• Title/Summary/Keyword: 보완 요법

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Neural mechanism of acupuncture therapy for aiding in smoking cessation (금연치료 요법으로의 침 자극에 대한 신경학적 기전)

  • Yeom, Mi-Jung;Lee, Hye-Jung;Shim, In-Sop;Park, Hi-Joon;Hahm, Dae-Hyun
    • Korean Journal of Acupuncture
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    • v.24 no.1
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    • pp.13-25
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    • 2007
  • 목 적 : 흡연에 따른 건강적 피해가 많이 알려져 있음에도 불구하고 특히 여성 및 청소년 계층의 흡연이 증가하고 있으며 폐암 사망자수는 급격히 늘어나고 있는 상황이다. 완전한 금연이 실패하는 주요 이유는 담배의 중독성에서 비롯되며 금단현상을 극복하지 못해 일어나는 것으로 알려져 있다. 흡연의 중독성은 담배 주요성분 중의 하나인 니코틴(nicotine)에 의해 유발되며 따라서 모든 금연 요법 및 금연 치료보조제 들은 이 니코틴 작용을 어떻게 효과적으로 억제 또는 대체하느냐에 초점을 맞추고 있다. 최근 금연치료 요법으로 한방 침이 주목 받고 있으며 본 논문을 통해 한방 침의 금연효과에 대한 신경학적 기전을 고찰하고자 한다. 방 법 : 금연을 돕는 전형적인 보조 치료제 및 치료법이 몇 종류 개발되어 사용 중에 있으며 대표적으로 니코틴 대체 요법(nicotine replacement therapy, NRT)이나 항우울제로 사용되는 bupropion 등을 들 수 있다. 이 치료 방법들은 뇌의 도파민계 신경전달 체계에 영향을 미쳐 금연 효과를 발휘하게 되는데 실질적인 금연성공확률은 그리 높지 않은 것으로 알려져 있다 따라서 침의 자극에 대한 도파민계 신경전달 조절효과를 중심으로 고찰함으로써 침의 금연효과에 대한 의과학적 기전을 설명하고자 하였다. 결 과 : 침자극은 우수한 금연효과를 가져올 수 있는 치료법으로 기존의 금연 치료요법 및 치료제 들을 보완할 수 있는 보다 확실한 치료요법 중의 하나이며 특히 금연 후에 오는 금단현상을 효과적으로 완화시키는 작용을 한다. 그리고 이 같은 효과는 부분적으로 도파민계를 비롯한 신경전달계를 조절함으로써 가능한 것으로 판단된다. 결 론 : 본 논문을 통해 니코틴에 의한 금단현상의 신경학적 기전과 금연과 관련된 신경전달체계에 대한 침자극의 효능에 대해 고찰하였으며 기존의 금연보조치료법을 대체할 수 있는 우수한 의학적 치료법으로써의 침치료법을 제시하였다.

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A Pilot Study to Develop Gamrosu, a Modified Fasting Therapy Beverage: Case Series (절식보조음료 감로수(甘露水) 개발을 위한 선행연구: 증례보고)

  • Oh, Dal-Seok;Kim, Dong-Hwan;Shin, Hyun-Taeg;Shin, Seung-Uoo
    • Journal of Korean Medicine for Obesity Research
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    • v.15 no.2
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    • pp.153-161
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    • 2015
  • Gamrosu is a modified fasting therapy beverage (431 kcal/d). A retrospective observational study was conducted to investigate the detoxification feasibility of Gamrosu. Three cases were reviewed which participants have finished the fasting with Garmrosu for 10 consecutive days. Detoxification profiles of Gamrosu were reviewed at pre- and post-fasting sessions. Post-Gamrosu session, -6.3% of average weight, -6.5% of average body fat mass and -6.6% of average muscle mass were reduced with the nutrition indices being improved. The inflammation indices showed the significant diminished profiles. Liver/kidney functions and the standard of electrolytes were maintained within normal range in stable manners, however, marginal elevation of total bilirubin and mild ketoacidosis were observed. The indices of oxidative stress decreased and those of antioxidative activity increased. The fatigue scale scores indicated lower scores except insomnia symptom. Taken together, detoxification profiles of Gamrosu were sufficiently feasible and the observed findings should be considered for further clinical studies.

Advising Patients Who Seek Complementary and Alternative Medical Therapies for Cancer (보완대체의학의 암치료법을 찾는 환자들에 대한 조언)

