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불면장애 환자의 한의치료 효과 및 심리척도 변화간 상관성 분석: 후향적 관찰 연구
초록Objectives: To examine effect of Korean medical treatment on patients with insomnia and correlations among changes in psychological scales before and after treatment.Methods: Medical records of 38 patients diagnosed with insomnia based on DSM-V who received Korean medical treatment (herbal-medication, acupuncture, Korean psychotherapy) for at least 8 weeks were retrospectively reviewed. Psychological scales including Insomnia Severity Scale (ISI), Beck Depression Inventory-II (BDI-II), State-Trait Anxiety Inventory (STAI), Beck Anxiety Inventory (BAI), and State-Trait Anger Expression Inventory (STAXI) were measured every four weeks and analyzed.Results: After eight weeks of treatment, ISI, BDI-Ⅱ, BAI, STAI-X-1/2, and STAXI-S/T showed statistically significant decreases. Psychological scale pairs that showed a statistically significant correlation were ISI and BDI-IIㆍSTAI-X-1ㆍSTAI-X-2ㆍTA, BDI-II and BAIㆍSTAI-X-1ㆍSTAI-X-2ㆍAX-I, BAI and STAI-X-1ㆍSTAI-X-2ㆍSAㆍTA, STAI-X-1 and STAI-X-2, SA and TA, and TA and AX-I. In women, the improvement of AX-C was high. The improvement in AX-I score was significant when the disease duration was more than one year. A lower pretreatment BAI value predicted a greater decrease in ISI score after treatment.Conclusions: Korean medical treatment including herbal medicine, acupuncture, and Korean psychotherapy was effective in improving insomnia symptoms and accompanying symptoms such as depression, anxiety, and anger. In the future, more in-depth follow-up research is needed on...
한음 ㆍ 2024.12.13 ㆍ 추천 0 ㆍ 조회 94
[SCI 저널 발표] The Mental Health Outcomes and Cost Estimates of Korean Medicine for Anxiety Disorder Patients
초록Korean medicine (KM) is used to treat anxiety disorders, but there limited research on its effects. This study aimed examine the associations between improved QoL and reduced clinical symptoms KM in patients with disorders. The medical records of who were treated (acupuncture, psychotherapy, Chuna therapy, aromatherapy, or herbal medicine) for at least 4 weeks retrospectively analyzed. Clinical, QoL, cost outcomes measured baseline 12 (Anxiety: State-Trait Anxiety Inventory [STAI X-1 (state), X-2 (trait)], Beck [BAI];anger: Anger Expression State [STAXI-S T [AXI-K-I (anger-in),AXI-K-O (anger-out),AXI-K-C (anger-control); depression: Depression Inventory-II [BDI II],QoL: QoL-related instruments Euro Quality Life 5 Dimensions utility score [EQ-5D], Visual Analog Scale [EQ-VAS]).total costs each item calculated terms NHIS-covered patients’ out-of-pocket from perspective healthcare system. 67 evaluated. treatments found be associated decreased (STAI X-1; STAI X-2; BAI, p < 0.0001), depression (BDI-II, anger (AKI-K-I; AKI-K-O, 0.05) increased (EQ-5D; EQ-VAS, 0.0001). An average USD 1360 was paid weeks. findings suggested that may improve[원문보기 클릭]
한음 ㆍ 2024.12.13 ㆍ 추천 0 ㆍ 조회 92
[SCI 저널 발표] The Mental Health Outcomes and Cost Estimates of Korean Medicine for Anxiety Disorder Patients
한국 최초의 SCI 저널 불안장애 한의학 임상 치료 논문입니다.국가의 지원을 받아 작성되었습니다. 한의 정신치료의 비용 연구 역시 이 논문이 최초입니다. 한음에서 치료받으신 106분의 불안장애 환자분들의 치료 결과를 논문으로 발표하였습니다.(논문에 적합한 데이터가 확보된 67분)   4주 동안 한음 치료를 받으시고 불안뿐 아니라 우울, 분노까지 함께 치료되었으며, 삶의 질역시 높아졌습니다.[원문보기 클릭]
한음 ㆍ 2024.11.20 ㆍ 추천 0 ㆍ 조회 188
[SCI 저널 발표] Systematic review and meta-analysis of cardiac neurosis for development of clinical ...
