DOI QR코드

DOI QR Code

Hip and Finger Degenerative Arthritis Case Series Protocol for Applying Korean Medicine Clinical Pathway

퇴행성관절염(고관절, 수지관절염) 한의표준임상경로 적용연구 프로토콜

  • Suzy Han (Department of Sasang Constitutional Medicine, College of Korean Medicine, Sangji University) ;
  • Yejin Hong (Department of Acupuncture & Moxibustion, College of Korean Medicine, Kyunghee University) ;
  • Dongwoo Nam (Department of Acupuncture & Moxibustion, College of Korean Medicine, Kyunghee University) ;
  • Jeongrok Kim (Department of Acupuncture & Moxibustion, College of Korean Medicine, Kyunghee University) ;
  • Changwoo Seon (Department of Acupuncture & Moxibustion, College of Korean Medicine, Sangji University) ;
  • Seojeong Ha (Department of Acupuncture & Moxibustion, College of Korean Medicine, Sangji University) ;
  • Minjeong Kim (Department of Acupuncture & Moxibustion, College of Korean Medicine, Sangji University)
  • 한수지 (상지대학교 한의과대학 사상체질의학교실) ;
  • 홍예진 (경희대학교 한의과대학 침구의학교실) ;
  • 남동우 (경희대학교 한의과대학 침구의학교실) ;
  • 김정록 (경희대학교 한의과대학 침구의학교실) ;
  • 선창우 (상지대학교 한의과대학 침구의학교실) ;
  • 하서정 (상지대학교 한의과대학 침구의학교실) ;
  • 김민정 (상지대학교 한의과대학 침구의학교실)
  • Received : 2024.02.24
  • Accepted : 2024.02.28
  • Published : 2024.03.27

Abstract

Objectives : The aim of this study is to set out case series study protocol to complete clinical pathway (CP) of hip and finger degenerative arthritis by applying CP, based on Korean medicine clinical practice guideline developed by clinical experts, to clinical field. Methods : The treatments included Manual acupuncture, acupoint injection, electroacupuncture, laser acupuncture, cupping, moxibustion, chuna, and physiotherapy. They were conducted in the 2nd week of admission and 4th week of out patient department (OPD) days. We carried out 10-point Likert scale questionnaires on the clinical usefulness and the satisfaction of patients and staff after applying CP. Appropriateness and improvement on patients were conducted using a 10-point Likert scale. An open-ended questionnaire was also conducted to ask if there was any requirement to be added. Results : In past research studies, there were no related studies about Korean medicine CP on hip and finger degenerative arthritis. Final version of CP is going to be completed based on the questionnaire. Conclusions : This evidence-based case series study protocol is expected to contribute development of hip and finger degenerative arthritis.

Keywords

Acknowledgement

본 연구는 한국보건산업진흥원의 한의약혁신기술개발사업(근거기반 지침개발) 지원에 의하여 이루어진 것임(HF21C0127).

References

  1. Lawal AK, Rotter T, Kinsman L, Machotta A, Ronellenfitsch U, Scott SD, et al. What is a clinical pathway? Refinement of an operational definition to identify clinical pathway studies for a Cochrane systematic review. BMC Med. 2016 ; 14 : 35. https://doi.org/10.1186/s12916-016-0580-z
  2. Coffey RJ, Richards JS, Carl S, LeRoy SS, Schoville RR, Baldwin PJ. An introduction to critical paths. Qual Manag Health Care. 2005; 14(1) : 46-55. https://doi.org/10.1097/00019514-200501000-00006
  3. Lee YS. Research for standardizing quality of healthcare service. Seoul : Boramae Medical Center. 2014 ; 1-173.
  4. Nam HW. Development and applying standards clinical pathway for regional public hospital. Seoul : National Medical Center. 2014 ; 1-312.
  5. Kellgren JH, Lawrence JS. Radiological assessment of osteoarthrosis. Ann Rheum Dis. 1957 ; 16 : 494-502. https://doi.org/10.1136/ard.16.4.494
  6. Bellamy N, Buchanan WW, Goldsmit CH, Campbell J, Stitt LW. Validation study of WOMAC: a health status instrument for measuring clinically important patient relevant outcomes to antirheumatic drug therapy in patients with osteoarthritis of the hip or knee. J Rheumatol. 1988 ; 15 : 1833-40.
  7. Fries JF, Spitz P, Kraines RG, Holman HR. Measurement of patient outcome in arthritis. Arthritis Rheum. 1980 ; 23 : 137-45. https://doi.org/10.1002/art.1780230202
  8. Erjavec K. Team members and patients' views on cost-effectiveness of (integrated) clinical pathway. J of Med Sci. 2022 ; 10(E) : 219-24. https://doi.org/10.3889/oamjms.2022.8049
  9. Wang B, Chen D, Zhou HW, Shi HX, Xie Q. Influence of clinical pathways used the hospitals of traditional Chinese medicine on patients hospitalized with stroke: a systematic review and Metaanalysis. J Tradit Chin Med. 2017 ; 37(2) : 159-64. https://doi.org/10.1016/s0254-6272(17)30039-0
  10. Seon CW, Hond YJ, Park KB, Kim JR, Nam DW, Kim YE, et al. A web-based survey research on clinical practice patterns of Korean medicine treatment for degenerative arthritis of hip and finger joints. J Korean Med. 2022 ; 43(4) : 33-51. https://doi.org/10.13048/jkm.22045