대한한방소아과학회지 (The Journal of Pediatrics of Korean Medicine)

  • 제35권1호
  • /
  • Pages.63-75
  • /
  • 2021
  • /
  • 1226-8038(pISSN)
  • /
  • 2287-9463(eISSN)
대한한방소아과학회 (The Association of Korean Oriental Pediatrics)
권호 표지
DOI QR코드

DOI QR Code

연령과 사상체질에 따른 개인건강기록(PHR)에 기반한 아토피피부염 환자의 특성

Characteristics of Atopic Dermatitis Patients Based on Personal Health Records (PHR) according to Age and Sasang Constitution

  • 오진아 (한국건강증진개발원 통합건강팀) ;
  • 성현경 (세명대학교 한의과대학 한방소아과) ;
  • 고호연 (세명대학교 한의과대학 한방내과) ;
  • 신미란 (세명대학교 한의과대학 사상체질의학과)
  • Oh, Jin-Ah (Dept. of Integrative Health Promotion Team, Korea Health Promotion Institute) ;
  • Sung, Hyun-Kyung (Dept. of Pediatrics, College of Korean Medicine, Semyung University) ;
  • Go, Ho-Yeon (Dept. of Internal Medicine, College of Korean Medicine, Semyung University) ;
  • Shin, Mi-Ran (Dept. of Sasang Constitutional medicine, College of Korean Medicine Semyung University)
  • 투고 : 2021.01.11
  • 심사 : 2021.02.22
  • 발행 : 2021.02.28
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Objectives The purpose of this study is to identify the characteristics of atopic dermatitis patients based on the personal health records (PHR) according to age and Sasang Constitution, and to find basic data for daily life management using the personal health record. Methods We analyzed the characteristics of atopic dermatitis patients based on PHR (symptoms, emotional state, SCORAD Index, five viscera weakness questionnaire, etc.), and Sasang Constitution collected for 6 weeks in 34 patients (or guardians). Results Each item of the SCORAD Index score in children and adolescents showed that children and adolescents have significantly higher edema than adults. However, repeated measurement of the SCORAD Index showed a significant positive improvement over time regardless of age and constitution. In terms of the symptoms of atopic dermatitis, there was a significant correlation between age and swelling, quality of life and effusion, pruritus (itch) and sleep disturbance in relation to the general characteristics of the subject. In the five visceral weakness scores, adults had significantly higher spleen weakness, liver weakness, kidney weakness scores than in children and adolescents. All results showed a high tendency to have a high lung weakness score, which was more pronounced in children and adolescents. Conclusion This study is meaningful to confirm the correlation between SCORAD Index items related to the symptoms of atopic dermatitis, and to identify trends for specific items by ages and Sasang Constitution.

