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NTIS 바로가기부모자녀건강학회지 = Korean parent-child health journal, v.22 no.1, 2019년, pp.10 - 21
박서아 (계명대학교 간호학과) , 조문주 (계명대학교 간호학과)
Purpose: This study was carried out to evaluate the efficacy of exercise program on recovery of functional and quality of life in breast cancer patients through systematic literature review and meta-analysis. Methods: The following databases were used to search the literature: RISS, KISS, KMbase, an...
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핵심어 | 질문 | 논문에서 추출한 답변 |
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현재 사용되는 유방암 치료는 무엇인가? | 유방암 치료는 수술치료, 항암화학요법 및 방사선 치료가 시행되고 있으며, 그 중 1차적 방법으로 수술적 치료가 가장 많이 사용되고 있다[1]. 유방암의 1차적 치료인 수술방법으로는 부분 절제술이나 전체 절제술을 시행되고 있다[3]. | |
유방암 환자들의 수술 후 운동중재가 미치는 효과는 무엇인가? | 최근 선행연구에 따르면 유방암 환자들의 수술 후 운동중재는 통증, 신체조성, 신체활동 기능에 매우 중요한 영향을 미치는 것으로 보고하였으며[6-9], 부종을 감소시키며, 상지기능 및 어깨관절 가동범위를 높이는 효과가 있다고 보고하였다[10,11]. 또한 유방암 환자의 신체 회복을 촉진하고 증상이 악화되는 것을 막기 위해 유방암 환자의 수술 후 스트레칭이나 관절가동성 운동을 권장하고 있으며[12], 현재 감소된 상지기능 및 어깨관절 가동범위의 회복을 위하여 유방 절제술 환자들에게 다양한 운동 중재 프로그램들이 시도되고 있다. | |
유방암 환자들에게 감각운동훈 련이 필요한 이유는 무엇인가? | 유방암 환자는 수술로 인한 변화된 외모로 부정적 정서를 경험하며, 일상생활동작 수행 장애와 정신적인 문제를 동반하기 때문에 그들의 삶의 질에도 매우 심각한 영향을 미칠 수 있다 [31]. Seo 와 Choi [8]의 연구에서 유방암 환자에게 감각운동훈 련을 적용함으로써 신체적 부정적인 결과를 전보다 감소시켰고, 삶의 질에도 긍정적 영향을 나타내었다고 보고하였다. |
Korean Breast Cancer Society. Breast cancer facts & figures 2016 [Internet]. Seoul: Korean Breast Cancer Society, 2016 [cited 2018 March 30]. Available from: http://www.kbcs.or.kr/journal/file/2016_Breast_Cancer_Facts_and_Figures_updated.pdf
Halverstadt A, Leonard A. Essential Exercises for Breast Cancer Survivors:How to Live Stronger and Feel Better. Harvard Common Press; 2000. p. 8-28.
Fobair P, Stewart SL, Chang S, D'onofrio C, Banks PJ, Bloom JR. Body image and sexual problems in young women with breast cancer. Psycho Oncology: Journal of the Psychological, Social and Behavioral Dimensions of Cancer. 2006;15(7):579-594.
Park YJ. Effect of tai chi exercise program on self-efficacy, pain, and physical function in patients with osteoarthritis [dissertation]. Gwangju: Chonnam National University; 2004; 73 p.
Yoo YS, Jung SS, Cho OH. Effects of comprehensive rehabilitation program on physical function and fatigue in mastectomy patients. Journal of Korean Academy of Adult Nursing. 2005;17(2):298-309.
Kim YW, Kim MS. The effects of 12 week's yoga, elastic band exercise and Swiss ball exercise program on physical function improvement for breast cancer survivor. Korean Society of Sport and Leisure Studies. 2009;35(2):1051-1060.
Lee JA. Effects of exercise intervention programs on breast cancer survivors. Journal of Korean Association of Physical Education and Sport for Girls and Women. 2017;31(2):169-185.
