노인의 우울 완화를 위한 디지털 헬스케어의 활용: 체계적 문헌고찰 및 메타분석
The use of digital health care for the relief of depression in the elderly: A systematic review and meta-analysis
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본 연구는 디지털 헬스케어가 노인의 우울 완화에 미치는 영향을 알아보기 위하여 체계적 문헌고찰을 수행하였으며, 메타분석을 통해 그 효과를 분석하였다. 체계적 문헌고찰을 위해 CINHAL, Embase, Medline, DBpia, KERIS, KISS, RISS를 검색한 결과 총 4,071편이 검색되었고, 문헌 선정 및 배제 기준에 따라 최종적으로 6편의 논문이 분석에 포함되었다. 그 중 메타분석이 가능한 5편의 연구를 분석한 결과 우울 감소에 효과가 있는 것으로 나타났다(SMD=-4.73, 95% CI –7.44 to –2.01, Z=3.41, p=.0007). 디지털 헬스케어를 제공한 프로그램의 종류로는 웹 기반 프로그램만이 포함되었으므로, 향후 스마트 기기 등 다양한 부분에서의 디지털 헬스케어의 적용으로 노인의 우울 증상을 줄이는 방안을 모색할 것을 제안한다.
Abstract
This study comprised a systematic review and meta-analysis to determine how digital health care to relieve depression of the elderly. The CINAHL, Embase, Medline, DBpia, KERIS, KISS and RISS were used. As a result of the systematic search, a total of 4,071 studies were assessed and six studies were ultimately selected based on the inclusion and exclusion criteria. Of these, a total of five studies were available for meta-analysis; the effect size was calculated. The effect size of digital health care was statistically significant in reducing depression(SMD=-4.73, 95% CI –7.44 to –2.01, Z=3.41, p=.0007). Since only web-based programs are included in the analysis among types of digital health care, we suggest that we consider ways to reduce depression in the elderly by applying various digital health care in the future.
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