음악요법이 치매노인의 인지기능, 초조행동, 불안 및 우울에 미치는 효과: 체계적 고찰 및 메타분석

채공주(Gong Ju Chai),이미경(Mi-Kyung Lee),남은숙(Eun Sook Nam),이호연(Ho Yeon Lee) 한국산학기술학회 2021 한국산학기술학회논문지 Vol.22 No.1

목표: 본 연구는 음악요법이 치매 노인의 인지기능, 초조행동, 불안, 우울에 미치는 영향을 규명하는 것을 목적으로 한다. 방법: 2010년부터 2019년까지 PubMed, EMBASE, Cochrane Library, CINAHL, Web of Science, Google scholar, PsycINFO에서 종합적인 문헌검색을 하였고 메타분석에서는 RevMan 5.4 프로그램을 사용하여 표준화된 평균 차이(Hedge"s g)와 95% 신뢰 구간은 요약 측정으로 산출하고 랜덤 효과 모델과 역분산 방법을 적용하였다. 총 13개의 연구가 포함되었으며, 모두 오류 위험 평가를 위한 코크란 평가도구를 근거로 질 평가를 하였다. 결과: 효과 크기(Hedge"s g)는 1차 결과 변수인 인지기능 0.31[95% CI:-0.02, 0.65], 초조행동 -0.03[95% CI: -0.17, 0.11], 2차 결과 변수인 불안 -0.61[95% CI: –1.17, -0.05], 우울 -0.44[95% CI: -0.88, 0.00]이었다. 음악중재 유형별 하위그룹 분석 결과 복합음악요법이 치매 환자의 인지기능(g=0.45[95% CI: 0.03, 0.87])에 유의한 증가 효과가 있는 것으로 나타났다. 결론: 음악요법은 불안과 우울을 감소시키는 데 유의한 효과를 보였으며, 복합음악치료는 치매 환자의 인지기능 개선 효과를 보였다. Objectives: This study aimed to identify the effects of music therapy on cognitive function, agitation, anxiety and depression in the elderly with dementia. Method: A comprehensive literature search was performed on PubMed, EMBASE, Cochrane Library, CINAHL, Web of Science, Google scholar and PsycINFO, for the period 2010 to 2019. In the meta-analysis, the standardized mean difference (Hedges" g) and 95% confidence interval were calculated as summary measure, and the random effect model and inverse variance method were applied using the RevMan 5.4 program. A total of 13 studies were included; all were determined to be acceptable, based on the Cochrane collaboration"s tool for assessing risk of bias. Results: The effect size (Hedges" g) was 0.31 (95% CI: -0.02, 0.65) for cognition and -0.03 (95% CI: -0.17, 0.11) for agitation behavior as the primary outcomes, and 0.61 (95% CI: -1.17, -0.05) for anxiety and -0.44(95% CI: -0.88, 0.00) for depression as the secondary outcomes. Subgroup analysis by type of music intervention revealed that combined music therapy has a significantly increasing beneficial effect on cognition of dementia patients (g=0.45[95% CI: 0.03, 0.87]). Conclusion: Music therapy was determined to exert beneficial effects in reducing anxiety and depression, and combined music therapy demonstrated improved cognitive functions in elderly patients with dementia.

조현병 환자 배우자의 돌봄 경험

채공주 ( Gong Ju Chai ),남은숙 ( Eun Sook Nam ) 한국간호과학회 정신간호학회(구 대한간호학회정신간호학회) 2016 정신간호학회지 Vol.25 No.2

Purpose: The aim of this phenomenological study was to qualitatively classify the experience of spouses caring for patients with schizophrenia. Methods: Data were gathered using 2 hour in-depth, unstructured interviews with nine spouses of patients with schizophrenia. The data collection period was 2012 to 2013. Colaizzi``s phenomenological method was used to analyze the resulting data. Results: Five clusters of themes were identified. These were termed according to the experiences described by the spouses, as: suffering from falling into the abyss of despair; deepening heartbreak, clouds of misery hanging over one``s family; possibly of losing the bond between family members; getting over one``s hurt and stepping forward to the future. Participants experienced many burdens while caring for their spouse, however, they showed the ability to overcome difficulties positively and actively. Conclusion: The results of this study indicate that the spouse of a patient with schizophrenia experiences multiple sources of distress, and suggests a process to overcoming them. Recommendations include helping nurses be aware of the sufferings of both the patient and the spouse and to plan and provide for psychological interventions, such as stress management programs and informational support on social welfare programs.

