여성 난임 환자에게 적용되는 온라인 기반 중재의 특성 및 효과 분석: 체계적 문헌고찰Characteristics and Effectiveness of Online-based Intervention for Infertile Women: A Systematic Review
- Other Titles
- Characteristics and Effectiveness of Online-based Intervention for Infertile Women: A Systematic Review
- Authors
- 김찬희; 이선희
- Issue Date
- 2018
- Publisher
- 대한근관절건강학회
- Keywords
- Infertility; Female; Telemedicine; Treatment outcome; Systematic review; 여성 난임 환자; 온라인 기반 중재; 효과; 체계적 문헌고찰
- Citation
- 근관절건강학회지, v.25, no.3, pp.205 - 217
- Journal Title
- 근관절건강학회지
- Volume
- 25
- Number
- 3
- Start Page
- 205
- End Page
- 217
- URI
- https://scholarworks.bwise.kr/gachon/handle/2020.sw.gachon/4488
- DOI
- 10.5953/JMJH.2018.25.3.205
- ISSN
- 1975-9398
- Abstract
- 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.
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