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±èÇö¿µ ( Kim Hyeon-Young ) - »ïÀ°´ëÇб³ °£È£´ëÇÐ
ÀÌ¸í³² ( Lee Myung-Nam ) - °¿ø´ëÇб³ º¸°Ç°úÇдëÇÐ °£È£Çаú
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Abstract
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Purpose: The purpose of this study was to examine the effects of non-pharmacological interventions for preoperative anxiety in surgical patient.
Methods: The search included the following: Cochrane Central Register of Controlled Trials (CENTRAL), MEDLINE, CINAHL EMBASE, and Korean electronic databases (2000 to November 2018). Risk of bias in randomized studies was assessed using the Cochrane¡¯s Risk of Bias (RoB) tool for randomized studies and for non-randomized studies, the Risk of Bias Assessment tool for Non-randomized studies (RoBANS) was used. To estimate the effect size, meta-analysis of the studies was performed using the R program (version 3.5.1).
Results: Nineteen trials were included (1,685 participants). The non-pharmacological interventions for preoperative anxiety in surgical patient were music intervention, aromatherapy, and patient education. Specifically, the twelve studies showing the effect of music intervention on anxiety were heterogeneous (x2=23.42, p=.05, I2=40%). The effect size was -0.77 (95% CI:-0.93, -0.60). The four studies showing the effect of aromatherapy on anxiety were heterogeneous (x2=8.95, p=.03, I2=66%). The effect size was -0.83 (95% CI: -1.30, -0.36). The three studies measuring the effect of patient education on anxiety identified as homogeneous (x2=1.95, p=.38, I2=0%). The effect size was -2.85 (95% CI: -5.00, -0.71).
Conclusion: This meta-analysis indicates that non-pharmacological interventions including music intervention, aromatherapy and patient education may have a beneficial effect on preoperative anxiety. Therefore, the findings of this study provide evidence to incorporate various non-pharmacologicalinterventions into nursing practice to reduce preoperative anxiety.
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KeyWords
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¼ö¼ú, ȯÀÚ, ºÒ¾È, ¸ÞŸºÐ¼®
Perioperative period, Patients, Anxiety, Meta-analysis
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