스트레스 완화 프로그램이 정신장애인 가족의 부담감, 불안, 우울, 스트레스반응에 미치는 효과

채공주 ( Gongju Chai ),남은숙 ( Unsuk Nam ),변도화 ( Dohwa Byun ) 한국간호과학회 정신간호학회 2013 정신간호학회지 Vol.22 No.1

Puropse: The aim of the present study was to examine the effects of a stress relief program on burden, anxiery, depression and stress response in family members of patients weith meantal illness. Methods: A quasi-experimental study using a non-equivalent comparison group pretest and posttest design was used. Participants were family members of patients with mental illness at a mental health center in C city (15 in the experimental group and 17 in the comparison group). The program was provided for 90-100 minutes/session once week, for 8 weeks. Data were analyzed using descriptive statistics, x²-test and Mann-Whitney U-test. Results: After a stress relief program, we found statistically significant decreases in burden, depression and stress response for the experimental group. But there was no significant decrease in anxiety. Conclusion: These findings suggest that stress relief program combining disease education and therapeutic recreation could reduce burden, depression and stress response in family members of patients with mental illness.

Benefits of Music Intervention on Anxiety, Pain, and Physiologic Response in Adults Undergoing Surgery: A Systematic Review and Meta-analysis

이호연,남은숙,채공주,김두명 한국간호과학회 2023 Asian Nursing Research Vol.17 No.3

Purpose Evidence on factors influencing the variations of music’s effect on anxiety and pain in surgical patients is unclear. We aimed to elucidate the effects of music intervention on anxiety and pain throughstudy characteristics. Methods We conducted a search on the PubMed, CINAHL, Embase, Cochrane, and Web of Science databases from March 7 to April 21, 2022, for randomized controlled trials (RCTs) for the effect of music intervention on anxiety, pain, and physiological responses in surgical patients. We included studies published within the last 10 years. We assessed the risk of bias in the study using the Cochrane risk of bias tool for randomized trials and performed meta-analyses using a random-effects model for all outcomes. We used change-from-baseline scores as summary statistics and computed bias-corrected standardized mean differences (Hedges'g) for anxiety and pain outcomes and mean differences (MD) for blood pressure and heart rate. Results Of the 454 records retrieved, 30 RCTs involving 2280 participants were found to be eligible. Music intervention was found to be superior to standard care in reducing anxiety (Hedges' g = −1.48, 95% confidence interval: −1.97 to −0.98), pain (Hedges's g = −0.67, −1.11 to −0.23), systolic blood pressure (MD = −4.62, −7.38 to −1.86), and heart rate (MD = −3.37, −6.65 to −0.10) in surgical patients. The impact of music on anxiety and pain relief varied significantly depending on the duration of the intervention. The largest effect was observed in interventions lasting between 30 and 60 minutes, with a decrease in anxiety and pain. Conclusions Music intervention is an effective way to reduce anxiety, pain, and physiological responses in surgical patients. Future reviews examining the influence of different types of surgery on the effects of music would add to the body of knowledge in this field. This study has been registered on the International Prospective Register of Systematic Reviews (PROSPERO) under the number CRD42022340203, with a registration date of July 4, 2022.

신종 인플루엔자 예방을 위한 손 씻기 수행 빈도에 영향을 미치는 요인분석 연구

김주현,변도화,김미자,심선숙,추현심,채공주,곽찬영,임경춘 기초간호학회 2011 Journal of korean biological nursing science Vol.13 No.1

