Tuberculosis and Respiratory Diseases

The Korean Academy of Tuberculosis and Respiratory Diseases (대한결핵및호흡기학회)
권호 표지

The Current Status of Complementary-Alternative Medicine for Asthmatics in Korea : Experience in One Tertiary Care Hospital

한 대학병원에서의 천식환자의 대체-보완의료의 실태와 경향

  • Hwang, Bo Young (Division of Pulmonology, Kyung Hee University College of Medicine) ;
  • Park, Mi Na (Division of Pulmonology, Kyung Hee University College of Medicine) ;
  • Choi, Hye Sook (Division of Pulmonology, Kyung Hee University College of Medicine) ;
  • Choi, Cheon Woong (Division of Pulmonology, East-West Neomedical Center) ;
  • Yoo, Ji Hong (Division of Pulmonology, East-West Neomedical Center) ;
  • Kang, Hong Mo (Division of Pulmonology, Kyung Hee University College of Medicine) ;
  • Park, Myung Jae (Division of Pulmonology, Kyung Hee University College of Medicine)
  • 황보영 (경희대학교 의과대학 내과학교실 호흡기내과) ;
  • 박미나 (경희대학교 의과대학 내과학교실 호흡기내과) ;
  • 최혜숙 (경희대학교 의과대학 내과학교실 호흡기내과) ;
  • 최천웅 (동서신의학병원 호흡기내과) ;
  • 유지홍 (동서신의학병원 호흡기내과) ;
  • 강홍모 (경희대학교 의과대학 내과학교실 호흡기내과) ;
  • 박명재 (경희대학교 의과대학 내과학교실 호흡기내과)
  • Received : 2006.08.23
  • Accepted : 2006.09.19
  • Published : 2006.10.30
Download PDF
⟨ Previous Next ⟩

Abstract

Background: There has no known epidemiologic survey on the frequency of complementary-alternative medicine (CAM) use in the treatment of adult asthma in Korea. This study examined the current use of CAM by asthma patients in Korea. Methods: One hundred adults with asthma, who had been admitted to Kyunghee university hospital between January 2000 and December 2003, were enrolled in this survey. They received a structured questionnaire interview and a clinical assessment of prevalence and pattern of CAM use. Results: 53% patients had an experience of at least one type of CAM during their asthma management. Users of CAM had more hospital visits than those who had never used CAM($1.46{\pm}0.68$ vs. $2.11{\pm}1.20$, p=0.001). Those in their $50^{th}$ decades had more experience of CAM (80%) than the other age groups. The methods of CAM used by our patients are as follows: Diet/nutritional therapy in 35 patients(69%), herbal therapy in 28 patients(53%), acupuncture in 9 patients(17%), moxa treatment in 6 patients(11%), breathing exercises in 1 patient(2%). Conclusions: More than 50% of patients with bronchial asthma have used CAM. A more detailed and large scaled study will be needed to define the actual status of the use of CAM in the treatment for asthma. Inaddition, further research on the scientific validation of the clinical efficacy of CAM in asthma management should be followed.

연구배경: 우리나라에서 대체-보완의료가 기관지천식의 환자에서 광범위하게 사용되어지리라고 추측되고 있다. 그러나 우리나라 성인천식환자에서의 대체-보완의료의 실태는 아직 보고된 바가 없다. 이 연구는 우리나라의 성인천식환자에 있어서 대체-보완의료의 사용실태와 경향을 알아보고자 시행하였다. 방 법: 2000년 1월부터 2003년 12월까지 경희대병원에 1회 이상 입원한 병력이 있는 천식 환자를 대상으로 하였으며 설문조사 연구에 동의하는 환자 100명에게 직접면담 하거나 전화를 통해 설문조사를 시행했다. 환자들의 병력은 병록지를 참고로 조사하였다. 결 과: 조사환자 100명 중 53명이 대체-보완 의료를 경험하였다. 환자가 치료받은 병원 수가 많을수록 대체-보완의료를 경험한 횟수가 많았으며, 연령 별로는 50대가 가장 많이 대체-보완의료를 경험하였다. 흔히 사용한 대체-보완의료의 종류는 음식 및 건강식품이 35명으로 가장 많았다. 그 다음으로 약초가 28명, 침 요법이 9명, 쑥뜸요법이 6명, 그리고 호흡운동이 1명이었다. 결 론: 연구에 참여한 천식환자의 절반이상(53%)에서 대체-보완의료를 경험하였다. 향후 천식치료에 있어 한방 및 대체-보완의료에 대한 실태와 임상적 유용성에 대한 추가적인 연구가 필요할 것으로 보인다.

