농촌 주민의 근골격계 통증관리를 위한 비약물적 중재 프로그램의 동향: 주제범위 문헌고찰

초록

Purpose: This scoping review systematically identifies the content and methods of nonpharmacological pain management interventions for musculoskeletal pain in rural populations. Method: A systematic search of domestic (RISS, DBpia) and international (PubMed, CINAHL, EMBASE, Cochrane Library) databases was conducted for peer-reviewed articles published between 2000 and 2025. Following rigorous screening, 32 articles were selected. Result: The intervention programs identified were categorized into six types; exercise programs (n=7), pilates, yoga, and dance (n=6), combined interventions (n=6), education and self-management programs (n=5), digital and remote interventions (n=5), and alternative or traditional therapies (n=3). Pain was the most frequently measured outcome variable in 27 of the 32 articles. Among these, 22 articles demonstrated statistically significant improvements in pain; 4 articles found no significant effect, and 1 article reported mixed results. Conclusion: The findings highlight two critical directions for future research and practice. First, multidimensional outcome indicators—encompassing physical, psychological, and social domains—should be more systematically incorporated. Second, there is an urgent need to develop pain management intervention programs tailored to vulnerable populations, particularly elderly agricultural workers, who remain underrepresented in the existing literature.

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