노래 부르기가 만성 폐쇄성 폐질환 환자(COPD)에 미치는 영향 : 체계적 고찰 및 메타분석
The Effectiveness of Singing for Patients with Chronic Obstructive Pulmonary Disease(COPD) : Systematic Review and Meta Analysis
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초록
본 연구는 만성 폐쇄성 폐질환의 폐 재활 프로그램으로써 노래 부르기의 효과를 확인하고자 체계적 문헌고찰과 메타분석을 실행하여 임상 및 연구에 유용한 정보를 제공하고자 하였다. PubMed, CINAHL, Web of Science, PsyInfo, Embase, Cochrane Library 데이터베이스에서 문헌을 검색하고 2000년에서 2020년 사이에 영어로 출판된 저널로 범위를 정하였다. 주요 검색 용어로 “singing” OR “choir” OR “Music OR music therapy” AND “Lung Diseases” OR “Lung Diseases” OR “Pulmonary Disease” OR “Chronic Obstructive” “Chronic Obstructive Pulmonary Disease” OR “Chronic Pulmonary Emphysema”를 사용 하였다. 최종적으로 포함된 4편의 연구는 모두 무작위 대조군 임상연구(RCTs: Randomized Controlled Test trials)로 노래 중재의 빈도는 6 주에서 24 주에 걸쳐 일주일에 1-2번 이었다. 노래 프로그램은 60 분이었고 이완 운동, 호흡 운동, 발성, 노래로 구성되었다. 건강 관련 삶의 질에 대한 결과는 2 편의 연구, 우울관련 결과는 3 편의 연구에서 각각 확인되었다. 호흡 곤란의 주요 결과는 기저 호흡 곤란 지수(BDI)를 사용한 1 편의 연구가 있었다. 노래 부르기는 효율적이고 지속 가능한 방식으로 폐 재활을 유지하는 것에 도움이 되고 환자의 질병과 관련된 삶의 질, 질병과 관련된 우울감과 관련하고 물리적 경험에 긍정적인 영향을 미치는 것으로 확인되었다. 본 연구는 외국문헌을 바탕으로 만성 폐쇄성 폐질환을 위한 노래 부르기의 효과를 분석하고 호흡 재활 분야에서의 적용 가능성을 제시한데 의의가 있다.
Abstract
This study was intended to provide useful information for clinical and research through systematic literature review and meta-analysis to confirm the effect of singing as a lung rehabilitation program of chronic obstructive pulmonary disease(COPD). The literature was retrieved from the PubMed, CINAHL, Web of Science, PsyInfo, Embase, and Cochrane Library databases and scoped to journals published in English between 2000 and 2020. Search keywords in “singing” OR “choir” OR “Music OR music therapy” AND “Lung Diseases” OR “Lung Diseases” OR “Pulmonary Disease” OR “Chronic Obstructive” “Chronic Obstructive Pulmonary Disease” OR “Chronic Pulmonary Emphysema” was used. The final four studies included in our study, were randomized controlled trials(RCTs), with a frequency of song interventions 1-2 times a week over 6 to 24 weeks. The singing program was 60 minutes long and showed that it consisted of relaxation exercises, breath exercises, vocal exercises, and singing. The main results for health-related quality of life were found in 2 studies, and the depression-related results were confirmed in 3 studies, respectively. The main results of shortness of breath were confirmed in one study using the Basal Difficulty Index(BDI). Singing has been found to help maintain lung rehabilitation in an efficient and sustainable manner, has been linked to the patient's disease-related quality of life, disease-related depression, and has a positive effect on physical experience.This study has significance in analyzing the effect of singing for chronic obstructive pulmonary disease based on foreign literature and suggesting its applicability in the field of respiratory rehabilitation.
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