제1형 당뇨병 환자의 섭식장애 중재에 관한 체계적 문헌고찰
Systematic Review of Eating Disorder Interventions for Type 1 Diabetes Mellitus
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연구배경: 1형 당뇨병 환자의 섭식장애 중재를 분석하고각 연구의 특성을 비교하여 1형 당뇨병 환자의 섭식장애 중재에 대한 객관적이고 종합적인 근거를 제시하고자 한다. 방법: PICOTS-SD 형식에 맞추어 핵심 질문을 선정한 후2000년에서 2020년까지 출판된 연구를 KCI, RISS, NDSL, KISS, MEDLINE, CINAHL, Pubmed, Embase에서 검색하였다. 결과: 본 연구에 선정된 3편의 논문은 국외 문헌이었고1형 당뇨병 환자의 섭식장애를 위해 제공된 중재는 심리 교육, 자기자비였다. 중재의 결과를 생리학적 변수, 섭식장애변수, 정서적 변수로 파악하였지만 대상자의 수가 적고 연구 결과가 일관적이지 않았다. 결론: 1형 당뇨병 환자의 섭식장애 중재 체계를 확립하기위해서는 향후 대상자 수를 확대하고 체계적인 무작위 대조군 실험 연구가 필요할 것이다. 또한 국내에서는 1형 당뇨병환자를 위한 섭식장애 중재가 전혀 이루어지지 않았으므로본 연구가 이들을 위한 중재를 개발하고 시행하는 데 유용한 근거 자료로 활용될 수 있을 것이다
Abstract
Background: Although there are various interventions for eating disorders in type 1 diabetes patients, it is difficult to interpret them comprehensively. The purpose of this study is to analyze eating disorder intervention studies in type 1 diabetes patients and to compare the characteristics of each study. Methods: For this study, PICOTS-SD was established. We searched studies published in Korean and English from 2000 to 2020 in KCI, RISS, NDSL, KISS, MEDLINE, CINAHL, Pubmed, and Embase. Results: For the intervention of eating disorders in patients with type 1 diabetes, psycho-education and self-compassion programs were implemented. The intervention period varied from 4 to 6 weeks, and physiological variables, eating disorder variables, and emotional variables were used interventions. But the number of participants was small and the results of the study were inconsistent. Conclusions: Through this study, the possibility of resolving the difficulties of eating disorder intervention in type 1 diabetes patients was confirmed. In the future, more randomized controlled trials with larger samples are needed to extend the evidence base
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