• 제목/요약/키워드: Intervention method

검색결과 2,705건 처리시간 0.025초

국내 암환자와 관련된 연구논문의 메타분석 - 실험연구를 중심으로 - (An Integrative Review and Meta-analysis of Oncology Nursing Research : 1985-1997.2)

  • 임선옥;홍은영
    • 대한간호학회지
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    • 제27권4호
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    • pp.857-870
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    • 1997
  • The purposes of this study were to describe 12 years of patient-related oncology nursing research in Korea, identifying various nursing interventions, and assesing the effectiveness of the interventions, through analysis and synthesis of the accumulated research papers. One hundred and seventy-nine studies were selected for this study and these were mostly descriptive in design (69.2%). Of the 179 studies, 25 met the criteria for meta-analytic treatment. Twenty-five experimental studies were found in theses and dissertations (68%), 92% used convenience sample, and the median sample size was 40. Subjects were predominantly in treatment and rehabilitation (76%). Most studies(68%) were not derived from a theory base, with only 8% reporting use of a nursing theory. Results of the meta-analysis are as follows. The effect size of the nursing intervention type was found to be significantly effective. The standardized mean difference ranged from a high positive of 2.55 to a low negative of -0.22. Direct personal nursing intervention method was more effective than indirect group method. Two nursing intervention methods were more effective than one. The greatest effect size was thyxical intervention. The greatest mean effect size was scalp hypothermia technique. Teaching was a frequent intervention after 1990, although a wide range of treatments were studied. Effect size of intervention for symptom management was largest in relieving pain. Effective intervention method for relieving anxiety was exercise.

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임상영양서비스의 효과성 평가 : 체계적 검토와 메타분석을 통하여 (Effectiveness of Nutrition Intervention : Systematic Review & Meta-Analysis)

  • 이해영;김현아;양일선;남정모;박은철
    • 대한지역사회영양학회지
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    • 제9권1호
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    • pp.81-89
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    • 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).

영적 간호중재가 호스피스 환자의 불안과 우울에 미치는 효과

  • 윤매옥
    • 호스피스학술지
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    • 제2권2호
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    • pp.17-27
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    • 2002
  • Purpose: The purpose of this study was to elucidate the effects of spiritual nursing intervention on anxiety and depression of the hospice patients. This study was devised one group pretest-posttest design. The data was collected during the period from July 10 to September 25 in 2000 at the general hospital in cheonju city. The subjects were thirty-seven patients who referred the hospice service. Method: The tools were used Spielberger's State Anxiety Scale and Zung's Depression Inventory. The spiritual nursing intervention was carried out through Hymn, Scripture, Prayer, the therapeutic use of self over a period of three weeks. Data were analyzed by frequency, percentage, mean, standard deviation, paired t-test. Results: 1.After the spiritual nursing intervention, state anxiety of hospice patients was reduced(t=6.237, p=0.000). 2.After the spiritual nursing intervention, depression of hospice patients was reduced(t=18.58, p=0.000). Conclusion: The hospice patients who were offered spiritual nursing intervention had lower anxiety & depression than those who were not offered spiritual nursing intervention. According to these results, spiritual nursing intervention can be regarded as an effective nursing intervention that relieved anxiety and depression of the hospice patients.

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치매노인 가족부양자의 간호방법에 대한 치매교육의 효과 (The Effectiveness of Dementia Education for the Nursing Method of Family Caregivers of the Demented Elderly)

  • 유광수;소은선
    • 지역사회간호학회지
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    • 제25권2호
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    • pp.97-108
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    • 2014
  • Purpose: This study attempted to identify the effectiveness and substantiality of a dementia education program for family caregivers of the demented elderly. Methods: This quasi-experimental study using a nonequivalent control pretest-posttest design was carried out from April 15 to July 29 in 2012 with 137 subjects divided into an experimental group (n=70) and a control group (n=67). This study examined the subjects' general characteristics, and evaluated their nursing method four times, respectively, before the intervention, right after the intervention, and 2 and 4 weeks after the intervention, and then analyzed collected data through t-test and $x^2$-test. Results: In the experimental group that had received the dementia education, the nursing method score was significantly higher right after the intervention (t=8.33, p<.001) and 2 weeks after the intervention (t=8.01, p<.001) than before the intervention, but their score 4 weeks after the intervention was not significantly different from that of the control group (t=1.08, p=.28). Conclusion: The dementia education was found to be effective in improving the nursing method of family caregivers of the demented elderly. This study implies that further follow-up dementia education is necessary between 2 and 4 weeks to maintain the effectiveness.

