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A Pilot Survey Examining Satisfaction for Integrated Medicine Based on Critical Pathways for Acute Facial Palsy

  • Min-Jung Ko (Department of Acupuncture and Moxibustion Medicine, Kyung Hee University Korean Medicine Hospital at Gangdong) ;
  • Sang-Yeup Chae (Department of Acupuncture and Moxibustion Medicine, Kyung Hee University Korean Medicine Hospital at Gangdong) ;
  • Seungeun Lee (Department of Acupuncture and Moxibustion Medicine, Kyung Hee University Korean Medicine Hospital at Gangdong) ;
  • Dongmin Lee (Department of Acupuncture and Moxibustion Medicine, Kyung Hee University Korean Medicine Hospital at Gangdong) ;
  • Jaeho Song (Department of Clinical Korean Medicine, Graduate School, Kyung Hee University) ;
  • Jinkyung Park (Department of Clinical Korean Medicine, Graduate School, Kyung Hee University) ;
  • Jung-Hyun Kim (Department of Acupuncture and Moxibustion Medicine, Kyung Hee University Korean Medicine Hospital at Gangdong) ;
  • Bonhyuk Goo (Department of Acupuncture and Moxibustion Medicine, Kyung Hee University Korean Medicine Hospital at Gangdong) ;
  • Yeon-Cheol Park (Department of Acupuncture and Moxibustion Medicine, Kyung Hee University Korean Medicine Hospital at Gangdong) ;
  • Byung-Kwan Seo (Department of Acupuncture and Moxibustion Medicine, Kyung Hee University Korean Medicine Hospital at Gangdong) ;
  • Yong-Hyeon Baek (Department of Acupuncture and Moxibustion Medicine, Kyung Hee University Korean Medicine Hospital at Gangdong) ;
  • Sang-Soo Nam (Department of Acupuncture and Moxibustion Medicine, Kyung Hee University Korean Medicine Hospital at Gangdong)
  • Received : 2023.07.21
  • Accepted : 2023.08.09
  • Published : 2023.08.31

Abstract

Background: The incidence of facial palsy has been increasing. Many patients consult both Korean and Western physicians; however, no critical pathway (CP) for facial palsy has been established based on integrated medicine including Korean medicine, Western medicine, and complementary and alternative medicine. Thus, we developed and implemented an integrated CP for patients with acute facial palsy and investigated the satisfaction with CP. Methods: Overall, 20 patients who received treatment following the CP and 20 medical staff members involved in their care responded to a questionnaire survey. The questionnaire was developed based on a review of previous studies and focused on the satisfaction with the CP. Results: Patients' satisfaction score with the integrated CP was ≥ 4.4 for all items using a 5-point Likert-type scale. Smooth and cooperative treatment procedures, time-saving practices, and a clear explanation of the integrated treatment plan were satisfactory factors. Additionally, they preferred incorporating specialized facial massage and receiving education on self-exercise or massage techniques as complementary therapies. The medical staff members expressed a high level of satisfaction with the CP; however, the work division and treatment guidelines must be improved. Conclusion: An integrated CP program for acute facial palsy was implemented, and the satisfaction levels of patients and medical staff members were assessed. The results revealed high levels of satisfaction, and several improvements identified will be incorporated into clinical practice going forward.

Keywords

Acknowledgement

This research was supported by a grant from the Korea Health Technology R&D Project through the Korea Health Industry Development Institute, funded by the Ministry of Health and Welfare, Republic of Korea (grant no. HI20C1405). The funding did not affect the content of the study.

