여성 난임 환자에게 적용되는 온라인 기반 중재의 특성 및 효과 분석: 체계적 문헌고찰

• Published in: 근관절건강학회지 Vol. 25; no. 3; pp. 205 - 217
• Main Authors: 김찬희, 이선희, Kim, Chan Hee, Lee, Seon Heui
• Format: Journal Article
• Language: Korean
• Published: 대한근관절건강학회 01.12.2018
• Subjects: 간호학
• ISSN: 1975-9398; 2288-789X
• DOI: 10.5953/JMJH.2018.25.3.205

Purpose: The purpose of this review was to analyze the characteristics and effectiveness of online-based intervention for infertile women. Methods: We established the PICO (Participant-Intervention-Comparison-Outcome) strategy and conducted a systematic review of 7 literatures retrieved from 3 electronic databases of Ovid-Medline, Ovid-Embase, and the Cochrane Library. Two investigators independently extracted the data and assessed the quality of included studies using Cochrane risk of bias. Results: The pregnancy outcome showed that higher total risk scores (TRS) about lifestyle behavior was significantly associated with lower chance of pregnancy (aHR 0.79, 95% CI 0.72~0.85). Stress was significantly decreased in experimental groups receiving online-based interventions (p<.05). Depression score was significantly lower in groups receiving additional interventions besides on-line interventions than those who used online-based intervention only. The other outcomes, including anxiety, self-efficacy, helpfulness of intervention, perceived social support, and knowledge scores were not significantly different within and between groups in overall. Characteristics of the interventions were heterogeneous. Conclusion: There is evidence that online-based intervention in infertile women enhances the pregnancy and reduces stress levels.