서 론
연구의 필요성
연구 방법
문헌 검색 전략
● 연구 질문
문헌 검색 및 선정
● 문헌 검색
● 검색어
● 문헌 선정기준
자료 분석
연구 결과
자료 선정
연구 근거의 질적 수준 평가
문헌고찰에 포함된 연구들의 일반적 특성
Table 1
Author (Year) | Study design | Size of exp/cont | Intervention program | Outcomes (p-value) | |||
---|---|---|---|---|---|---|---|
|
|||||||
Name | Length (min) | Total sessions (n) | Format | ||||
Lee & Kim (2002) | Nonequivalent control group pre-post test | 15/15 | Stress management training | 60-120 | 7 | Individual |
Depression (<.001) Self esteem (<.001) Family relation (<.001) Burden (<.001) Child’s attitude toward parents (<.001) |
Lee et al. (2004) | Randomized controlled trial | 21/32 | The problem -solving telephone counseling | 30-60 | 12 | Individual |
Appraisal of caregiving (.745) Coping strategies (.661) |
Kim et al. (2005) | One group pre-post test | 17/0 | Short-term home visiting program | 120-180 | 8 | Individual |
Physical & mental health (.188/.008) Knowledge on dementia (.035) Image on dementia (.094) Coping (.687) Stress (.291) Burden (.123) |
Kweon & Han (2006) | One group pre-post test | 5/0 | Art therapy | 150 | 14 | Group |
Burden (.010) KFD effect |
Lee et al. (2006) | Nonequivalent control group pre-post test | 15/16 | Cognitive-behavior group intervention | 120 | 8 | Group |
Burden (<.01/<.05) Depression (<.05/<.01) Anxiety (<.001/<.01) |
Kim et al. (2007) | Nonequivalent control group pre-post test | 18/21 | The group education program | 120 | 7+14* | Group & Individual* |
Burden (<.01/<.05) Coping skills (<.01/<.01) Depression (-/-) |
Oh (2008) | Nonequivalent comparison group design |
14 (Exp 1) 12 (Exp 2) |
Support program | 60-90 | 8 | Individual (Exp 1) Group (Exp 2) |
Quality of life of caregiver (.350) Burden (.820) Quality of relationship (.090) Quality of life of patient (<.001) |
Kang (2010) | Nonequivalent control group pre-post test | 18/19 | Social support program | 90 | 10 | Group |
Burden (.011) Quality of life (<.001) Life satisfaction (.011) Physical symptom (.018) |
Cheon et al. (2011) | Nonequivalent control group pre-post test | 19/22 | Community-based respite program | 120 | 8 | Group |
Respite needs (.725) Burden of caregivers (.001) Subjective well-being (.020) Social support (.022) Fatigue (.798) Functional status (.783) |
Shin & Kim (2012) | Nonequivalent control group pre-post test | 18/22 | Education program | 90 | 7 | Group |
Burden (.020) Quality of life (.090) Quality of relationship (<.001) |
Song & Jo (2014) | One group pre-post test | 11/0 | Happy plus program (group counseling) | 120 | 9 | Group |
Sleep (.444) Depression (.003) Burden (.328) Quality of life (.044) |
You & So (2014) | Nonequivalent control group pre-post test | 70/67 | Education for the nursing method | 90 | 2 | Group |
Nursing method (<.001) Nursing method by progression in intragroups (<.001) Nursing method by progression & interaction in intergroups (<.001) |
Park et al. (2015) | Nonequivalent control group pre-post test | 17/17 | Multimodal psychoeducational program | 90 | 8 | Group |
Caregiving burden (.021) Depression (.002) Coping behavior; problem oriented (.397) affective oriented (.007) |
Bang & Kim (2016) | Noneqivalent control group pre-post test | 18/18 | The family resilience reinforcement program | 60 | 8 | Group |
Family resilience (.002) Caregiver burden (.012) Family adaptation (<.001) Perceived health status (.002) Depression (.218) |
Jang & Choi (2016) | Nonequivalentcontrol group pre-post test | 15/21 | Emotion-focused individual intervention | Education (30-60) Tel (10-20) | 3 | Individual |
Knowledge (<.001) Self-efficacy of care (.030) Preparedness of care (<.001) Coping strategies of care (<.001) |
Kim & Lim (2016) | One group pre-post test | 6/0 | Dongsasub training | 90 | 8 | Group |
Burden (.115) Depression (.044) Self-esteem (.027) |
Kim & Han (2016) | One group pre-post test | 7/0 | Applied art psychological counseling program | 120 | 33 | Group |
Depression (.041) Suicide ideation (.399) Self-esteem (.590) Hope (.932) Entrapment (.499) Positive-negative affects (.600/.075) |
Lee & Kim (2017) | Nonequivalent control group pre-post test | 26/26 | Dementia family education program | 90 | 8 | Group |
Dementia recognition (<.001) Burden (.006) Depression (.034) |
Kim & Jeong (2019) | Nonequivalent control group pre-post test | 24/25 | Support program (Haearim) | 120 | 8 | Group |
Family empowerment (.002) Attitude to dementia (<.001) |
