The Journal of Korean Medicine (대한한의학회지)

The Society of Korean Medicine (대한한의학회)
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Development of a Standardized Clinical Pathway in Korean Patients with Gastric Cancer Clinical Application Observational Study

위암 환자의 한의 표준 임상경로(Clinical Pathway) 개발 임상적용 관찰연구

  • Keon-Jun Lee (Department of Oriental Internal Medicine, Pusan National University Korean Medicine Hospital) ;
  • Dong Hyeon Kim (Department of Oriental Internal Medicine, Pusan National University Korean Medicine Hospital) ;
  • Jong-Hee Kim (Department of Korean Medicine, School of Korean Medicine, Daejeon National University ) ;
  • Han-Eum Joo (Department of Korean Medicine, School of Korean Medicine, Daejeon National University) ;
  • Young-Min Cho (Department of Korean Medicine, School of Korean Medicine, Daejeon National University) ;
  • Jung-Hyo Cho (Department of Korean Medicine, School of Korean Medicine, Daejeon National University) ;
  • Ji-Hye Park (Department of Korean Medicine, School of Korean Medicine, Daejeon National University) ;
  • So-Jung Park (Department of Oriental Internal Medicine, Pusan National University Korean Medicine Hospital)
  • 이건준 (부산대학교 한방병원) ;
  • 김동현 (부산대학교 한방병원) ;
  • 김종희 (대전대학교 대전한방병원 한방내과) ;
  • 주한음 (대전대학교 대전한방병원 한방내과) ;
  • 조영민 (대전대학교 대전한방병원 한방내과) ;
  • 조정효 (대전대학교 대전한방병원 한방내과) ;
  • 박지혜 (대전대학교 대전한방병원 한방내과) ;
  • 박소정 (부산대학교 한방병원)
  • Received : 2024.04.19
  • Accepted : 2024.05.07
  • Published : 2024.06.01
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Abstract

Objectives: The objective of this study was to explore the integration of Traditional Korean Medicine (TKM) into existing clinical pathways for the treatment of gastric cancer. focusing on enhancing treatment outcomes and improving patient quality of life. Methods: Employing a prospective observational design, the study targeted adults aged 20-75 diagnosed with gastric cancer. It assessed the TKM pathway's impact on quality of life, tumor markers, complete blood count test values, and patient satisfaction, and monitored adverse reactions to evaluate effectiveness and safety. Results: The study demonstrated improved quality of life(QOL), as indicated by increased Karnofsky Performance Scale(KPS) scores Mean Difference(MD)=20.37, and better quality of life (MD=19.79) assessments. Blood test results showed notable enhancements in immune function markers such as Neutrophil (MD=-7.34%) and Lymphocyte (6.80%), and Erythrocyte Sedimentation Rate (ESR)(MD=-11.05mm/hr). Both patient and medical staff satisfaction (MD=0.33) improved, although changes in tumor markers were not statistically significant. Conclusions: The integration of TKM into the treatment of gastric cancer can significantly improve patient quality of life and satisfaction. To further substantiate these results, developing and implementing more critical pathways across varied clinical settings, along with larger-scaled studies, are essential.

Keywords

Acknowledgement

본 연구는 이 과제는 부산대학교 기본연구지원사업(2년)에 의하여 연구되었음.

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