암 환자의 수면장애에 대한 비약물적 중재의 효과: 메타분석
Effects of Non-pharmacological Interventions on Cancer Patients with Sleep Disorder: A Meta-analysis
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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.
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.
참고문헌 (30)
- Mystakidou K, "Sleep quality in advanced cancer patients", J Psychosom Res, 62, pp.527~533 (2007)
- Le Guen Y, "Sleep disturbances and impaired daytime functioning in outpatients with newly diagnosed lung cancer", Lung Cancer, 58, pp.139~143 (2007)
- Espie CA, "The daytime impact of DSM-5 insomnia disorder : comparative analysis of insomnia subtypes from the Great British Sleep Survey", J Clin Psychiatry, 73, pp.e1478~84 (2012)
- Hinz A, "Sleep quality in the general population : psychometric properties of the Pittsburgh Sleep Quality Index, derived from a German community sample of 9284 people", Sleep Med, 30, pp.57~63 (2017)
- George GC, "Sleep quality and its association with fatigue, symptom burden, and mood in patients with advanced cancer in a clinic for early-phase oncology clinical trials", Cancer, 122, pp.3401~3409 (2016)
- Tian J, "Sleep status of cervical cancer patients and predictors of poor sleep quality during adjuvant therapy", Support Care Cancer, 23, pp.1401~1408 (2015)
- Davis GR, "Prolonged sleep deprivation and continuous exercise : effects on melatonin, tympanic temperature, and cognitive function", BioMed Res Int, 2014, pp.781863~ (2014)
- Madsen MT, "Actigraphy for measurement of sleep and sleep-wake rhythms in relation to surgery", J Clin Sleep Med, 9, pp.387~394 (2013)
- Kripke DF, "Sleep and sleep disorders: a neuropsychopharmacological approach", pp.141~145 (2006), Springer Science
- Flaxer JM, "Evidenced-based review and evaluation of clinical significance: nonpharmacological and pharmacological treatment of insomnia in the elderly", Am J Geriatr Psychiatry (2020)
- 정복례, "국내 수면장애 성인을 위한 비약물적 중재 효과에 대한 메타분석", 한국산학기술학회논문지, 18(1), pp.95~106 (2017), 한국산학기술학회[DOI]
- Kim ME, "A systematic review of effects of aromatherapy on sleep", master, pp.2017
- 김지현, "수면장애가 있는 중장년 환자에게 적용한 비약물적 중재의 효과: 메타분석", 성인간호학회지, 28(1), pp.13~29 (2016), 한국성인간호학회[DOI]
- Papadopoulos D, "Nonpharmacologic interventions for improving sleep disturbances in patients with lung cancer : a systematic review and Meta-analysis", J Pain Symptom Manage, 55, pp.1364~1381.e5 (2018)
- Mercier J, "Exercise interventions to improve sleep in cancer patients : a systematic review and meta-analysis", Sleep Med Rev, 36, pp.43~56 (2017)
- Johnson JA, "A systematic review and meta-analysis of randomized controlled trials of cognitive behavior therapy for insomnia(CBT-I)in cancer survivors", Sleep Med Rev, 27, pp.20~28 (2016)
- Langford DJ, "Sleep disturbance interventions in oncology patients and family caregivers : a comprehensive review and meta-analysis", Sleep Med Rev, 16, pp.397~414 (2012)
- Moher D, "Preferred reporting items for systematic reviews and meta-analyses : the PRISMA statement", PLoS Med, 6, pp.e1000097~ (2009)
- Kim SY, "NECA’s guidance for undertaking systematic reviews and meta-analyses for intervention", National Evidence-based Healthcare Collaborating Agency, ~ (2011)
- "Cochrane handbook for systematic reviews of interventions, version 5.1.0"[URL]
- Hedges LV, "Statistical methods for meta-analysis" (1985), Academic Press
- Egger M, "Bias in meta-analysis detected by a simple, graphical test", BMJ, 315, pp.629~634 (1997)
- Borenstein M, "Introduction to meta-analysis" (2009), John Wiley & Sons, Ltd
- Duval S, "Trim and fill : a simple funnel-plot-based method of testing and adjusting for publication bias in meta-analysis", Biometrics, 56, pp.455~463 (2000)
- Aloba OO, "Validity of the Pittsburgh Sleep Quality Index(PSQI)among Nigerian university students", Sleep Med, 8, pp.266~270 (2007)
- 이병문, "수면 테라피 서비스를 위한 PSQI 지원 가상 수면센서", 멀티미디어학회논문지, 18(12), pp.1538~1546 (2015), 한국멀티미디어학회[DOI]
- 이성진, "아로마 오일을 이용한 발 반사 마사지가 암 환자의수면과 통증에 미치는 효과", 한국전자통신학회 논문지, 8(10), pp.1609~1616 (2013), 한국전자통신학회
- 이가인, "모래사장 위 맨발걷기와 운동화걷기가 허리통증이 있는 노인의 통증, 장애, 운동기능, 수면만족도, 삶의 질에 미치는 효과 비교", 대한통합의학회지, 8(4), pp.29~38 (2020), 대한통합의학회
