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김지수 ( Kim Ji-Su ) - 세브란스 심장혈관병원 간호팀
이진영 ( Lee Jin-Young ) - 세브란스 심장혈관병원 간호팀
류청 ( Ryou Choung ) - 세브란스 심장혈관병원 간호팀
김정우 ( Kim Jung-Woo ) - 세브란스 심장혈관병원 간호팀
박선영 ( Park Sun-Young ) - 세브란스 심장혈관병원 간호팀
황정화 ( Hwang Jung-Hwa ) - 세브란스 심장혈관병원 간호팀
장연지 ( Jang Yeon-Ji ) - 연세대학교 간호대학
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Abstract
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Purpose: This study was a systematic review to evaluate the effects and identify intervention protocol, measurement, and outcomes of tilt training program for neurocardiogenic syncope.
Methods: 8 electronic databases were searched using keyword in English and Korean in June 2016. The risk of bias was assessed using Cochrane criteria and NECA’s criteria was used for non-randomized controlled trial. For analysis of the data, a meta-analysis of the studies was performed.
Results: Of 383 articles identified, 11 studies met inclusion criteria. The effect of tilt training on recurrence of syncope, recurrence of pre-syncope, result of follow up head-up-tilt test analyzed using meta-analysis with RevMan. 5 of studies which included randomized controlled trials testing of tilt training were used to estimate effect size of tilt training. Tilt training was favorably effective in reducing recurrence of syncope (n=260, OR=0.10, 95% CI: 0.02~0.57).
Conclusion: There is limited evidence suggesting that tilt training may be effective in recurrent neurocardiogenic syncope.
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KeyWords
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실신, 심장신경성 실신, 기립훈련, 체계적 문헌고찰
Syncope, Neurocardiogenic syncope, Tilt training, Orthostatic training, Systematic review
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원문 및 링크아웃 정보
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등재저널 정보
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