전 세계 질병발생 양상이 각 지역의 정치, 사회, 경제, 그리고 문화적 차이에 따라 아직도 적지 않은 차이를 보이고 있지만, 20세기에는 무엇보다 환경위생의 발달과 더불어 국민들의 개인위생에 대한 관심과 영양개선, 항생제 개발, 예방접종사업 등 다양한 전략으로 인해 전염병 발생이 급격하게 줄었었다. 그러나 21세기에 들어와서 신종 전염병과 재출현 전염병 등이 다시 유행하고 있는데 이는 주로 인구 및 형태학적 변화와 산업기술의 발달, 경제발전에 따른 토지이용 양상의 변화, 빈번해진 국제 간 교류와 인구이동, 그리고 미생물의 적응력 변화와 일부 국가들에서의 경제 및 인적 자원 부족으로 인한 공중보건체계의 와해 등에 기인한 것으로 보고 있다. 인플루엔자 대유행에 의한 피해는 유행을 야기한 바이러스의 감염력, 병원성, 독성 등에 의해서도 달라지지만 사회가 이에 대한 준비를 어떻게 하고 있느냐에 의해서도 달라지기도 한다(Lee et al., 2010). 인류는 역사적으로 여러 차례 인플루엔자의 대유행을 겪어 왔고, 매년 인플루엔자 바이러스가 수백만 명을 감염시키고 있으며 일부는 경증이나 어린이나 노인들을 병원에 입원시킬 정도로 심각한 경우도 있다(Cowling, et al., 2009). 신종 인플루엔자 A (H1N1)는 A형 인플루엔자 바이러스가 변이를 일으켜 생긴 새로운 바이러스로 2009년 현재 전세계적으로 사람에게 감염을 일으키고 있는 호흡기질환이다

류마티스 관절염 환자의 건강관련 삶의 질 영향요인 분석

엄동춘,남은숙,이호연,이은봉,윤영임,채공주 한국간호과학회 2012 Journal of Korean Academy of Nursing Vol.42 No.3

Purpose: The purpose of this predictive study was to identify factors affecting health related quality of life (HRQoL) in patients with rheumatoid arthritis (RA). Methods: The participants in this study were 131 patients with RA who were recruited from the outpatient clinic of a university hospital in Seoul. Disease activity in rheumatoid arthritis was evaluated by calculating the Disease Activity Score 28. Disability in activities of daily living (ADL) was assessed with the Korean Health Assessment Questionnaire, and depression with The Center for Epidemiologic Studies Depression Scale. HRQoL was evaluated using The Short Form 36 Health Survey. Data were analyzed using descriptive statistics, correlation, and hierarchical multiple regression. Results: Pain, disability in ADL, disease activity, and depression correlated negatively with physical and mental dimensions of HRQoL. But hierachical multiple regression analysis revealed that disability in ADL and depression were the only variables negatively influencing physical and mental QoL after adjustment for influences of sociodemographic variables. Conclusion: Results of this study suggest that disability in ADL and depression, rather than disease activity and pain have profound effects on HRQoL in patients with RA. Further studies are needed to assess the predictive ability of disease activity and pain on HRQoL in this population.

한국 육군 일개 사단에서 군 복무 부적응자들의 정신의학적 평가 : 그린캠프 참가자들을 중심으로

김주현,강석훈,예병석,황현국,서재원,채공주,이환배,김찬형,Kim, Ju-Hyun,Kang, Suk-Hoon,Ye, Byoung-Seok,Hwang, Hyun-Kuk,Suh, Jae-Won,Chai, Gong-Ju,Lee, Hwan-Bae,Kim, Chan-Hyung 대한불안의학회 2010 대한불안의학회지 Vol.6 No.2

Objectives : In this study, we aimed to elucidate the demographic and psychological characteristics of maladaptive soldiers in the Republic of Korean Army. Methods : Study participants included 110 male conscripts who had participated in the Green camp, which was a form of group psychosocial treatment program for maladaptive soldiers. All participants were interviewed and diagnosed by a psychiatrist, and classified into two groups according to whether they left or rejoined the army. We analyzed the differences between these two groups in terms of demographic features, psychiatric diagnosis and the Minnesota Multiphasic Personality Inventory (MMPI) subscores. Results : Compared with soldiers who rejoined their units, those who left military service exhibited significantly lower educational level (p=0.041) and a higher rate in psychiatric treatment prior to enlistment (p=0.011). Among the 106 subjects, 63 (59.4%) and 23 (21.7%) were diagnosed with personality disorder and adjustment disorder, respectively. Further, those who left military service were diagnosed more frequently with mood disorder (p=0.001) and schizophrenia (p=0.014) than those who rejoined their units. Additionally, the MMPI scores of soldiers who left military service were significantly higher on the psychasthenia (p=0.028) and schizophrenia (p=0.039) scales than those of soldiers who rejoined their units. Conclusion : Most of the maladaptive soldiers were diagnosed with mental disorders. The results of this study suggest that systematic, consistent psychiatric evaluation and intervention for maladaptive male conscripts is crucial in the Republic of Korean army.