  • Choi, Jae-Ho;Yoo, Hwa-Seung;Son, Chang-Gue;Cho, Chong-Kwan
    • Journal of Korean Traditional Oncology
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    • v.10 no.1
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    • pp.1-45
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    • 2005
  • 많은 암 환자들이 보완대체의학(CAM)의 치료법을 이용한다. 의사들은 보완대체의학 치료법에 대한 권위 있는 정보들을 이를 찾는 환자들에게 책임 있는 조언을 줄 수 있기 위해 필요로 한다. 이 글은 암 환자에게 일반적으로 사용되는 선택된 보완대체의학 치료법의 효과와 안정성에 대한 최근의 증거를 요약했다. 식이요법과 보조식품, 한약 및 기타 생약제재, 침, 마사지, 운동, 심리 및 심신의학 등의 주요 카테고리가 포함되었다. 효과의 증거에 대한 '가능한 질병진행과 생존율에 대한 효과' 및 '가능한 완화효과'의 두 가지 범주가 고려되었다. 안전성의 증거를 평가하는데 있어 '직적접인 부작용의 위험'과 '통상적 치료법과의 상호작용에 의한 위험'의 두 가지 위험 요소가 고려되었다. 각각의 치료에 있어 효용성과 안정성에 대한 현재의 균형은 이 치료법이 적절히 권고가 되고 수용되어지거나(예를 들어 유방암과 전립선암을 가진 영양 섭취가 충분한 환자의 식이지방 감소) 억제되는 것을(예를 들어 과량의 비타민 A 보조제) 제시한다. 이러한 전략은 보완대체의학의 치료법을 찾는 암환자들에게 책임 있고 근거중심적이고 환자중심적인 조언을 제공하는 것을 발전시킬 수 있다.

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The effects of auricular acupressure on postprandial glucose, HbA1c, blood lipids in aged patients with type 2 diabetes mellitus (이압요법이 제2형 당뇨병 노인의 혈당, 당화혈색소 및 혈중지질에 미치는 효과)

  • Jang, Minjin;Park, Hyojung
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.8
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    • pp.348-358
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    • 2020
  • The purpose of this study was to examine the effects of auricular acupressure in patients with type 2 diabetes mellitus. Data collection was conducted from March 16 to May 11, 2018. A total of 44 participants with type 2 diabetes were recruited from welfare facilities. Participants in the experimental group (n=22) and placebo control group (n=22) received auricular acupressure on diabetes-related points (shenmen, pancreas, appetite control point, thirst point, and master endocrine point) and diabetes-unrelated points. The intervention was implemented on 5 consecutive days per week for a total of 6 weeks. To examine the effects of treatment, postprandial glucose, glycated hemoglobin, and blood lipid levels were evaluated. Postprandial glucose levels in the experimental group exhibited significant reduction over time compared to those in the placebo control group (p=.030). Glycated hemoglobin levels in the experimental group decreased significantly (t=-2.44, p=.024). However, there were no significant differences in blood lipid levels between the two groups. This study demonstrates that auricular acupressure on diabetes-related points for 6 weeks was highly effective in decreasing blood glucose levels in patients with type 2 diabetes.

A Study on the Development and Effectiveness of Mind Healing Program for University Students Based on Reality Therapy (현실요법을 활용한 대학생 마음치유 프로그램 개발 및 효과)

  • Ha, Tai-Hyun;Baek, Hyuen-Ki
    • Journal of Digital Convergence
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    • v.10 no.11
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    • pp.433-439
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    • 2012
  • This article aims at developing Mind Healing Program for university students, whose anxiety and depression are getting serious. Reality therapy was experimented total 10 times(one time per week), which was the revision and supplement of Woo(1994)'s reality therapy program. It consists of introducing program and self, understanding 5 mind desires, identifying obstacles of conversation, learning efficient communication skills, controling irrational expectation of others, recognizing mind gap, problems of choice and responsibility, nurturing mind, etc. The effectiveness of this program was verified through a model whose research variants were participation motivation, participation satisfaction, and mental health. Direct effects of participation motivation, participation satisfaction, and mental health were less satisfactory than indirect effects of the time when program satisfaction is a variant. It is concluded that mental health of participants is getting better when more satisfactory program should be provided, rather than motivation of simple participation.

The Effects of Hand Moxibustion and Hand Press Pellet on Blood Pressure, Blood Lipids and Blood Cell Components in Aged Women with Essential Hypertension (고혈압 노인여성의 혈압, 혈중지질 및 생리적 지수에 대한 수지요법의 효과)

  • Shin, Yoo-Sun;Kim, Eun-Ha
    • Research in Community and Public Health Nursing
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    • v.22 no.2
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    • pp.100-110
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    • 2011
  • Purpose: The purpose of this study was to evaluate the effects of hand moxa and hand press pellet on blood pressure, blood lipids and blood cell components in elderly women. Methods: This study was conducted as a quasi-experiment with none equivalent control group pre-post test design. The participants were elders who had essential hypertension. There were 18 members in the experimental group and 20 members in the control group. The experimental group received hand moxibustion and hand press pellet 3 times a week for 12 weeks. The results were analyzed using $x^2$ test, t-test, Fisher's exact test and repeated measures ANOVA with the SPSS/WIN program. Results: There were significant decreases in blood pressure in the experimental group compared to the control group. No significant difference was observed in total triglyceride, LDL cholesterol and HDL cholesterol between the two groups. Differences in hemoglobin and hematocrit were not significant either. However, there were significant increases in RBC in the experimental group after the intervention. Conclusion: The results suggest that combined hand therapy contributes to the decrease of blood pressure among the elderly with hypertension. Therefore combined hand therapy is recommended as a complementary nursing intervention strategy for the elderly with essential hypertension.

