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치매 환자의 배회행동에 대한 비약물적 중재: 체계적 문헌고찰 및 메타분석

Other Titles
 Non-pharmacological Intervention for Wandering Behavior in Dementia: A Systematic Review and Meta-analysis 
Authors
 김유진  ;  조은희 
Citation
 Journal of Korean Gerontological Nursing (노인간호학회지), Vol.24(3) : 321-334, 2022-08 
Journal Title
Journal of Korean Gerontological Nursing(노인간호학회지)
ISSN
 1229-5299 
Issue Date
2022-08
Keywords
Wandering behavior ; Dementia ; Systematic review ; Meta-analysis
Abstract
Purpose
The present study aimed to explore the types of non-pharmacological interventions and evaluate their effectiveness in reducing wandering behavior in patientis with dementia.
Methods
This systematic review and meta-analysis followed the Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) guideline. Searching eight databases (Cochrane, Ovid-MEDLINE, EMBASE, CINAHL, PubMed, PsycInfo, RISS, KISS, and KMBASE) yielded 899 related studies. Two reviewers independently assessed the quality of these studies, using Revised Cochrane risk of bias for randomized trials (ROB) 2.0 and Risk of Bias Assessment tool for Non-randomised Study (ROBANS) 2.0, based on this study design. The Algase Wandering Scale related to wandering behavior reported the standardized mean differences and their 95% confidence intervals.
Results
A total of seven studies, consisting of four randomized controlled trials (RCTs) and three quasi-experimental studies, met the inclusion criteria. Among non-pharmacological interventions, aromatherapy was the most common. However, therapeutic contact, therapeutic companion robot, tailored activity program, combining physical activity, memory recall, music therapy, and multisensory stimulation were also performed in one study, respectively. In a meta-analysis (RevMan 5.4), non-pharmacological interventions reduced wandering behavior in patients with dementia and mild to moderate functional impairments (p=.003).
Conclusion
The result of this meta-analysis suggests that non-pharmacological interventions are generally associated with reduced wandering behavior among patients with dementia and mild-moderate functional impairment. However, it is necessary to develop a more detailed non-pharmacological intervention for patients with dementia and wandering behavior according to their disease stage and characteristics.
Files in This Item:
T202204593.pdf Download
DOI
10.17079/jkgn.2022.24.3.322
Appears in Collections:
3. College of Nursing (간호대학) > Dept. of Nursing (간호학과) > 1. Journal Papers
Yonsei Authors
Cho, Eunhee(조은희) ORCID logo https://orcid.org/0000-0002-7871-6848
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/191750
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