References

  1. Agostini F, Mangone M, Santilli V, Paoloni M, Bernetti A, Saggini R, et al. Idiopathic facial palsy: umbrella review of systematic reviews and meta-analyses. J Biol Regul Homeost Agents 2020;34:1245-1255. doi: 10.23812/20-339-A 
  2. Health Insurance Review & Assessment Service. The number of patients by year when G510 is entered in the disease code inquiry. Disease subdivision (4-tier classification disease) Statistics [Internet]. Wonju: 2023 May 31 [cited 2023 Jul 3]. Available from: https://opendata.hira.or.kr/op/opc/olap4thDsInfoTab1.do 
  3. Finsterer J. Management of peripheral facial nerve palsy. Eur Arch Otorhinolaryngol 2008;265:743-752. doi: 10.1007/s00405-008-0646-4 
  4. Peitersen E. Bell's palsy: the spontaneous course of 2,500 peripheral facial nerve palsies of different etiologies. Acta Otolaryngol Suppl 2002;122:4-30. doi: 10.1080/000164802760370736 
  5. Baugh RF, Basura GJ, Ishii LE, Schwartz SR, Drumheller CM, Burkholder R, et al. Clinical practice guideline: Bell's palsy. Otolaryngol Head Neck Surg 2013;149(3 Suppl):S1-S27. doi: 10.1177/0194599813505967 
  6. Lee JA, Kim JU, Choi J, Jun JH, Choi TY, Yook TH, et al. Clinical practice guidelines of Korean medicine for facial palsy: an evidence-based approach. Eur J Integr Med 2016;8:176-181. doi: 10.1016/j.eujim.2015.10.009 
  7. Han KI, Shin SH, Lim GM, Lee JH, Ko YS. Reviewing research of Eastern-Western integrative medicine studies in Korea. J Korean Med Rehabil 2018;28:53-60. doi: 10.18325/jkmr.2018.28.1.53 
  8. Lee SM, Lee S, Park JH, Park JJ, Lee S. A close look at an integrative treatment package for Bell's palsy in Korea. Complement Ther Clin Pract 2017;26:76-83. doi: 10.1016/j.ctcp.2016.12.003 
  9. Dy SM, Garg P, Nyberg D, Dawson PB, Pronovost PJ, Morlock L, et al. Critical pathway effectiveness: assessing the impact of patient, hospital care, and pathway characteristics using qualitative comparative analysis. Health Serv Res 2005;40:499-516. doi: 10.1111/j.1475-6773.2005.00369.x 
  10. Campbell H, Hotchkiss R, Bradshaw N, Porteous M. Integrated care pathways. BMJ 1998;316:133-137. doi: 10.1136/bmj.316. 7125.133 
  11. Bergman DA. Evidence-based guidelines and critical pathways for quality improvement. Pediatrics 1999;103(1 Suppl E):225-232. doi: 10.1542/peds.103.SE1.225 
  12. Shulkin DJ, Ferniany IW. The effect of developing patient compendiums for critical pathways on patient satisfaction. Am J Med Qual 1996;11:43-45. doi: 10.1177/0885713x9601100107 
  13. Renholm M, Leino-Kilpi H, Suominen T. Critical pathways. A systematic review. J Nurs Adm 2002;32:196-202. doi: 10.1097/00005110-200204000-00008 
  14. Choi HJ, Shin SH. Effects of a facial muscle exercise program including facial massage for patients with facial palsy. J Korean Acad Nurs 2016;46:542-551. doi: 10.4040/jkan.2016.46.4.542 
  15. Pereira LM, Obara K, Dias JM, Menacho MO, Lavado EL, Cardoso JR. Facial exercise therapy for facial palsy: systematic review and meta-analysis. Clin Rehabil 2011;25:649-658. doi: 10.1177/0269215510395634 
  16. Daly RM, Gianoudis J, Hall T, Mundell NL, Maddison R. Feasibility, usability, and enjoyment of a home-based exercise program delivered via an exercise app for musculoskeletal health in community-dwelling older adults: short-term prospective pilot study. JMIR Mhealth Uhealth 2021;9:e21094. doi: 10.2196/21094 
  17. Butow P, Price MA, Shaw JM, Turner J, Clayton JM, Grimison P, et al. Clinical pathway for the screening, assessment and management of anxiety and depression in adult cancer patients: Australian guidelines. Psychooncology 2015;24:987-1001. doi: 10.1002/pon.3920 
  18. Villarreal-Garza C, Ferrigno AS, De la Garza-Ramos C, Vazquez-Juarez D, Moreno-Jaime B, Remolina-Bonilla Y, et al. Effect of receiving a customizable brochure on breast cancer patients' knowledge about their diagnosis and treatment: a randomized clinical trial. Cancer Med 2023;12:15612-15627. doi: 10.1002/cam4.6215