Kim CW, Kwak YS, Kim YS, Kim KC, Kim HE. The effect of tai-chi exercise on the function of shoulder joint, heart rate in breast cancer patients. Journal of Life Science. 2010;(3):345-349.
Hayes SC, Speck RM, Reimet E, Stark A, Schmitz KH. Does the effect of weight lifting on lymphedema following breast cancer differ by diagnostic method: results from a randomized controlled trial. Breast Cancer Research and Treatment. 2011; 130(1):227-234.
Zhou WB, Zhang PL, Liu XA, Yang T, He W. Innegligible musculo skeletal disorders caused by zoledronic acid in adjuvant breast cancer treatment: a meta-analysis. Journal of Experimental & Clinical Cancer Research. 2011;30(1):1-7.
Amy H, Andrea L. Essential Exercise for Breast Cancer Survivors. Harvard Common Press. 2000.
Lee CM, Kim SM, Na SY, Lee NH. Effects of combined exercise training for breast cancer survivors in health related fitness, leptin and insulin. Exercise Science. 2008;18:225-238.
Kim JJ, Lee SJ, Choi JY, Lim JM. The effects of home-based exercise education on shoulder range of motion, lymphedema, and pain for breast cancer resection patients. The Korean Society Of Sports Science. 2012;21(4):895-903.
Woo JH, Kim TW. Effectiveness affecting to the shoulder functionality by the health care exercise program for the upper limbs after breast cancer surgery. Korea Sport Research. 2007;18(6):567-576.
Liberati A, Altman DG, Tetzlaff J, Mulrow C, Gotzsche PC, Ioannidis JP, et al. The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate health care interventions: explanation and elaboration. PLoS medicine. 2009;6(7):e1000100.
Kim SY, Park JE, Seo HJ, Lee YJ, Jang BH, Son HJ, et al. NECA's guidance for undertaking systematic reviews and meta-analyses for intervention. Seoul: National Evidence-based Healthcare Collaborating Agency. 2011;141-142.
Becker BJ. Synthesizing standardized mean change measures. British Journal of Mathematical and Statistical Psychology. 1988;41(2):257-278.
Morris SB, DeShon RP. Combining effect size estimates in metaanalysis with repeated measures and independent-groups designs. Psychological Methods. 2002;7(1):105.
Netz Y, Wu MJ, Becker BJ, Tenenbaum G. Physical activity and psychological well-being in advanced age: a meta-analysis of intervention studies. Psychology and Aging. 2005;20(2):272.
Deeks JJ, Higgins JPT, Altman DG, Green S. Cochrane handbook for systematic reviews of interventions version 5.1.0 (updated March 2011). The Cochrane Collaboration. 2011. http://www.cochranehandbook.org.
Lee TS, Kilbreath SL, Refshauge KM, Pendlebury SC, Beith JM, Lee M. Pectoral stretching program for women undergoing radiotherapy for breast cancer. Breast Cancer Research and Treatment. 2007;102(3):313-321.
Park YM. Effects of an early upper-limb exercise program on the shoulder joint function after breast cancer surgery [dissertation]. Seoul: Sahmyook University; 2008. 46 p.
Cohen J. Statistical power analysis for the social sciences. Hillsdale, NJ: Lawrence Erlbaum Associates; 1988.
Lim KH. Effectiveness of individualized upper extremity exercise program for patients after mastectomy. Journal of the Korea Academia-Industrial cooperation Society. 2018;19(10):313-323.
Won HJ, Kim JI. The effect of cancer-overcome BeHaS exercise program on pain, flexibility, grip strength and stress in breast cancer patients following surgery. Journal of the Korean Academy of Fundamentals of Nursing. 2009;16(2):181-189.
Hwang JH, Chang HJ, Shim YH, Park WH, Park W, Huh SJ, et al. Effects of supervised exercise therapy in patients receiving radiotherapy for breast cancer. Yonsei Medical Journal. 2008;49(3):443-450.
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