Keywords

References

  1. National Heart, Lung and Blood Institute/ World Health Organization. National Heart, Lung and Blood Institute/ World Health Organization workshop report: Global Strategy for Asthma Management and Prevention (revised 2003). Avail from: url: http://www.ginasthmaginasthma. com
  2. Ng TP, Wong ML, Hong CY, Koh KT, Goh LG. The use of complementary and alternative medicine by asthma patients. QJM 2003:96:747-54 https://doi.org/10.1093/qjmed/hcg121
  3. Ziment I, Tashkin DP. Alternative medicine for allergy and asthma. J Allergy Clin Immunol 2000:106:603-14 https://doi.org/10.1067/mai.2000.109432
  4. Blank PD, Trupin L, Earnest G, Katz PP, Yelin EH, Eisner MD.Alternative therapies among adults with a reported diagnosis of asthma or rhinosinusitis: data from a population-based survey. Chest 2001:120: 1461-7 https://doi.org/10.1378/chest.120.5.1461
  5. Ernst E. Complementary therapies for asthma: what patients use. J Asthma 1998:35:667-71 https://doi.org/10.3109/02770909809048969
  6. Schafer T, Riehle A, Wichmann HE, Ring J. Alternative medicine in allergies: prevalence, pattern of use, and costs. Allergy 2002;57:694-700 https://doi.org/10.1034/j.1398-9995.2002.23469.x
  7. McCarney RW, Brinkhaus B, Lasserson TJ. Acupuncture for chronic asthma. Cochrane Database Syst Rev 2004:(1);CD000008
  8. Holloway E, Ram FS. Breathing exercises for asthma. Cochrane Database Syst Rev 2004:(1):CD001277
  9. Lai X, Li Y, Fan Z, Zhang J, Liu B. An analysis of therapeutic effect of drug acupoint application in 209 cases of allergic asthma. J Tradit Chin Med 2001:21:122-6
  10. Graham DM, Blaiss MS. Complementary/alternative medicine in the treatment of asthma. Ann Allergy Asthma Immunol 2000:85:438-47 https://doi.org/10.1016/S1081-1206(10)62569-0
  11. Camargo CA Jr, Richardson LD. Epidemiology of asthma. In; Brenner BE, ed. Emergency asthma. New York: Marcel Dekker:1999. p. 59-80
  12. Ninan TK. Rusell G. Respiratory symptoms and atopy in Aberdeen school children: evidence from two surveys 25 years apart. BMJ 1992:304:873-5 https://doi.org/10.1136/bmj.304.6831.873
  13. Korean Institute for Health and Social Affairs. Prevalence of asthma study group in Korea. Korean J Med 2001:60:196-205
  14. Lee HB. Alternative and complement therapies for asthma. Pediatr Allergy Respir Dis 2002:12:247-52
  15. Vincent C, Furnham A. Why do patients turn to complementary medicine?: an empirical study. Br J Clin Psychol 1996:35:37-48 https://doi.org/10.1111/j.2044-8260.1996.tb01160.x
  16. Astin JA. Why patients use alternative medicine: results of a national study. JAMA 1998:279:1548-53 https://doi.org/10.1001/jama.279.19.1548
  17. Gyorik SA, Brutsche MH. Complementary and alternative medicine for bronchial asthma: is there new evidence? Curr Opin Pulm Med 2004:10:37-43 https://doi.org/10.1097/00063198-200401000-00007
  18. Martin J, Donaldson AN, Villarroel R, Parmar MK, Ernst E, Higginson IJ. Efficacy of acupuncture in asthma: systematic review and meta-analysis of published data from 11 randomised controlled trials. Eur Respir J 2002:20:846-52 https://doi.org/10.1183/09031936.02.00078702
  19. Shapira MY, Berkman N, Ben-David G, Avital A, Bardach E, Breuer R. Short-term acupuncture therapy is of no benefit in patients with moderate persistent asthma. Chest 2002:121:1396-400 https://doi.org/10.1378/chest.121.5.1396
  20. Huntley A, Ernst E. Herbal medicines for asthma: a systematic review. Thorax 2000:55:925-9 https://doi.org/10.1136/thorax.55.11.925
  21. Linde K, Clausius N, Ramirez G, Melchart D, Eitel F, Hedges LV, et al. Are the clinical effects of homeopathy placebo effects-: a meta-analysis of placebocontrolled trials. Lancet 1997:350:834-43 https://doi.org/10.1016/S0140-6736(97)02293-9
  22. Blanc PD, Kuschner WG, Katz PP, Smith S, Yelin EH. Use of herbal products, coffee or black tea, and over-the-counter medications as self-treatments among adults with asthma. J Allergy Clin Immunol 1997:100:789-91 https://doi.org/10.1016/S0091-6749(97)70275-6
  23. Schafer T. Epidemiology of complementary alternative medicine for asthma and allergy in Europe and Germany. Ann Allergy Asthma Immunol 2004:93: S5-10 https://doi.org/10.1016/S1081-1206(10)61481-0
  24. Sommer JH, Burgi M, Theiss R. A randomized experiment of the effects of including alternative medicine in the mandatory benefit package of health insurance funds in Switzerland. Complement Ther Med 1999:7:54-61 https://doi.org/10.1016/S0965-2299(99)80083-1