기도질환 환자의 치료기관지경술 (Bronchoscopic Intervention for Airway Disease)

  • 김호중
    • 대한기관식도과학회지
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    • 제14권2호
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    • pp.10-16
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    • 2008
  • Surgical resection and reanastomosis has been the treatment of choice in patients with tracheobronchial stenosis. Recent development of bronchoscopic intervention has been replacing the role of surgery in these patients. After summarizing the upto date data of bronchoscopic intervention, the proper management of tracheobronchial stenosis will be presented. Bronchoscopic intervention would be much effective when performed under rigid bron- choscopy, due to the stable patients' condition and endoscopic view. The usual method of intervention includes ballooning, Nd-YAG laser resection, bougienation, mechanical airway dilatation, stenting and photodynamic therapy. Silicone stents are very effective in patients with tracheobronchial stenosis to maintain airway patency. Bronchoscopic intervention provided immediate symptomatic relief and improved lung function in most of patients. After airway stabilization, stents were removed successfully in 2/3 of the patients at a 12-18 months post-insertion. Less than 5% of patients eventually needs surgical management. Acute complications, including excessive bleeding, pneumothorax, and pneumomediastinum develops in less than 5% of patients but managed without mortality. Stent-related late complications, such as, migration, granuloma formation, mucostasis, and restenosis are relatively high but usually controlled by follow-up bronchoscopy. In conclusion, bronchoscopic intervention, including silicone stenting could be a useful and safe method for treating tracheobronchial stenosis.

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Comparison of prediction methods for Nonlinear Time series data with Intervention1)

  • Lee, Sung-Duck;Kim, Ju-Sung
    • Journal of the Korean Data and Information Science Society
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    • 제14권2호
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    • pp.265-274
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    • 2003
  • Time series data are influenced by the external events such as holiday, strike, oil shock, and political change, so the external events cause a sudden change to the time series data. We regard the observation as outlier that occurred as a result of external events. In general, it is called intervention if we know the period and the reason of external events, and it makes an analyst difficult to establish a time series model. Therefore, it is important that we analyze the styles and effects of intervention. In this paper, we considered the linear time series model with invention and compared with nonlinear time series models such as ARCH, GARCH model and also we compared with the combination prediction method that Tong(1990) introduced. In the practical case study, we compared prediction power with RMSE among linear, nonlinear time series model with intervention and combination prediction method.

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당뇨환자를 위한 운동행위 변화단계별 중재프로그램 개발 - Transtheoretical Model을 중심으로 - (Development of a Exercise Intervention Program Based on Stage of Exercise Using the Transtheoretical Model in Patients with Type 2 Diabetes Mellitus)

  • 김춘자
    • 기본간호학회지
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    • 제9권1호
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    • pp.123-132
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    • 2002
  • Purpose: The purpose of this study was to develop an exercise intervention program based on stage of exercise using the Transtheoretical Model (TTM) for patients with type 2 diabetes mellitus (DM). Method : A methodological research design was used to develop the exercise intervention program based on stage of exercise using TTM. Result: The exercise intervention program consisted of theoretical background and goals of program, assessment tool for stage of change, and an exercise intervention program based on stage of exercise. Details for the exercise and a glossary are included, Conclusion : The exercise intervention based stage of exercise can apply for DM patients who are in any stages properly.