Lee (2019) | Nonequivalent control group pre-post test | 43/48 | Therapeutic recreation program | 50 | 24 | Group |
Stress (.039) Resilience (.026) Quality of life (.022) |
Yoen et al. (2019) | Nonequivalent comparison group design |
27 (Exp 1) 26 (Exp 2) |
Exp 1: supportive program (Hyu-sig-gong-gan) Exp 2: SCP (savvy caregiver program) | 120 | 8 | Group |
Burden (Group 1/Group 2/Intergroup) (.001/.837/.057) Depression (<.001/.560/.040) Quality of life (.145/.759/.891) Social support (.174/.290/.689) Resilience (.579/.031/.914) Self-efficacy (.161/1.000/.060) |
Cho (2020) | Randomized controlled trial | 31/32 | Home-based and comprehensive intervention program | Group meeting (90) Home visiting (90-120) Tel (5-10) | 6+6† | Group & Individual |
Knowledge (.001) Self-efficacy (.001) Family burden (.002) Personal growth (.167) Family coping strategy (<.001) Preventive health behaviors (.031) |
Han et al. (2020) | Randomized controlled trial (2*2 factorial) | 27 (Exp 1) simulation only 27 (Exp 2) lecture only 24 (Exp 3) simulation+lecture | A simulation-based empathy enhancement program & a lecture-based education program | 60 |
1 (Exp 1) 1 (Exp 2) 2 (Exp 3) |
Group |
Wellbeing (Exp 3 than Exp 2) Helplessness (Exp 3 than Exp 2) Less frequent use of dysfunctional coping strategies (Exp 2 than no lecture) More frequent use of emotion focused coping strategies (Exp 1 than no simulation) |
Table 2
Characteristics | Categories | n (%) |
---|---|---|
Published year | 2000-2010 | 8 (34.8) |
2011-2021 | 15 (65.2) | |
Published language | Korean | 21 (91.3) |
English | 2 (8.7) | |
Composition of participants | Spouse only | 1 (4.3) |
Spouse + children (daughter/son) or daughter-in law | 2 (8.7) | |
Children (daughter/son) + daughter-in law | 1 (4.3) | |
Spouse + children (daughter/son) + daughter-in law | 10 (43.5) | |
Spouse + children (daughter/son) + daughter-in law + others (brother/sister or grandchildren or relatives) | 7 (30.5) | |
Not presented | 2 (8.7) | |
Mean age or the largest age of participants (year) | <40 | 1 (4.3) |
40-59 | 4 (17.4) | |
50-59 | 10 (43.5) | |
60-69 | 7 (30.5) | |
≧70 | 1 (4.3) | |
Size of experimental participants | <10 | 3 (13.0) |
10-19 | 12 (52.3) | |
20-29 | 5 (21.7) | |
30-39 | 1 (4.3) | |
≧40 | 2 (8.7) | |
Program names of interventions (contained these words) | Support | 4 (17.4) |
Education | 6 (26.1) | |
Counseling | 5 (21.7) | |
Therapy or training | 4 (17.4) | |
Others (home-visiting or reinforcement) | 4 (17.4) | |
Length of intervention*(min) | <60 | 4 (12.9) |
60 | 5 (16.1) | |
90 | 10 (32.3) | |
120 | 10 (32.3) | |
150 | 1 (3.2) | |
180 | 1 (3.2) | |
Total numbers of session (n) | 1-4 | 3 (13.0) |
5-8 | 14 (61.0) | |
9-12 | 3 (13.0) | |
>12 | 3 (13.0) | |
Duration of intervention (weeks) | 1-4 | 5 (21.7) |
5-8 | 13 (56.6) | |
9-12 | 2 (8.7) | |
>12 | 3 (13.0) | |
Form of intervention | Group | 16 (69.6) |
Individual | 4 (17.4) | |
Group+individual | 3 (13.0) | |
Place of intervention | Public institutions (health center, welfare center, dementia support center, day care center, hospital auditorium, and others) | 18 (78.3) |
Home (home-visiting) | 4 (17.4) | |
Not described | 1 (4.3) | |
Provider of intervention | Researchers (completion of training or education in the relevant field) | 11 (47.8) |
Researchers + assistants (professional instructors, family support instructors, case managers, caregivers, research assistants, others) | 9 (39.2) | |
Not described | 3 (13.0) | |
The numbers of outcome variables* | Physical dimension | 7 (21.2) |
Cognitive dimension | 3 (9.1) | |
Psychological dimension | 11 (33.3) | |
Social dimension | 9 (27.3) | |
Others | 3 (9.1) |
Table 3
Program name that contained | Composition of program (multicomponent) | n |
---|---|---|
Support | Informational* + emotional† | 1 |
Informational + emotional + activity§ | 1 | |
Informational + emotional + activity + social‡ | 2 | |
Education | Informational + emotional | 2 |
Informational + emotional + social | 1 | |
Informational + emotional + activity + social | 3 | |
Counseling | Informational + emotional | 2 |
Emotional + activity | 1 | |
Informational + emotional + activity | 2 | |
Therapy or training | Emotional + therapeutic activity¶ | 2 |
Informational + emotional + therapeutic activity | 2 | |
Others (home-visiting or reinforcement) | Informational + emotional | 1 |
Informational + emotional + activity | 1 | |
Informational + emotional + activity + social | 2 | |
Total | 23 |