초록 The development of clinical practice guidelines in traditional medicine requires evidence that sufficiently reflects the medical field. Cardiac neurosis is a disease that occurs because of problems in the autonomic nervous system and is characterized by symptoms of the circulatory system that are representative of autonomic dysfunction. In traditional medicine, the heart is considered to be involved in mental health problems, and cardiac neurosis is accompanied by a variety of mental symptoms. Furthermore, there is a categorized diagnosis for cardiac neurosis, and active empirical research is being conducted in China. ObjectiveThis study aimed to systematically review and quantitatively synthesize the effects of Korean medicine treatments in patients with cardiac neurosis to develop evidence-based clinical practice guidelines for the treatment of autonomic dysfunction. MethodsNine databases were searched for articles published before September 13, 2022. The methodological quality of the studies was assessed using the RoB tool. The primary outcomes were somatization, depression, anxiety, and effectiveness rate. The secondary outcome was the rate of adverse effects. ResultsBased on a systematic literature review, 151 randomized controlled trials were selected and analyzed. For patients with cardiac neurosis, herbal medicine, combined treatment of herbal medicine and Western medicine, combined treatment of herbal medicine and...
한음 ㆍ 2024.03.22 ㆍ 추천 0 ㆍ 조회 188
[SCIE급 논문] A Survey on Perceptions of the Direction of Korean Medicine Education and National ...
초록 Recent changes in medical education and assessment led to a focus on occupational competency, and this study investigated the perceptions of Korean medicine doctors (KMDs) on the national licensing examination for KMDs (NLE-KMD). The survey aimed to understand KMDs' recognition of the current situation, items to improve, and items to emphasize in the future. We conducted the web-based survey from 22 February to 4 March 2022, and 1244 among 23,338 KMDs answered voluntarily. Through this study, we found the importance of competency-related clinical practice and Korean standard classification of disease (KCD), and the presence of a generation gap. KMDs considered clinical practice (clinical tasks and clinical work performance) and the item related to the KCD important. They valued (1) the focus on KCD diseases that are frequently seen in clinical practice and (2) the readjustment and introduction of the clinical skills test. They also emphasized KCD-related knowledge and skills for the assessment and diagnosis of KCD diseases, especially those frequently treated at primary healthcare institutes. We confirmed the generation gap in the subgroup analysis according to the license acquisition period, and the ≤5-year group emphasized clinical practice and the KCD, while the >5-year group stressed traditional KM theory and...
한음 ㆍ 2024.03.22 ㆍ 추천 0 ㆍ 조회 171
진정수면제를 음독한 노인 입원 환자에서 발생한 섬망에 대한 한의복합중재 증례보고
초록 Objectives: The purpose of this study was to report the effectiveness of the combination of Korean medicine therapy on elderly patients with delirium due to overdose of sedative-hypnotics. Methods: The patient was diagnosed with delirium, which occurred after an overdose of sedative- hypnotics. The patient received Korean Medicine treatment, including herbal medicine, acupuncture, moxibustion and psychotherapy, and other treatments. The evaluation variables to check the effectiveness of the interventions were the Korean Version of the Delirium Rating Scale- Revised-98 (K-DRS-R-98) Mini-Mental State Examination-Korean (MMSE-K) Clinical Dementia Rating (CDR) and Manual Muscle Test (MMT). Results: During the hospitalization period, the K-DRS-R-98 score decreased from 31 to 4, MMSE-K score increased from 18 to 26. CDR score decreased from 2 to 0. MMT in the Right lower extremity was improved. Normal daily activities were possible. Conclusions: Combining Korean Medicine treatments, including herbal medicine, acupuncture, moxibustion, psychotherapy, and other treatments, may help alleviate delirium.[원문 보기 클릭]
한음 ㆍ 2024.03.22 ㆍ 추천 0 ㆍ 조회 172
군발 두통 환자의 한방 치료 치험 1례: 증례 보고
초록 Objectives: The purpose of this study was to report the effect of Korean medicine (KM) treatment on a patient diagnosed with cluster headache. Methods: The patient included in this study was diagnosed with cluster headache who received KM therapy (herbal medicine, acupuncture, moxibustion, cupping, and chu-na treatment). The main symptom of the patient was pain in the left occipital region and orbital region. It was diagnosed as a pattern of liver depression and spleen deficiency by oriental medicine. During the hospitalization period, treatment effect was evaluated by NRS. HIT-6. BDI, and STAI were additionally performed to assess depression and anxiety. Results: After 24 days of treatment, the intensity of headache decreased from NRS7 to NRS3. During follow-up at two weeks, there was no pain. Normal daily activities were possible. Conclusions: Korean medical approach might be useful for pain relief and restoration of daily living ability for patients with cluster headache.[원문 보기 클릭]
한음 ㆍ 2024.03.22 ㆍ 추천 0 ㆍ 조회 178
A Case of Korean Medicine Treatment for a Patient with Somatic Symptom Disorder Hospitalized ...
