• 제목/요약/키워드: Complementary and Alternative Therapy

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주의력결핍 과잉행동장애 한국형 치료 권고안(IV) - 비약물적 치료 - (The Revised Korean Practice Parameter for the Treatment of Attention-Deficit Hyperactivity Disorder (IV) - Non-Pharmacologic Treatment -)

  • 신윤미;김의정;김윤신;방수영;이은하;이철순;장형윤;홍민하;신동원
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • 제28권2호
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    • pp.84-95
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    • 2017
  • Attention-deficit hyperactivity disorder (ADHD) is a neuropsychiatric disorder that begins in early childhood and can persist throughout adulthood. ADHD causes difficulties in various area of life, such as academic achievement, peer relationships, family functioning, employment and marriage. Although ADHD is known to respond well to medication, such treatment is more effective when combined with psychosocial (non-pharmacologic) therapy in terms of alleviating the core symptoms and improving appropriate functions. Psychosocial treatment interventions are divided into psychoeducation, behavioral parent training, school intervention, cognitive behavior therapy, social skill training, parent-child interaction therapy, play therapy, other treatments (coaching, complementary and alternative medicine), neurofeedback and Cogmed. Adult ADHD cognitive behavioral therapy is described separately. These practice parameters summarize the evidence for psychosocial treatment. Based on this evidence, specific recommendations are provided for psychosocial interventions.

고려수지요법이 여대생의 생리통 및 월경곤란증에 미치는 효과 (Effects of Koryo Hand Therapy on Menstrual Cramps and Dysmenorrhea in College Women Students)

  • 김정남;장영심
    • 지역사회간호학회지
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    • 제14권3호
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    • pp.432-444
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    • 2003
  • Purpose: This study attempted to verify the effect of Koryo hand therapy on menstrual cramps and dysmenorrhea among college students. Method: This study performed the quasi-experimental design with nonequivalent control group and the pre and post-test design from August 28 to November 4, 2002. The subjects of this experimental study consisted of 64 college students in the nursing college of K University in D city and K college students in K city, who had more than 5.0 GRS score of menstrual cramps. Among them, 16 people belonged to the experimental group A by using Ceramic Seo Am moxa therapy, 16 to the experimental group B by using Seo Am pellet therapy, 16 to the experimental group C by using combination of Ceramic Seo Am moxa therapy and Seo Am pellet therapy and 16 to the control group. Three different kinds of methods were used three times per week for $5{\sim}6$ weeks(a total of $15{\sim}18$ times) interventions were completed. For the experimental group, A Ceramic Seo Am moxa therapy was given for 40 minutes per each treatment; for the experimental group, B Seo Am pellet therapy was given for 4 hours: for the experimental group, C combination of Ceramic Seo Am moxa therapy and Seo Am pellet therapy was given. To measure menstrual cramps, the graphic rating scale (GRS) was used and to measure dysmenorrheal, a dysmenorrhea scale (15 contents) was used, which was modified from Han &Hur's scale (13 contents). Cronbach's was 0.78 in the pre-test, 0.83 in the first post-test, 0.89 in the following post-test. Data were analyzed by one-way ANOVA, 2 test, repeated measures ANOVA, time contrast test and Sheffe test with the SPSS/Win 11.0 program. Results: ? The first hypothesis, 'Among the experimental group A by using Ceramic Seo Am moxa therapy, the experimental group B by using Seo Am pellet therapy and the experimental group C by using combination of Ceramic Seo Am moxa therapy and Seo Am pellet therapy will have different graphic rating scores of menstrual cramps', was supported (F=6.77, p=0.000, Interaction: p=0.000). ? The second hypothesis, 'Among the experimental group A by using Ceramic Seo Am moxa therapy, the experimental group B by using Seo Am pellet therapy, the experimental group C by using combination of Ceramic Seo Am moxa therapy and Seo Am pellet therapy and the control group will have a significantly different level of dysmenorrhea', was supported (F=6.88, p=0.000, Interaction: p=0.000). From the above results, it can be an effective nursing intervention to give Koryo hand therapy to college students who have menstrual cramps and dysmenorrhea. Conclusion: These findings indicate that Koryo hand therapy could be applied to improve the quality of life and to prevent drug misuse among college students who are physically, mentally and psychologically suffering from menstrual cramps and dysmenorrhea. Furthermore, Koryo hand therapy could be developed as an effective Korean alternative and complementary care in the future. and it could also provide a guideline to apply Koryo hand therapy to other pain and difficulties.

