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암 환자의 수면장애에 대한 비약물적 중재의 효과: 메타분석

Effects of Non-pharmacological Interventions on Cancer Patients with Sleep Disorder: A Meta-analysis

종양간호연구 2021년 21권 1호 p.1 ~ 14
채정혜, 김영숙, 한미영,
소속 상세정보
채정혜 ( Chae Jeong-Hye ) - Dongnam Institute of Radiological and Medical Sciences
김영숙 ( Kim Young-Suk ) - Kosin University College of Nursing
한미영 ( Han Mi-Young ) - Silla University Department of Nursing

Abstract


Purpose: The objective of this study was to analyze the effects of non-pharmacological interventions on cancer patients with sleep disorder.

Methods: A total of 4,246 studies published between 2000 and 2018 were identified by searching NDSL, RISS, Koreamed, PubMed, EMBASE, Cochrane Library, and CINAHL. Seventeen of these studies were selected for inclusion in the meta-analysis. Data were analyzed using the Comprehensive Meta-Analysis (CMA) Ver. 3.4.1 program, and the effect sizes were shown using Hedges' g score.

Results: Intervention studies included 8 studies on exercise, 4 studies on cognitive-behavioral therapy, 2 studies on music, and 1 study each on aromatherapy, massage, and mindfulness-based stress reduction. The overall controlled effect size was .78 (95% Confidence Interval=.40, 1.16, Z=4.02, p<.001), using a random effects model.

Conclusion: Through this study, it was found that the effects of exercise (walking), aromatherapy, massage, and music intervention were all statistically significant. As such, the findings of this study provide evidence supporting the incorporation of various non-pharmacological interventions into nursing practice to improve sleep quality in patients with sleep disorder.

키워드

수면장애; 암; 중재연구; 메타분석
Sleep disorders; Neoplasms; Clinical trial; Meta-analysis

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