°Ç°Àå¾Ö¾Æµ¿ ¹× û¼Ò³âµéÀÇ ½Åü±â´É ÁõÁø¿¡ ´ëÇÑ ÁßÀç : ü°èÀû °íÂû
Intervention for Improving Physical Function of Children and Adolescents With Impaired Health : A Systematic Review
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¿ìÁöÈñ:Woo Ji-Hee
±èÁ¤¶õ:Kim Jung-Ran
Abstract
¸ñÀû : º» ¿¬±¸´Â ü°èÀû °íÂûÀ» ÅëÇØ °Ç°Àå¾Ö¾Æµ¿ ¹× û¼Ò³âµéÀÇ ½Åü±â´É ÁõÁøÀ» À§ÇÑ ÁßÀç ¹× Æò°¡, ´ë»ó Áø´Ü±º¿¡ ´ëÇÏ¿© ¾Ë¾Æº¸°íÀÚ ÇÑ´Ù.
¿¬±¸¹æ¹ý : 2000³â ÀÌÈĺÎÅÍ 2014³â ±îÁö µ¥ÀÌÅͺ£À̽º PubMed, CINAHL, Embase, RISS¿¡¼ ¡°health impairment children OR chronic illness adolescent¡± AND ¡°cancer OR diabetes mellitus OR asthma OR juvenile idiopathic arthritis¡± AND ¡°physical exercise OR physical intervention¡±ÀÇ °Ë»ö¾î·Î ¿¬±¸¸¦ °Ë»öÇÏ¿´´Ù.
°á°ú : ºÐ¼®´ë»ó¿¬±¸´Â ÃÑ 18°³·Î ±Ù°Å¼öÁØÀº ¥°,¥±,¥´À̾ú´Ù. ´ë»ó Áø´Ü±ºÀº ¾Ï(56.0%), ´ç´¢, õ½Ä °¢°¢ (16.7%), ¼Ò¾Æ ·ù¸¶Æ¼½º(11.1%)À̾ú´Ù. ÁßÀç³»¿ëÀº ´ë»óÀÚµéÀÇ Áúº´¿¡ »ó°ü¾øÀÌ À¯»ê¼Ò ¿îµ¿ÀÇ ÁßÀç (82.0%)°¡ °¡Àå ¸¹¾Ò´Ù. Æò°¡¿µ¿ªÀº ¿îµ¿ ¹× ±â´É Æò°¡(56.0%)°¡ °¡Àå ¸¹ÀÌ ½Ç½ÃµÇ¾ú°í, »îÀÇ Áú°ú È£Èí±â´ÉÆò°¡°¡ °¢°¢(23.0%)À̾ú´Ù. ÃÑ 18°³ÀÇ ¿¬±¸ Áß Ã¼°èÀû °íÂû, Àü¹®°¡ ÀÇ°ß¼ö·Å ¿¬±¸ 3ÆíÀ» Á¦¿ÜÇÑ 15ÆíÀÇ ¿¬±¸¿¡ ´ëÇÏ¿© À¯ÀÇÇÑ Çâ»óÀ» º¸ÀÎ ¿¬±¸´Â 9°³·Î À¯»ê¼Ò ¿îµ¿, ±Ù·Â ¹× ÀúÇ׿, ½ºÆ®·¹ÄªÀÌ Æ÷ÇÔµÈ ÁßÀç°¡ °¡Àå ¸¹¾Ò´Ù.
°á·Ð : º» ¿¬±¸´Â Çб³¾Æµ¿ ÀÛ¾÷Ä¡·á ¿µ¿ª¿¡¼ °Ç°Àå¾Ö¾Æµ¿ ¹× û¼Ò³âµéÀ» ´ë»óÀ¸·Î ÇÑ ½Åü±â´É ÁõÁøÀ» À§ÇÑ ÁßÀçÀÇ ÀÓ»óÀû¿ë±Ù°Å¸¦ Á¦½ÃÇÏ¿´´Ù. ¾ÕÀ¸·ÎÀÇ ¿¬±¸¿¡¼´Â °Ç°Àå¾Ö¾Æµ¿ ¹× û¼Ò³âµéÀ» ´ë»óÀ¸·Î ÇÑÇб³ÀÛ¾÷Ä¡·á ¼ºñ½º È¿°ú¸¦ ºÐ¼®ÇÏ´Â ½ÇÇ࿬±¸°¡ ÇÊ¿äÇÒ °ÍÀÌ´Ù.
Objective: The purpose of this study was to identify the diagnostic groups, evaluation tools, and intervention for improving the physical functionality of children and adolescents with impaired health through a systematic review.
Methods: This study searched for other researches published in the PubMed, CINAHL, Embase, and RISS databases from 2000 to 2014. The keywords were ¡°health impairment children OR chronic illness adolescent¡± AND ¡°cancer OR diabetes mellitus OR asthma OR juvenile idiopathic arthritis¡± AND ¡°physical exercise OR physical intervention.¡±
Results: Fifteen studies were used for the data analysis, and the evidence was from levels ¥°, ¥±, and ¥´. The subjects suffered from cancer (56.0%), diabetes mellitus (16.7%), asthma (16.7%), and juvenile idiopathic arthritis (11.1%). An aerobic training intervention (82.0%) method was most frequently used. The areas of the evaluation were the motor and functional ability (56.0%), quality of life (23.0%), and respiratory function (23.0%). Nine studies (out of 15) showed a positive effect on the physical function of children and adolescents with impaired health.
Conclusion: This study presented an evidence-based practice concerning an intervention for improving the physical functionality of children and adolescents with impaired health. Further studies are required to encompass the effectiveness of school-based occupational therapy in children and adolescents with health impairments.
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°Ç°Àå¾Ö¾Æµ¿ ¹× û¼Ò³â, ü°èÀû °íÂû, Çб³ÀÛ¾÷Ä¡·á
Health impairment, School based occupational therapy, Systematic review
KMID :
0603920160240010053
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À¯È¿¼º°á°ú(Recomendation)
This study presented an evidence-based practice concerning an intervention for improving the physical functionality of children and adolescents with impaired health such as DM.