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뉴로피드백과 두개천골요법 및 병용요법에 참여한 중년여성의 경험에 대한 내용분석 (Content analysis on experiences in middle aged women participating in Neurofeedback, Cranio-Sacral Therapy and Combine Therapy)

  • 이정은;현경선
    • 한국산학기술학회논문지
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    • 제13권3호
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    • pp.1042-1053
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    • 2012
  • 본 연구의 목적은 중년여성이 뉴로피드백(NF) 또는 두개천골요법(CST) 및 병용요법(CT:NF+CST)을 받고난 후 경험한 효과를 확인하고자 하는 것이다. 연구참여자는 S시 M동에 거주하는 중년여성으로서 NF군 17명, CST군 17명, CT군 19명, 총 53명이었다. 2007년 10월 8일부터 12월 14일까지 10주 동안 NF 30회, CST 10회, CT는 NF 30회의 훈련과 CST 10회가 시술되었고, 자료는 각각의 요법을 시술받는 동안 경험한 반응을 매일 일지에 자필로 작성하도록 하여 수집되었다. 자료분석은 연구참여자들이 기술한 자료를 토대로 의미 있는 내용을 찾아내어 내용분석 자료를 표출한 후, 각각의 자료를 속성의 유사점과 차이점을 확인하여 분류되었고, 분류된 속성들은 유사한 의미를 갖는 속성끼리 묶어 상위속성으로 범주화하여 명명하였다. 원 자료에서 효과를 진술한 내용 중 의미 있는 것을 뽑은 결과 NF 37개, CST 91개, CT 110개의 내용분석 자료가 표출되었고, 각각의 내용분석 자료를 유사한 것끼리 묶은 결과 NF 22개, CST 63개, CT 68개의 속성으로 분류되었다. 이 속성들은 9개의 상위속성 즉 불편감, 이완감, 신체증상 완화, 정신기능 향상, 신체적 이완, 심리적 이완, 시술자와의 교감, 카타르시스, 기(氣) 경험으로 범주화되었다. 요법 시 가장 많이 나타난 속성을 보면 NF 시에는 훈련 중 졸림, 마음이 편안해 짐, 몸이 가벼워짐, 마음이 가벼워짐 등 이었고, CST 시에는 마음이 편안해짐, 수면 향상, 건강해 짐, 울음, 몸이 편안해짐 등 이었으며, CT 시에는 마음이 편안해짐, 몸이 가벼워짐, 몸이 편안해짐, 수면 향상, 눈물 등 이었다. 결론적으로 NF 또는 CST 및 CT는 중년여성에게 신체적, 심리적 이완효과가 있으므로 중년여성의 심신이완을 위한 보완대체요법으로 활용할 수 있다.

화상 및 후유증의 보완 대체 의학 치료 : 무작위 대조 시험에 대한 주제범위 문헌고찰 (Complementary and Alternative Medicine Treatment for Burns and Sequela : A Scoping Review of Randomized Controlled Trials)

  • 강병수;윤석영;정민영;박수연;최정화;김종한
    • 한방안이비인후피부과학회지
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    • 제36권3호
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    • pp.42-73
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    • 2023
  • Objectives : In order to investigate the current status of recent clinical evidence related to complementary and alternative medicine(CAM) treatment for burns and to inform research and treatment strategies for future, we publish a scoping review(ScR) of randomized controlled trials(RCTs). Methods : The research question of the ScR was "Are there any RCTs of CAM treatment for burn?". RCTs published from 2000 to 2022 were identified in 7 databases(PubMed, Cochrane, CNKI, OASIS, RISS, KCI, KMbase) in March 2023. Data were tabulated and analyzed descriptively with respect to the research questions. Results : 41 RCTs were included. 21(51.2%) were conducted in China, 13(31.7%) in Iran. The main treatment criteria were herbal medicine in 28 cases, acupuncture in 9 cases, chuna therapy in 4 cases, and psychotherapy in 3 cases. Among the herbal medicine, there were 19 topical medications, 5 injections(intravenous pharmacopuncture), 4 aerosol drugs(aromatherapy), and 1 oral drug. Among the acupuncture, there were 4 plum blossom needles(seven-star needles), 2 wrist-ankle acupunctures, 2 press needles, and 1 electroacupuncture. CAM treatments were effective in treating burns. It reduced pain and pruritus at the burn site, helped recovery and management of the donor site, reduced anxiety and pain during dressing change, improved hematological problems and vital signs, and finally lowered the mortality rate. CAM treatments also lowered health care costs. Conclusions : CAM treatments for burns is prospective, and that it deserves to make high-quality studies including additional large-scale RCTs.