The Effects of Auricular Acupressure Therapy on Middle-aged and Old Adults' Dry Eye Syndrome (이압요법이 중·노년의 안구건조증에 미치는 효과)

  • Choi, Yun-Joo;Hwang, Sun-Kyung;Kim, Sang-Sik
    • Journal of East-West Nursing Research
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    • v.26 no.1
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    • pp.17-27
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    • 2020
  • Purpose: This study aimed to examine the effect of auricular acupressure therapy on reducing the ocular symptoms and signs for dry eye syndrome. Methods: The participants who were aged ≥ 40 years old and met the inclusion criteria of the ocular surface disease index score ≥ 13 and a tear film break-up time ≤ 10 seconds were enrolled into the two groups: experimental group (n=29) and control group (n=27). Experimental group received auricular acupressure therapy for 8 weeks. Seed stickers were applied to the eye, liver and tubercle point of each ear once a week. Data were collected at pre and 4 and 8 weeks after the treatment and analysed the efficacy of intervention by repeated measures ANOVA. Results: There were significant differences in the ocular surface disease index, standard patient evaluation of eye dryness and a tear film break-up time in both eyes at 8 weeks after the treatment between the two groups. Conclusion: The findings indicate that the auricular acupressure therapy may be helpful for relieving symptoms of dry eye as a nursing intervention. In addition, it could also be utilized as a self-care practice using proper education and training.

A Case Report on Enhanced Lipid Metabolism by Soluble Dietary Fiber Supplementation during the Gamrosu Modified Fasting Therapy Period (감로수 절식요법기에 수용성 식이섬유를 공급하여 지질대사가 개선된 증례)

  • Shin, Seung-Uoo;Kim, Dong-Hwan
    • Journal of Korean Medicine for Obesity Research
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    • v.17 no.2
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    • pp.140-144
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    • 2017
  • A highly obese female patient (body mass index=$30.8kg/m^2$) participated in a 10-day Gamrosu modified fasting therapy with soluble dietary fiber supplementation to enhance lipid metabolism. Gamrosu is a modified fasting therapy beverage which is made from medical herbs and carbohydrates (431 kcal/d). Before and after fasting, we evaluated the efficacy of therapy by measuring the changes of body composition and blood chemistry. After the modified fasting therapy, -6.1% of body weight and -5.6% of body fat mass were decreased. With regard to blood chemistry, all the plasma lipid levels were lowered. -37.4% of total cholesterol, -39.7% of low density lipoprotein cholesterol, -39.0% of triglyceride and -27% of high density lipoprotein (HDL) cholesterol were reduced. Further studies are needed to alleviate the reduction of HDL-cholesterol to apply the Gamrosu modified fasting to hyperlipidemia.

Integrated Medical Perspective View on Forest Healing Instructor Training Program and Curriculum Development (통합 의료적 관점에서 바라 본 산림치유 지도사 양성 교육과정 개발안)

  • Lee, Min Sun;Baek, Tae Sun;Shin, Hee Sung;Lee, Wang Lim;Park, Su Jin;Park, Chan Woo;Yeo, Sang Hee;Lee, Sung Jae
    • Journal of Digital Convergence
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    • v.11 no.8
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    • pp.227-234
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    • 2013
  • The purpose of the study is to realize and develop the healing process that applies the Forest Healing Program to complementary and alternative therapies within the integrated medical health care place call ' Healing Forest'. Various healing programs need to develope and distribute to educate tentatively name ' Forest Healing Instructor' whom will be the key roll player on the program. Hereupon, collected the feedback of the program from 20 of professors, health care professionals and complementary alternative related professionals who are deeply related on the dendrology using Delphi examine. The study suggests the professional, who knows on dendrology, base medicine knowledge and healing power, Forest Healing Instructor Course includes education and assessment method base on education subject, course complete scope, instructor curriculum, education goal and education operation process. The Journal of Digital Policy & Management. This space is for the of your study in English.

Utilization and Awareness of Complementary and Alternative Medicine (CAM) in Rural Hypertension or Diabetes Patients (보건소를 이용하는 고혈압·당뇨병 환자의 보완대체요법에 대한 이용실태 및 인식)

  • Lee, Myung In;Kim, Yoon Lee;Seo, Young Mi;Lee, Myung Ha;Jeong, Seok Hee
    • Journal of Digital Convergence
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    • v.12 no.1
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    • pp.457-466
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    • 2014
  • This study aimed to investigate the awareness and utilization of Complementary and Alternative Medicine (CAM) in hypertension or diabetes patients to participate in health class in rural community health center. A total of 177 hypertension or diabetes patients were participated in this study. Data were collected using face-to face interviews and were analyzed using the SPSS WIN 18.0 program. About 56.5% of subjects experienced CAM and 16.0% of subjects told heath care providers about CAM. General awareness of CAM was $3.11{\pm}0.58$ in 5 point, and awareness significantly positively correlated with intention to reuse CAM, recommend CAM, and participate in CAM-related education (r=.604, r=.516, r=.419, p<.001). Health care providers such as doctors and nurses need to be concerned about CAM utilization and awareness in chronic disease patients. These findings can be used in developing effective strategies for health care providers and health policy makers to provide right awareness and utilization of CAM for chronic disease patients and the public.