초록 Objectives: The purpose of this study was to report the effect of Korean medicine treatment on a patient with somatic symptom disorder hospitalized after a traffic accident. Methods: The subject for this study was a patient diagnosed with somatic symptom disorder that worsened after a traffic accident. During hospitalization, herbal medicine, acupuncture, psychotherapy, and other treatments were performed. Clinical effect was evaluated using Heart Rate Variability (HRV), BDI (Beck Depression Inventory)-II, BAI (Beck Anxiety Inventory), Global assessment (G/A), and Numerical rating scale (NRS). Results: After 36 days of treatment, BDI-II score was reduced from 17 to 5. BAI score was reduced from 23 to 8. Overall somatic symptoms and pain showed decreases. Conclusions: Korean medicine treatment might be effective for somatic symptom disorder that is worsened after a traffic accident.[원문 보기 클릭]
한음 ㆍ 2024.03.22 ㆍ 추천 0 ㆍ 조회 174
자율신경실조증 한의표준임상진료지침 개발을 위한 한의임상 실태조사
초록 Objectives: The study aimed to understand the current treatment patterns in Korean medicine to develop clinical practice guidelines for autonomic dysfunction in Korean medicine. Methods: This study sent an online survey vai text message to 25,900 Korean medicine doctors whose contact information was registered with the Association of Korean Medicine. A total of 1,410 Korean medical doctors completed the online survey. Results: When autonomic treating dysfunction clinically, 77% of the cases included only a description without entering a diagnosis code. The most commonly used information to diagnose o autonomic dysfunction was history-taking and symptoms (79%), and the main symptoms of autonomic dysfunction were palpitations, dizziness, sleeping difficulties, anxiety/nervousness, and depression/lethargy. The most frequently mentioned cause of autonomic dysfunction was mental problems (54%). The most commonly used Korean medicine treatment method for autonomic dysfunction was herbal medicine (70%), and Soyo-san/Gamisoyo-san is the most frequently used herbal medicine preparation. Liver qi depression used to indicate the most often mentioned Korean medicine pattern identification used to indicate autonomic dysfunction (31%). When asked whether cardiac neurosis in Chinese medicine can be considered autonomic dysfunction, opinions for and against it are determined almost equally. Conclusions: Our results serve are a foundation for developing clinical...
한음 ㆍ 2024.03.22 ㆍ 추천 0 ㆍ 조회 177
뇌전증의 한의학적 임상치료 국내 연구 동향 분석
초록 Objectives: To review research trends in the treatment of epilepsy with Traditional Korean Medicine. Methods: Thirteen studies were selected by searching OASIS, RISS, SIENCEON, KISS, KoreaMed, and KMBASE from 2000.01.01 to 2021.08.28. Results: Studies were analyzed by year, format, publication site, age of patient, treatment method, follow- up study, herbal treatment, acupuncture, and limitations. Analysis confirmed that oriental medical treatment was sufficiently effective in relieving symptoms of epilepsy. Conclusions: Acupuncture and herbal medicine could be considered to relieve symptoms of epilepsy. However, due to some limitations in those studies, more in-depth and broader research is needed in the future.[원문 보기 클릭]
한음 ㆍ 2024.03.22 ㆍ 추천 0 ㆍ 조회 176
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