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입원아동을 위한 아동간호학 분야의 유머 중재에 관한 고찰 (A Study of Humor as a Nursing Intervention for Hospitalized Children)

  • 심인옥;한경자
    • Child Health Nursing Research
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    • 제12권1호
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    • pp.114-121
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    • 2006
  • Purpose: Humor is an important part of life. Humor has many benefits as an intervention for hospitalized children. Humor is one strategy that pediatric nurses can use to help children cope with illness and hospitalizations. The purposes of the study were to 1) review the definition of humor, 2) identify methods and skills in using humor as an intervention, 3) identify the effects of humor as an intervention, and 4) suggest further research. Method: The design was a descriptive study with literature review. Previous studies were identified by searches of MEDLINE, CHNIAL, PUBMED and ProQuest. Results: Humor has positive physiological, psychological, social and communicative effects on patients and humor has a positive effect on the immune system. Conclusion: The main point identified from this study suggests that humor as a nursing intervention be developed for nurses to use with children who are hospitalized. Further research is needed to develop programs for humor as an intervention for health promotion and disease prevention in children.

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경두개 직류 전류자극이 뇌졸중 환자의 우울과 불안에 미치는 효과 (The Effects of Transcranial Direct Current Stimulation on Depression and Anxiety in Stroke Patients)

  • 조영석;김지훈
    • 대한통합의학회지
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    • 제11권2호
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    • pp.109-117
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    • 2023
  • Purpose : Transcranial direct current stimulation is noninvasive method of cerebral cortical stimulation applied as an intervention to facilitate recovery in stroke patients. The purpose of this study was to examine the effects of transcranial direct current stimulation on depression and anxiety in stroke patients with the aim to finding a reliable method to reduce depression and anxiety in stroke patients. Methods : This study was conducted at A hospital located in D city from December 2022 to February 2023. Patients diagnosed with stroke were selected according to predefined study criteria and divided into two groups. 9 patients in experimental group underwent transcranial direct current stimulation and traditional occupational therapy, while 9 patients in the control group underwent sham transcranial direct current stimulation and traditional occupational therapy for 20 min per session 3 times per week for a total of 8 weeks. Beck depression inventory (BDI) and Beck anxiety inventory (BAI) were used to evaluate depression and anxiety in the patients before and after intervention. Wilcoxon signed rank test was used to compare differences before to after intervention. Mann-Whitney U test was used to compare the two groups. Differences with p<.05 were considered statistically significant. Results : First, both the experimental and control groups presented significant statistical difference before and after intervention on depression (p<.01). Comparison of two groups after intervention showed significant statistical difference in depression (p<.05). Second, the groups presented significant statistical difference before and after intervention on anxiety (p<.01). After intervention, the two groups showed significant statistical difference in anxiety (p<.05). Conclusion : Results of the present study demonstrated the effects of transcranial direct current stimulation on depression and anxiety in stroke patients, suggesting it may be a useful method of rehabilitation in this patient population; as such, further studies are warranted.

전신진동 자극 훈련이 경직형 뇌성마비 아동의 고유수용감각 및 촉각에 미치는 영향 (Effect of Whole Body Vibration Training on Proprioception and Tactile in Spastic Cerebral Palsy)

  • 윤혜령;이은주
    • PNF and Movement
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    • 제20권1호
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    • pp.103-113
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    • 2022
  • Purpose: The purpose of this study was to investigate the effects of whole-body vibration stimulation on proprioception and tactile in patients with spastic cerebral palsy. Methods: This study was conducted on 9 children diagnosed with spastic cerebral palsy. Of the single case study methods, the ABAB design was employed in this study. Out of a 12-week study period, three weeks were allocated to each of two baseline periods and two intervention periods. The exercise was performed twice a week for 30 minutes. A general trunk stabilization exercise was performed during the baseline period and a trunk stabilization exercise accompanied with whole-body vibration was performed during the intervention period. Evaluation was performed five times in total: before the experiment, after baseline 1, after intervention 1, after baseline 2, and after intervention 2. To determine the effect of the exercise method, a skin sensory evaluation tool (monofilament kit) and a trunk proprioception sensor (digital dual inclinometer) were used. To compare the effects of the exercises at baseline and after intervention, an analysis of variance on repeated measures (repeated ANOVA) was performed to analyze the data. Results: The results showed that there were statistically significant increases from baseline in the means of proprioception and tactile during the intervention period with whole-body vibration (p <.05). Conclusion: Whole-body vibration can be proposed as an effective intervention method for improving the proprioception and tactile in children with spastic cerebral palsy, and this exercise method is expected to be actively used in clinical practice.