인지 장애 진단ㆍ평가ㆍ분석을 위한 생체신호 장비 개발에 대한 수요조사: 한방신경정신과학회 회원들을 대상으로 = Survey for Needs of Bio-Signal Devices for the Diagnosis, Assessment, or Analysis of Neurocognitive Disorder in Korean Society of Oriental Neuropsychiatry

다국어 초록 (Multilingual Abstract)

Objectives: The purpose of this study was to identify the needs of bio-signal devices for the diagnosis, assessment, and analysis of neurocognitive disorder in Korean medicine (KM) hospitals and clinics.Methods: A questionnaire was developed to survey the current status of medical device use, and diag-nosis and interventions for patients with cognitive disorders in KM hospitals and clinics. November 11∼December 2, 2019, 114 responses (71.9% completed) were collected by internet-based ques-tionnaires from the members of the Korean society of Oriental Neuropsychiatry.Results: The clinical requests were in the descending order of hematology analyzer, ultrasound imag-ing system, and electroencephalography among the 15 most commonly used devices of which re-search would support for their clinical usability. The biosignal-based devices showed the highest re-search demands for patients with mild cognitive impairment rather than more severe stages of cogni-tive impairment. Prevention rather than diagnosis, or several treatment regimens was the strongest clinical area of the KM for patients with neurodegenerative cognitive impairment. Many responded that five to 10 minutes of test duration and 20,000 won to 30,000 won of cost would be appropriated for a new device to be developed.Conclusions: There were strong demands for the development of bio-signal devices for neurocognitive disorders among the KM doctors. Specifically, it showed high needs for the technology that can be used in the prevention area of cognitive disorders. Additionally, new medical devices to assess cogni-tive functions and to obtain KM pattern-related information were the high needs.

참고문헌 (Reference)

1 이고은, "한의학 병리적 노화 척도와 치매 한의학적 변증진단 개발 및 신뢰도 평가" 대한한의학회 38 (38): 111-123, 2017

2 여민경, "한열변증의 국내 임상연구 동향 분석 – 일반인의 정량지표를 중심으로" 한의병리학회 31 (31): 145-152, 2017

3 남동현, "한방의료기기 사용 현황 및 개발 수요에 대한 조사 연구" 대한한의학회 34 (34): 69-79, 2013

4 김지혜, "한방의료기기 개발 수요에 대한 조사연구" 대한한의학회 35 (35): 103-115, 2014

5 박요한, "한방의료기관 의료기기 보유 현황에 대한 조사 연구" 대한한의학회 32 (32): 79-91, 2011

6 이승기, "한방신경정신과 영역에서 진단기기의 활용 현황" 대한한방신경정신과학회 23 (23): 1-10, 2012

7 김지혜, "한방 의료기관의 의료기기 보유현황 및 한방의료기기의 문제점과 개선방안에 대한 조사 연구" 한의병리학회 28 (28): 430-439, 2014

8 이정배, "한국 치매 환자의 건강보험 의ㆍ한의 진료 비용에 관한 연구" 대한한방신경정신과학회 30 (30): 31-38, 2019

9 서영경, "치매, 경도인지장애의 한의진료 현황, 진단 및 치료에 대한 한의사의 인식도 조사 연구 - 한방신경정신과 전문의와 일반의의 차이를 중심으로 -" 대한한방신경정신과학회 28 (28): 263-274, 2017

10 류창희, "치매 한의 평가도구 개발을 위한 기초 연구" 대한한방신경정신과학회 21 (21): 123-135, 2010

11 이지윤, "인지장애 변증평가도구의 신뢰도와 타당도 평가: 임상연구 프로토콜" 대한한방신경정신과학회 29 (29): 255-266, 2018

12 이채원, "양도락(良導絡) 진단 연구 방법론에 관한 문헌 고찰" 대한한의학회 35 (35): 1-14, 2014

13 김수병, "동일 경락상의 요혈(要穴)에서 체표 에너지 분포도 분석" 경락경혈학회 26 (26): 1-11, 2009

14 김소연, "기능성 소화불량증에서 위운동성 장애 진단을 위한 양도락 지표 연구" 대한한방내과학회 29 (29): 401-412, 2008

15 오승국, "교육요구 우선순위 결정을 위하여 설문조사를 이용하는 기존 방법 보완 연구" 교육문제연구소 27 (27): 77-98, 2014

16 남봉현, "경락 전위를 이용한 경락의 생체물리학적 연구" 경락경혈학회 19 (19): 1-12, 2002

17 허은정, "痴呆의 寒熱虛實 辨證을 위한 지표 문항 개발에 관한 기초 연구" 한의병리학회 27 (27): 553-562, 2013

18 Sachs-Ericsson N, "The new DSM-5 diagnosis of mild neurocognitive disorder and its relation to research in mild cognitive impairment" 19 (19): 2-12, 2015

19 Na SK, "Science &engineering in medicine" SangHakDang 2009

20 Choi JM, "Resting-state prefrontal EEG biomarkers in correlation with MMSE scores in elderly individuals" 9 (9): 1-15, 2019

21 Scuteri A, "Pulse wave velocity as a marker of cognitive impairment in the elderly" 2014

22 The Society of Korean Medicine Diagnostics, "Practice in Diagnostics of Korean Medicine" Koonja 178-205, 2012

23 Cova I, "Nutritional status and body composition by bioelectrical impedance vector analysis : A cross sectional study in mild cognitive impairment and Alzheimer’s disease" 12 (12): 2017

24 Choi SH, "Korean Medicine" BigBook 2016

25 "Korean Medical Standard Terminology"

26 Crutcher MD, "Eye tracking during a visual paired comparison task as a predictor of early dementia" 24 (24): 258-266, 2009

27 김현호, "Development of pulse diagnostic devices in Korea" 한국한의학연구원 2 (2): 7-17, 2013

28 Tschanz J, "Conversion to dementia from mild cognitive disorder : the Cache County Study" 67 (67): 229-234, 2006

29 Kim H, "Cognitive improvement effects of electro-acupuncture for the treatment of MCI compared with Western medications: a systematic review and Meta-analysis" 19 (19): 13-, 2019

30 Bae JH, "Circadian variations in electric current responses at ryodoraku points across the waking stage: A prospective observational study" 98 (98): 2019

31 Russ TC, "Cholinesterase inhibitors for mild cognitive impairment" 2012

32 Masoodi N, "Cholinesterase inhibitors do not reduce progression to dementia from mild cognitive impairment" 158 (158): JC2-JC3, 2013

33 Dong L, "Chinese Herbal Medicine for Mild Cognitive Impairment Using Montreal Cognitive Assessment : A Systematic Review" 25 (25): 578-592, 2019

34 Li XT, "An approach to the nature of Qi in TCM-Qi and bioenergy" 79-108, 2012

35 Borich GD, "A needs assessment model for conducting follow-up studies" 31 (31): 39-42, 1980