335-347
• /
• 2018

본 연구는 정신 건강에 어려움을 가진 국내 초등학생의 학교기반 중재를 체계적으로 고찰하여 추후 더욱 효과적인 정신건강 관련 학교 기반 중재를 모색하고자 하였다. PRISMA 체크리스트와 흐름도를 통해 체계적 고찰을 시행하였고, 데이터베이스는 한국교육학술정보원, 국가과학기술센터, 국회도서관을 이용하였다. 대상 연구의 중재 특성, 대상자 특징, 평가도구로 분석하였다. 최종적으로 25개의 연구를 선정하였으며, 학교 기반 중재 특징에 따라 심리교육 중재(자기관리기술, 사회기술, 사회정서학습), 행동 중재(긍정적 행동지원, 모델링), 심리치료 중재(미술치료, 상담치료 및 부모교육), 레크리에이션 중재(로봇 중재, 원예치료)로 분류하였다. 연구의 대상자로는 지적장애가 가장 많았고, 주의력 결핍 과잉행동장애가 그 다음으로 많았다. 평가 영역은 주로 정서의 변화, 주의력의 변화를 알아보는 도구가 사용 되었다. 본 연구를 통해 학교기반 중재의 연구 분야, 대상자, 평가도구의 근거를 마련하였다. 이는 추후 더욱 효과적인 정신건강 관련 학교기반 중재를 마련하는데 있어 중요한 기본 자료로 활용 할 수 있을 것이다.

• 대한간호학회지
• /
• 제41권6호
• /
• pp.768-779
• /
• 2011

Purpose: This study was designed to adapt a surgical wound care algorithm that is used to provide evidence-based surgical wound care in a critical care unit. Methods: This study used, the 'ADAPTE process', an international clinical practice guideline development method. The -'Bonnie Sue wound care algorithm' - was used as a draft for the new algorithm. A content validity index (CVI) targeting 135 critical care nurses was conducted. A 5-point Likert scale was applied to the CVI test using a statistical criterion of .75. Results: A surgical wound care algorithm comprised 9 components: wound assessment, infection control, necrotic tissue management, wound classification by exudates and depths, dressing selection, consideration of systemic factors, wound expected outcome, reevaluate non-healing wounds, and special treatment for non-healing wounds. All of the CVI tests were ${\leq}$.75. Compared to existing wound care guidelines, the new wound care algorithm provides precise wound assessment, reliabilities of wound care, expands applicability of wound care to critically ill patients, and provides evidence and strength of recommendations. Conclusion: The new surgical wound care algorithm will contribute to the advancement of evidence-based nursing care, and its use is expected as a nursing intervention in critical care.