진저요법이 화학요법을 받는 암 환자의 오심과 구토에 미치는 효과 : 체계적 고찰 및 메타분석

남은숙(Eun Sook Nam),이호연(Ho Yeon Lee),이미경(Mi Kyung Lee),박양숙(Yang Sook Park),채공주(Gong Ju Chai),김두명(Doo Myoung Kim) 한국산학기술학회 2021 한국산학기술학회논문지 Vol.22 No.10

본 연구는 체계적 고찰과 메타분석을 이용하여 진저요법이 화학요법을 받는 암 환자의 오심과 구토에 미치는 효과를 파악하기 위하여 수행되었다. 문헌검색을 위해 CINAHL, PubMed, Cochrane, EMBASE, Web of Science, Google Scholar 데이터베이스를 이용하였으며, 2009년부터 2018년까지 출간된 연구 396편 중 선정과 배제기준에 따라 최종 선정된 RCT 연구 8편에 대한 질 평가는 Revised Cochrane risk-of-bias tool 2(RoB 2)를 이용하였다. 메타분석은 RevMan 5.4 프로그램을 사용하였으며 오심과 구토의 발생빈도는 평균승산비(Odds Ratio, OR), 강도는 표준화된 평균 차이(Standardized Mean Difference, SMD)를 산출하였다. 진저요법이 오심에 미치는 효과로 발생빈도 OR= 0.92[0.65, 1.30], 강도 SMD= -0.12[-0.59, 0.35]로 통계적으로 유의하지 않았으며 하위집단 분석 결과 급성기와 지연기 모두 진저요법의 효과가 유의하지 않은 것으로 나타났다. 진저요법이 구토에 미치는 효과로 발생빈도 OR=0.89[0.62, 1.27], 강도 SMD= -0.45[-1.04, 0.13]로 통계적으로 유의하지 않았으며 하위집단 분석에서도 급성기와 지연기 모두 진저요법의 효과가 유의하지 않은 것으로 나타났다. 연구의 질 평가에 따라 민감성 분석 결과 고위험 연구의 효과 크기는 실제 효과에 비해 과장되었을 가능성이 있는 것으로 나타났다. 진저요법이 화학요법을 받는 암 환자의 오심과 구토 완화에 유의하지 않은 것으로 나타났으나 포함된 연구의 수가 충분치 않아 본 연구를 일반화하기에는 한계가 있어 추후 연구가 필요할 것으로 사료된다. This study was undertaken to assess effects of ginger on nausea and vomiting in cancer patients receiving chemotherapy, through systematic review and meta-analysis. CINAHL, PubMed, Cochrane, EMBASE, Web of Science, and Google Scholar databases were explored. From a total of 396 studies, 8 Randomized Controlled trials during the period 2009 to 2018 were selected and qualitatively evaluated using the Revised Cochrane Risk-of-Bias tool 2. Assessment of the frequency and intensity of nausea and vomiting was achieved by estimating the Odds Ratio (OR) and Standardized Mean Difference (SMD), respectively, using the RevMan 5.4. No significant effect of ginger was observed for nausea (OR=0.92 [0.65, 1.30] and SMD=-0.12 [-0.59, 0.35]), and subgroup analyses also revealed no significant effect on both the frequency and intensity in acute phase and delayed phase. Results also show that ginger has no significant effect on vomiting (OR=0.89 [0.62, 1.27] and SMD=-0.45 [-1.04, 0.13]), neither was any significant effect determined in both the acute and delayed phase through subgroup analyses. Sensitivity analysis revealed that the effect size of high-risk studies could have resulted in overestimation. Although the current study detected no significant effect of ginger on nausea and vomiting, the results cannot be generalized due to the limited number of studies included, which needs to be addressed in the future.