키워드

참고문헌

  1. Ann SG, Park BD, Won JH, Sung YO, Chun SH. Atopic Dermatitis. Seoul. PACIFIC. 2007:14-9, 118.
  2. So ES, Yeo JY. Relationship between Health Status and Life Styles and Atopic Dermatitis. J Korean Acad Child Health Nurs. 2012;18(3):143-9. https://doi.org/10.4094/jkachn.2012.18.3.143
  3. Yu SM, Yun YH, Son BK, Choi IH. 6 Cases of Atopic Dermatitis patientsfor Short Term Hospitalization Program. The Journal of Korean Oriental Medical Ophthalmology & Otolaryngology & Dermatology. 2009;22(1):219-36.
  4. Park ES. A Study for Role and Effects of Atopic Dermatitis Care Program with Korean Medicine in Public Health Center. J Korean Oriental Medicine. 2013;34(1):146-59. https://doi.org/10.3904/kjim.2016.298
  5. Sung HK, Seo KS, Son CG. A Observational Study on Children with Atopic Dermatitis in Atopic-Free Village. J Pediatr Korean Medicine. 2014;28(1):1-6. https://doi.org/10.7778/jpkm.2014.28.1.001
  6. Park SG, Noh HM, Jo EH, Park MC. A Study on Mental Health Analysis of Atopic Children and Awareness Improvement through Atopic Education. The Journal of Korean Oriental Medical Ophthalmology & Otolaryngology & Dermatology. 2017;30(2):51-85.
  7. Seo JS, Kim AN, Kim SH, Lee SH, Nam BR, Jang HC. Study on Korean Medicine Personal Health Record Platform. J Physiol Pathology Korean Med. 2016;30(6):458-65. https://doi.org/10.15188/kjopp.2016.12.30.6.458
  8. Bodenheimer T, Lorig K, Holman H, Grumbach K, Patient self-management of chronic disease in primary care. JAMA. 2002;288(19):2469-75. https://doi.org/10.1001/jama.288.19.2469
  9. Fernandez-Llatas C, Martinez-Romero A, Bianchi AM, Henriques J, Carvalho P, Traver V. Challenges in personalized systems for Personal Health Care. 2016 IEEEEMBS International Conference on Biomedical and Health Informatics(BHI). 2016:356-9.
  10. Lee SH, Kim AN, Jang HC, Jeong MJ. Study on Weak Children Information Collection Using Personal Health Record(PHR). J Pediatr Korean Med. 2017;31(3):46-63. https://doi.org/10.7778/jpkm.2017.31.3.046
  11. Kim YE, Kim AN, Lee DH, Park MC, Son MJ, Jang HC. A survey research to develope a personal health record application for atopic dermatitis in Korean medicine. The Journal of Korean Oriental Medical Ophthalmology & Otolaryngology & Dermatology. 2016;29(3):1-13.
  12. Nam BR, Kim YE, Kim AN, Lee SH, Kim IT, Jang HCH. The Utilization of Environmental Factors of Personal Health Record Service for Atopic Dermatitis Management. J Knowledge Information Technology and Systems. 2017;12(6):925-36. https://doi.org/10.34163/jkits.2017.12.6.014
  13. Yun YH, Ahn JH, Lee BR, Kim HH, Jung WM, Jang BH, Ko SG. The Status of Mobile Personal Health Records of Atopic Dermatitis : An evaluation of features and functionality. Kor J Oriental Preventive Medical Society. 2015;19(2):103-12.
  14. Kim AN, Jang HC, Ieong MJ. Study on Weak Children Information Collection Using Personal Health Record (PHR). J Pediatr Korean Med. August, 2017;31(3):46-63. https://doi.org/10.7778/jpkm.2017.31.3.046
  15. Seo JS, Kim YE, Lee SH, Kim AN, Nam BR, Jang HC. Study on Development a Personal Health Record Application of Atopic Dermatitis in Korean Medicine. The Journal of Korean Oriental Medical Ophthalmology & Otolaryngology & Dermatology. 2019;32(1):32-41.
  16. Jeong MJ, Lim JH, Hwang BM, Yun YJ, Kim KB. Set the cut off values for diagnosing heart weak children; by using K-CBCL total behavior problems score. J Pediatr Korean Med. 2010;24(3):58-67.
  17. Lee SH, Kim AN, Jang HCH, Jeong MJ. Study on Weak Children Information Collection Using Personal Health Record (PHR). J Pediatr Korean Med. August, 2017;31(3):46-63. https://doi.org/10.7778/jpkm.2017.31.3.046
  18. Kim HJ. Analysis of Atopic Dermatitis Patients according to the Sasang Constitution. The Journal of Korean Oriental Medical Ophthalmology & Otolaryngology & Dermatology. 2003;16(3):200-9.
  19. GU DM. A Clinical study on Sasang Constitutional Medicine on the treatment of Atopic Dermatitis. J of Sasang Constitutional Medicine. 2002;14(2):69-77.
  20. Lim JH, Lee EJ, Koh BH. A Study on the Characteristics of Atopic Dermatitis According to Sasang Constitutions. J of Sasang Constitutional Medicine. 2008;20(1):67-88.
  21. Shim WH, Song CH, Park HJ, Kim HS, Chin HW, Kim SH, Ko HC, Kim MB, Kim DW, Kim BS. Clinical Characteristics of Itch in Patients with Adult and Childhood Atopic Dermatitis, Korean Journal of Dermatology, 2011;49(4):318-27.
  22. Lee NR, Ahn SK. Comparison of MAST-CLA System Results between Children and Adults with Atopic Dermatitis, Korean Journal of Dermatology, 2014;52(11):769-75.
  23. Lee SW, Cheong SH, Choi YW, Myung KB, Choi HY, Patch Test in Children: Common Allergens and Comparison with Adult Group.2012;50(1):18-24.
  24. Jin QY.Lee JY . Research Trends of the Traditional Korean Medicine Treatment for Atopic Dermatitis-Based on the Journal of Pediatrics of Korean Medicine. J Pediatr Korean Med. 2017;31(1):25-42. https://doi.org/10.7778/jpkm.2017.31.1.025