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김계령,김일식 한국노년학회 2018 한국노년학 Vol.38 No.1
The purpose of this research was to present the basic data for developing meditation programs by verifying the effect size using meta-analysis of the results from previous studies on meditation program of the elderly. In order to analyze the effect sizes of program types, group of mediating variables and activity factors of elderly meditation programs, this study reviewed 24 precedent research that have been conducted from 2003 through April 2017 in Korea using meta-analysis and summarized the effect sizes are as follows. First, the overall average effect size was .914, which was great. Among the program types, complex meditation was 1.726, which was the greatest. Among the group of mediating variables, the positive psychological variable group had the highest in 1.368 and the gender consists only of women had the highest in .921. Secondly, concerning the activity factors, when the total number of sessions was 12~20 times(1.193), sessions per week was twice(1.254), time went for 110~120 minutes per session(1.581) and the group size was 71~100 persons(1.535) that were shown as higher effect size. Among the types of publications, articles in journals(1.062) had a higher effect size than dissertations(.817). For the organizing elderly meditation program in the future, I suggest that the program type of complex meditation, 12~20 time of total sessions, twice a week, 110~120 minutes of activity hours. At the time we entered the aged society, this study is meaningful in that it provides the basic data for future program development by confirming the effect size according to program types, mediation variables and activity factors for the meditation program performed for the elderly. 본 연구의 목적은 노인대상 명상프로그램에 대한 선행연구들의 결과를 메타분석을 이용하여 효과크기를 검증함으로써 명상프로그램 개발을 위한 기초자료를 제시하는데 있다. 노인대상 명상프로그램의 유형, 중재변인군 및 활동요소들에 대한 효과크기를 분석하기 위하여 2003년부터 2017년 4월까지 보고된 논문 24편을 선별하고 메타분석을 사용하여 효과크기를 요약한 결과는 다음과 같다. 첫째, 전체평균 효과크기는 .914로써 큰 효과크기가 나타났고, 프로그램 유형 중에는 복합명상이 1.726으로 가장 큰 효과크기를 보였다. 중재변인군 중에는 긍정심리적변인군이 1.368로 가장 높았고, 성별은 여성으로만 구성된 집단이 .921로 크게 나타났다. 둘째, 활동요소 중에서는 총회기수는 12~20회(1.193), 주회기수는 2회(1.254), 회기 당 활동시간은 110~120분(1.581), 집단크기는 71~100명(1.535)이 효과크기가 크게 나타났다. 출판유형은 학술지 논문(1.062)이 학위 논문(0.817)보다 비교적 높게 나타났다. 향후 노인대상 명상프로그램 구성 시 프로그램 유형은 복합명상, 총회기수 12~20회, 주회기수 2회, 활동시간은 110~120분을 제안하고자 한다. 본 연구는 고령사회로 진입한 시점에서 노인을 대상으로 수행된 명상프로그램에 대한 프로그램 유형, 중재변인군 및 활동요소들에 따른 효과성을 확인함으로써 향후 프로그램 개발을 위한 기초자료를 제공하였다는데 의의가 있을 것이다.
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Heajin Yu(유혜진),Boyoung Hwang(황보영) 대한스트레스학회 2020 스트레스硏究 Vol.28 No.1
본 연구에서는 노인 당뇨 환자를 대상으로 한 지역사회 기반 심리 중재가 환자들의 우울 증상과 혈당조절에 미치는 효과를 체계적으로 고찰하였다. 국내외 7개의 데이터베이스를 사용하여, 2008년 1월 1일부터 2018년 7월 31일까지 발표된 문헌들을 확인하였다. 선정기준에 따라 다섯 편의 연구가 최종 선정되었으며, 총 대상자는 제2형 당뇨 진단을 받은 지역사회 거주 노인 596명이었다. 메타분석에 선정된 네 편의 연구 모두 행동 교육을 목적으로 프로그램을 구성하였다. 추후에는 표본 크기를 늘려 심리적 중재 프로그램을 시행하는것이 바람직하며 더욱 다양한 지역에서 수행하는 것이 필요함을 확인할 수 있었다. Background: To review the effects of community-based psychological interventions on depressive symptoms and blood glucose levels of older individuals with type 2 diabetes (T2D). Methods: A literature search was conducted using seven electronic databases (CINAHL, EMbase, PubMed, CENTRAL, KoreaMed, KISS, and KMbase). The main search terms were ‘diabetes’, ‘depression’, ‘older adult’, and ‘psychological intervention’. The search was restricted to peer-reviewed RCTs published between January 1, 2008 and July 31, 2018. Results: Five studies with a total of 596 participants met the inclusion criteria. Four studies that were included in the meta-analysis incorporated some form of behavioral strategies. Depressive symptoms were measured in four of the five studies, and HbA1c was measured in two of the five studies. The pooled SMD for depressive symptoms was −0.13 (95% CI, −0.31, 0.04; p=0.13) and −0.63 (95% CI, −0.98, −0.28; p<0.001) for HbA1c. Conclusions: This review highlights the need for additional clinical trials for psychological interventions in older individuals with T2D, especially trials on a larger scale with a wider geographical scope.
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유혜진,황보영 대한스트레스학회 2020 스트레스硏究 Vol.28 No.1
Background: To review the effects of community-based psychological interventions on depressive symptoms and blood glucose levels of older individuals with type 2 diabetes (T2D). Methods: A literature search was conducted using seven electronic databases (CINAHL, EMbase, PubMed, CENTRAL, KoreaMed, KISS, and KMbase). The main search terms were ‘diabetes’, ‘depression’, ‘older adult’, and ‘psychological intervention’. The search was restricted to peer-reviewed RCTs published between January 1, 2008 and July 31, 2018. Results: Five studies with a total of 596 participants met the inclusion criteria. Four studies that were included in the meta-analysis incorporated some form of behavioral strategies. Depressive symptoms were measured in four of the five studies, and HbA1c was measured in two of the five studies. The pooled SMD for depressive symptoms was −0.13 (95% CI, −0.31, 0.04; p=0.13) and −0.63 (95% CI, −0.98, −0.28; p<0.001) for HbA1c. Conclusions: This review highlights the need for additional clinical trials for psychological interventions in older individuals with T2D, especially trials on a larger scale with a wider geographical scope.
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