여성암 환자에 적용한 성건강 향상 중재의 효과: 체계적 문헌고찰 및 메타분석
Effects of Sexual Health Improvement Interventions for Female Cancer Patients: A Systematic Review and Meta-analysis
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연구 목적: 본 연구의 목적은 여성암 환자를 위한 성건강 향상 중재의 효과를 체계적으로 문헌고찰하고 메타분석하는 것이다. 연구 방법: 2023년 1월 19일부터 1월 25일까지 출판된 무작위 대조군 실험연구를 전자 데이터베이스로 검색한 후 PRISMA 보고지침에 따라 문헌을 선정하였으며, 효과크기는 Review Manager 5.4 version 프로그램으로 메타분석하였고, Cochrane’s risk of bias(RoB 2)로 문헌의 비뚤림 위험을 평가하였다. 연구 내용: 연구 결과, 총 2,509편의 문헌에서 5편의 연구가 최종 선정되었으며, 여성암 환자를 위한 성건강 향상 중재의 효과 크기는 성기능 0.31(95% CI: 0.14~0.49), 성적 자아개념 0.40(95% CI: 0.16~0.64), 성적 상호관계 0.32(95% CI: 0.13~0.50)로 중재는 효과적인 것으로 나타났다. 결론 및 제언: 본 연구를 통해 여성암 환자의 성기능, 성적 자아개념, 성적 상호관계 향상을 위해 성건강 향상 중재를 실무에서 활용할 수 있는 임상적 근거를 마련하였으므로 실무에서 성건강 향상 중재를 적극적으로 활용하기를 제안한다.
Abstract
The purpose of this study was to conduct systematically investigate the effects of sexual health improvement interventions for female cancer patients. As a research method, a systematic review and meta-analysis were used, and randomized controlled trials published by Jan. 19 to Jan. 25, 2023 were searched and selected according to the PRISMA reporting guidelines. The comprehensive effect size was analyzed with the Review Manager version 5.4 program, and the risk of bias (RoB 2) was evaluated. A meta-analysis was conducted on the effects of sexual health improvement interventions applied to female cancer patients. As a result, 5 studies were finally selected out of the total of 2,509 studies, and the effect sizes of sexual health improvement interventions applied to female cancer patients were sexual function 0.31 (95% CI: 0.14-0.49), sexual self-concept 0.40 (95% CI: 0.16-0.64), and sexual relationship 0.32 (95% CI: 0.13-0.50), which were statistically significant. These results demonstrates significant effects of sexual health improvement interventions for female cancer patients, which provides clinical evidence to use the interventions. Therefore, it is necessary to apply the sexual health improvement interventions in clinical settings.
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