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Characteristics and Effectiveness of Online-based Intervention for Infertile Women: A Systematic Review

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

  • Kim, Chan Hee (The Graduate Student for Master of Nursing, Gachon University) ;
  • Lee, Seon Heui (Department of Nursing Science, College of Nursing, Gachon University)
  • 김찬희 (가천대학교 일반대학원 간호학) ;
  • 이선희 (가천대학교 간호대학)
  • Received : 2018.11.15
  • Accepted : 2018.12.06
  • Published : 2018.12.31

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.

Keywords

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Figure 1. Study flow chart.

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Figure 2-A. Risk of bias graph.

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Figure 2-B. Risk of bias summary.

Table 1. Characteristics of Included Studies

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Table 2. Characteristics and Effectiveness of the Interventions Reviewed

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Table 2. Characteristics and Effectiveness of the Interventions Reviewed (Continued)

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