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의 · 한 협진 병원 인증 모형 개발을 위한 탐색적 연구
김남권(NamKwen Kim),이혜윤(Hye-Yoon Lee),공나경(Na-Gyeong Gong),조민경(Min-Kyoung Cho) 한국데이터정보과학회 2021 한국데이터정보과학회지 Vol.32 No.4
본 연구의 목적은 한국의 의 · 한 협진 2단계 시범사업에 참여한 의료기관을 대상으로 협진에 영향을 미치는 일반적 특성과 요인들을 분석하기 위함이다. 연구 대상 자료는 2단계 의 · 한 협진 시범사업 기간 동안 참여하는 의료기관으로부터 수집하였다. 기관의 일반적인 특성과 협진 관련 특성을 살펴보았고, 특성들과 협진 우수기관 간 관계를 알아보았다. 협진 참여 기관의 일반적 특성 중 민간 의료기관, 기관 내 협진, 비수도권 지역이 각각 국공립 의료기관, 기관 간 협진, 수도권 지역에 비해 빈도수가 높게 나타났다. 기관의 협진 관련 특성 중에서는 대면 협진, 4시간 이내의 협진 응답 기간이 높았다. 협진 우수기관에 유의한 영향을 미치는 요인으로는 협진 소요 시간 (4시간 이내)과 병원 규모 (병상 수와 의료인 수)로 분석되었다. 협진 만족도와 병원 규모 간 관계는 의료기관 특성 등 변수들을 보정한 상태에서 위계적 회귀분석을 통해 분석하였다. 분석 결과, 340 이하의 병상 수와 협진 만족도 간 양의 상관관계를 보였으며, 340 병상 이상의 병상 수와는 음의 상관관계를 나타내었다. 이러한 결과는 향후 의 · 한 협진병원 인증모형을 개발하기 위한 사전 연구로 활용될 것이다. The objective of this study is conducted to analyze the general characteristics and factors affecting Western medicine and Korean medicine collaboration among the participating hospitals of 2nd stage western medicine and Korean medicine collaboration pilot project in Korea. Data are collected from survey of participating hospitals during the 2nd stage pilot project period. We analyzed estimated descriptive statistics of general and collaboration-related hospital characteristics, and examined the relationships between the characteristics and hospital accreditation regarding collaboration. In general characteristics, private institutions, intra-collaboration, non-capital region factors were higher than national institutions, inter-collaboration, capital region factors. In collaboration-related characteristics, face to face collaboration and collaboration operating time under 4 hours were higher. Factors affecting the accreditation were estimated as collaboration operating time (under 4 hours) and hospital size (beds and numbers of doctors). The relationship between the satisfaction of collaboration and hospital size was analyzed using hierarchical regression analyses adjusting confounders. We found that the positive relationship between satisfaction and hospital size under 340 hospital beds and negative relationship over 340 hospital beds. These results would be used as the prior study for developing accreditation model of Western medicine and Korean medicine collaboration in the future study.
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한방 치료로 고안드로겐혈증을 개선한 다낭성 난소 증후군 연속증례연구
신혜규 ( Haegue Shin ),배지용 ( Ji-yong Bae ),지영근 ( Young-geun Ji ),안해인 ( Hae In Ahn ),윤영흠 ( Youngheum Yoon ),김남권 ( Namkwen Kim ) 대한한방부인과학회 2021 大韓韓方婦人科學會誌 Vol.34 No.3
Objectives: This study aims to analyze the medical record of eight cases of polycystic ovary syndrome (PCOS) in a local Korean medicine clinic, in order to provide evidence on Korean medicine treatment of PCOS and to suggest the direction of future studies. Methods: The medical records of eight cases diagnosed with PCOS based on 2003 Rotterdam Criteria and whose total testosterone level was 0.53 ng/ml and over were retrospectively analyzed. The primary outcome was total testosterone level, and the secondary outcomes included luteinizing hormone (LH) and follicle stimulating hormone (FSH) levels, LH/FSH ratio, weight, last mentrual period (LMP), numerical rating scale (NRS) score of dysmenorrhea, and other associated symptoms pre- and post-treatment. Korean medicine treatment consists of the complex herbal prescription consisting of Yukmijihwang-tang, Baekho-tang, Daesiho-tang, and Gyejibokryeong-hwan, modified according to symptoms; acupuncture and electroacupuncture on 中脘(CV12), 下脘(CV10), 關元(CV4), 石門(CV5), 合谷(LI4), 太衝(LR3), 三陰交(SP6), and 懸鍾(GB39); and indirect moxibustion on 神闕(CV8). Results: The average total testosterone level lowered statistically significantly after the treatment. The average FSH and LH levels lowered with insignificance, while the average LH/FSH ratio and weight lowered statistically significantly. During the treatment period of three to six months, every patient had the menstrual cycle shortened except for one case; and two cases with infertility problem succeeded in being pregnant. There was no adverse event. Conclusions: The Korean medicine treatment was found effective in treating PCOS, especially regarding hyperandrogenism, amenorrhea or oligomenorrhea, and infertility.
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추나요법을 포함한 한의학적 치료로 호전된 드퀘르벵 건초염 2예: 초음파 전후 관찰 비교
배준형 ( Jun-hyeong Bae ),이성준 ( Sung Joon Lee ),변상현 ( Sang Hyun Byun ),안해인 ( Hae In Ahn ),김남권 ( Namkwen Kim ) 한방재활의학과학회 2021 한방재활의학과학회지 Vol.31 No.4
This study reports the effectiveness of Korean medicine and Chuna manual therapy on patients with De Quervain’s tenosynovitis. Two patients were treated with Chuna manual therapy, electro-acupuncture, moxibustion therapy. We used numeric rating scale (NRS), Finkelstein’s test, sonography to measure changes during treatment. After each treatment, NRS, Finkelstein’s test, sonography outcome were improved. Korean medicine including Chuna manual therapy can be effectively used to improve De Quervain’s tenosynovitis. This study may suggest that korean medicine including Chuna manual therapy can be effective for De Quervain’s tenosynovitis. (J Korean Med Rehabil 2021;31(4):211-219)
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