페퍼민트, 그레이프후룻 에센셜 오일을 이용한 족욕 또는 스프레이 적용이 하지부종, 통증 및 피로에 미치는 효과 (Effects of Foot Bath and Spray Application of Peppermint and Grapefruit Essential Oils on Lower Extremity Edema, Pain, and Fatigue)

  • 한아리;김주리;허명행
    • 한국융합학회논문지
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    • 제13권1호
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    • pp.375-386
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    • 2022
  • 오랫동안 서 있거나 걷는 등의 작업 후에 흔히 중력으로 인한 체내순환이 영향을 받아 하지의 부종, 통증, 피로 등이 발생할 수 있다. 본 연구는 보완대체요법으로 아로마테라피 에센셜 오일을 이용하여 족욕 또는 스프레이로 적용하였을 때 하지부종 및 하지통증, 피로에 미치는 효과를 확인하기 위한 연구이다. 본 연구는 무작위통제연구이며, 연구 참여자는 2018년 8월 15일부터 2018년 10월 11일까지 D광역시 소재 E 대학교병원에서 연구 참여자 모집공고에 자원한 간호사 78 명을 대상으로 동질성을 유지하기 위한 낮번 근무를 하는 간호사로 하였다. 실험 중재는 그레이프후룻과 페퍼민트를 1:1로 블렌딩한 에센셜 오일을 0.5ml 넣은 9L의 물에 족욕을 하거나 3%로 희석하여 분사하는 스프레이 방법을 적용하였다. 자료는 ANOVA, Repeated Measures ANOVA로 분석하였다. 아로마 테라피 족욕군과 스프레이군의 종아리 둘레가 대조군에 비해 유의하게 감소하였다(F = 14.053, p <.001). 하지 통증 (F = 42.497, p <.001)과 피로 (F = 20.641, p <.001)도 실험 중재 후 아로마테라피 족욕군과 스프레이군에서 대조군보다 유의하게 감소하였다. 하지의 부종과 통증을 완화하기 위해 족욕을 권장하며, 적용 수월성을 고려할 때 아로마 스프레이를 적극 권장한다.

Pub Med 검색을 통한 폐경기 증상의 침구 임상시험에 대한 고찰 - 안면홍조를 중심으로 (Review on randomized controlled trials of acupuncture for postmenopausal symptoms in the search site, Pub Med. - focusing on hot flush)

  • 김로사;이진무;조정훈;장준복;이경섭;이창훈
    • 대한한방부인과학회지
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    • 제20권4호
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    • pp.148-159
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    • 2007
  • Purpose: Vasomotor symptoms including hot flash are very common to postmenopausal women. Estrogen therapy was regarded as the best option for relieving menopausal symptoms until 2002, when the Women#s Health Initiative(WHI) reported the side effect of the therapy. Consequently, studies on the complementary and alternative medical herbs and therapy for the management of menopausal symptoms have followed. And so we have reviewed some international clinical studies about the management of postmenopausal symptoms with acupuncture therapy. Methods: "Menopause and acupuncture" was designated as a key word in the search site. Pub Med, and nine papers dealing with hot flash among the relevant RCTs were selected, and then, the effect of acupuncture on hot flash and the way the researches had been done was examined. Results : The intensity of hot flash reduced significantly and the frequency of hot flash was inclined to reduce, but not significantly, compared to the controlled group. Conclusion: Each clinical test has its limitations in point of the number of the required samples. However, it still shows the possibility that acupuncture itself will be effective enough to reduce the intensity of hot flash to a certain degree. It is believed that extensive clinical tests on the effect of acupuncture on hot flash will need to be done hereafter. And when the tests are carried out, it is required to exclude placebo effect, do blind test, and carefully select and control the methods.

