성인의 원거리(e-Health) 라이프 스타일 중재에 대한 체계적 고찰
Systematic Consideration of Adult e-Health Lifestyle Interventions
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목적 : 2014년 1월부터 2023년 12월까지 10년간의 국외 논문 중 원격재활에 대한 논문을 체계적으로 검토함으로써, 국외 원거리(e-Health) 라이프 스타일 중재 현황 및 그에 따른 결과를 파악하고 국내 실정에 맞는 원격재활에 대해 방향성을 제시하고자 한다. 연구방법 : 2014년 1월부터 2023년 12월까지 출판된 “adults” AND “ehealth” OR “telehealth” OR “life” OR “lifestyle” AND intervention” OR “program”을 사용하였고 총 27,027편의 연구 중 5편의 연구가 최종 선택되었다. 결과 : 선정된 논문의 질을 평가하기 위해 Physiotherapy Evidence Database (PEDro) Scale을 실시하였고 평균 7점으로 높은 편이었다. 성인을 대상으로한 원거리(e-Health) 라이프 스타일 프로그램을 살펴 본 결과 다양한 연구가 진행되고 있었다. 프로그램 중재 방법은 대상자의 나이, 프로그램 설계, 프로그램 방법 등에서 차이가 있음을 확인하였다. 프로그램 효과 측정 방법은 주로 신체기능 향상 등 건강상태를 확인하는 연구가 주를 이루는 것으로 나타났으며 프로그램을 적용한 실험군은 대조군에 비해 신체기능과 심리상태, 건강상태 영역에서 유의미한 차이를 보였다. 결론 : 본 연구에서는 원거리 라이프 스타일 중재 프로그램이 신체 활동 향상뿐만 아니라 심리상태와 건강 상태의 개선을 통해 삶의 질을 높이는 데 효과적임을 입증한다. 따라서 이 연구는 삶의 질 개선에 기여할 수 있는 e-Health 중재의 중요성을 강조하며, 이를 뒷받침하는 근거로 활용될 수 있다.
Abstract
Objective : By systematically reviewing papers on remote rehabilitation among foreign papers from January 2014 to December 2023, we wanted to understand the current status of remote rehabilitation abroad and its consequences. Additionally, we wished to offer recommendations for improving the direction and quality of life suitable for the domestic situation. Methods : We searched PubMed, Embase, and Google Scholar for studies published between January 2014 and December 2023. Search terms included “ADULTS” AND “EHEALTH” OR “TELEHEALTH” OR “LIFE” OR “LIFESTYLE” AND “INTERVENTION” OR “PROGRAM.” Ultimately, 5 studies out of 27,027 were finally selected. Results : The PEDro scale was used to evaluate the quality of the selected papers, and scores were high (i.e., averaging 7 points). The effectiveness of e-health programs was mainly measured by studies confirming improvements in physical function and psychological state. The experimental group who participated in the program applied in this study was applied showed significant differences in physical function and health state compared to differences observed in the control group. Conclusion : The study findings confirm that e-health programs are effective in improving physical activity. Telemedicine is expected to be used as a basis for improving e-health and quality of life.
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