심장신경성 실신 환자 대상 기립훈련 프로그램의 효과에 대한 체계적 문헌고찰 및 메타분석

• 영문명: Effects of Tilt Training Program for Neurocardiogenic Syncope Patients: A Systematic Review & Meta-analysis
• 발행기관: 한국근거기반간호학회
• 저자명: 김지수(Kim, Ji-Su) 이진영(Lee, Jinyoung) 류청(Ryou, Choung)김정우(Kim, Jung Woo) 박선영(Park, Sun Young)황정화(Hwang,
• 간행물 정보: 『근거와 간호』제5권 제1호, 16~26쪽, 전체 11쪽
• 주제분류: 의약학 > 간호학
• 파일형태: PDF
• 발행일자: 2017.12.31

영문 초록

Purpose: This study was a systematic review to evaluate the effects and identify intervention protocol, measurement, and outcomes of tilt training program for neurocardiogenic syncope. Methods: 8 electronic databases were searched using keyword in English and Korean in June 2016. The risk of bias was assessed using Cochrane criteria and NECA’s criteria was used for non-randomized controlled trial. For analysis of the data, a meta-analysis of the studies was performed. Results: Of 383 articles identified, 11 studies met inclusion criteria. The effect of tilt training on recurrence of syncope, recurrence of pre-syncope, result of follow up head-up-tilt test analyzed using meta-analysis with RevMan. 5 of studies which included randomized controlled trials testing of tilt training were used to estimate effect size of tilt training. Tilt training was favorably effective in reducing recurrence of syncope (n=260, OR=0.10, 95% CI: 0.02~0.57). Conclusion: There is limited evidence suggesting that tilt training may be effective in recurrent neurocardiogenic syncope.

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키워드

Syncope Neurocardiogenic syncope Tilt training Orthostatic training Systematic review