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골관절염 대상자에게 간호중재로 적용한 보완대체요법의 효과: 체계적 문헌고찰

Effects of Complementary and Alternative Therapies Applied as Nursing Interventions in Patients with Osteoarthritis: A Systematic Review

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Purpose:The purpose of this review was to analyze the effectiveness of complementary and alternative therapies (CAT)as nursing interventions for patients with osteoarthritis (OA). Methods: A systematic literature review was conducted usingthe PRISMA statement guidelines. To search for studies related to the effects of CAT applied as nursing care in OA patients,a combination of the keywords ‘osteoarthritis,’ ‘complementary and alternative therapy,’ and ‘nursing care’ were used. Finally, 12 articles retrieved from five electronic databases were included for the analysis. Results: Twelve studies wereclassified into seven interventions: Tai chi exercise, yoga, qigong, massage. flax seed compress, music, and meditationrelaxation, administered by a nurse, and were RCTs. Outcome variables used for pain evaluation were WOMAC and VAS. The duration of interventions varied from 2 to 12 weeks. All twelve interventions had a positive effect on the outcomevariables. Conclusion: CAT applied in nursing care for patients with OA significantly reduced pain and improved mobility. When planning a nursing intervention program, it is recommended to combine multiple therapies, considering the durationof effects. In addition, it is recommended to design the study as an RCT to secure the evidence for practical application

Abstract

Purpose:The purpose of this review was to analyze the effectiveness of complementary and alternative therapies (CAT)as nursing interventions for patients with osteoarthritis (OA). Methods: A systematic literature review was conducted usingthe PRISMA statement guidelines. To search for studies related to the effects of CAT applied as nursing care in OA patients,a combination of the keywords ‘osteoarthritis,’ ‘complementary and alternative therapy,’ and ‘nursing care’ were used. Finally, 12 articles retrieved from five electronic databases were included for the analysis. Results: Twelve studies wereclassified into seven interventions: Tai chi exercise, yoga, qigong, massage. flax seed compress, music, and meditationrelaxation, administered by a nurse, and were RCTs. Outcome variables used for pain evaluation were WOMAC and VAS. The duration of interventions varied from 2 to 12 weeks. All twelve interventions had a positive effect on the outcomevariables. Conclusion: CAT applied in nursing care for patients with OA significantly reduced pain and improved mobility. When planning a nursing intervention program, it is recommended to combine multiple therapies, considering the durationof effects. In addition, it is recommended to design the study as an RCT to secure the evidence for practical application

참고문헌 (40)

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