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수지침 경험자들의 수지침에 대한 효율성과 효과성 인식정도 (Recognition of Efficiency and Effectiveness of the Experiences with Hand Acupuncture)

  • 이연주;박경민
    • 지역사회간호학회지
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    • 제12권1호
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    • pp.278-287
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    • 2001
  • The purpose of this study is to provide with basic information on application of hand acupuncture as a complementary and alternative therapy by giving some recognition of efficiency and effectiveness of hand acupuncture. And so, answers for questionnaires of 290 respondents were used for this research and collected from June 5 through 13, 1999 from adults twenty and over who were participating in the hand acupuncture training program in Seoul and had some direct experiences with hand acupuncture therapy, whatever they had been treated and/or had treated. To secure reliability of measurement tool. Cronbach'a has been calculated and Factor Analysis was done as Validity Analysis of question classification. Demograprucal characteristics of hand acupuncture experienced people and factors related to hand acupuncture experiences are calculated based on the real number and percentage. The degree of recognition of efficiency and effectiveness of hand acupuncture is made as average and standard deviation, while the degree of recognition of efficiency and effectiveness based on general characteristics come from one-way ANOVA. 1. According to socio-demographical analysis. the questioned could be classified firstly as age (40-49 : 32.5%. 30-39 : 24.9%. 50-59 : 21.9%. 60-69 : 14.7%. 20-29 : 6.0%). secondly gender (male 36.6%. female 63.4%). thirdly occupation (housewife: 43.8%. self-employed: 15.5%. company-employee: 14.8%). fourthly education (high school graduate: 41.9%, college graduate: 37.9%), and lastly monthly-income (1 to 2 million: 51.4%. 2 to 3 million: 20,3%) 2, As for the general aspects related to hand acupuncture. 80,0% of the respondents answered almost zero for the monthly average number of visit to hospital and 15.5% responded 1 to 2 visits, 6,2% of the respondents is complaining of a disorder of digestive system. 19,0% circulatory disease, 10.7% bad nervous system. By utilizing hand acupuncture, 84% of the questioned have following experiences in curing diseases: digestive system 47.3%, circulatory system 9.3%, nervous system 8.3%, 54,1% are curing 1 to 2 and 10.3% 3 to 4 patients on a daily basis with hand acupuncture. Research on the demerits of giving medical treatment with hand acupuncture shows 23,8% are feeling economic burden. 16.6% difficulty of learning and 16.2% weak theoretical backgrounds. 3. Among the efficiency recognition, possibility of general application is average 4,29 and simple treatment is 4,19. economic merits 4.36. possibility of establishment with supplementary and alternative medicine 4.17, medical effectiveness 4.09. 4, As a result of demographical analysis on the efficiency and effectiveness of hand acupuncture therapy, it appears that the recognition of efficiency based on occupation and the recognition of effectiveness based on monthly income are most significant to be noticed. In an orderly fashion. government-employee, self-employed, company-employee. and then housewife have perceived hand acupuncture very efficiently, And those who recognize hand acupuncture to be most effective are people earn 1 million to 2 million won a month, 5. The efficiency(p = .003) and effectiveness (p= .049) of hand acupuncture therapy by number of visit to hospital were statiscally significant, and effectiveness of hand acupuncture therapy by disease exist was statiscally significant (p= .033).

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Differences in the Effects of a Horticultural Activity Program Depending on the Level of Resilience of College Students

  • Kim, Yong Hyun;Bae, Hwa-Ok;Huh, Moo Ryong
    • 인간식물환경학회지
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    • 제22권3호
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    • pp.255-268
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    • 2019
  • Horticultural therapy, as a kind of complementary alternative therapies using nature as a medium, is an intervention method that can be applied to various subjects by utilizing horticultural activities that anyone can enjoy as a leisure activity. This research defined the resilience of individuals as a personal characteristic, and examined differences in the intervention effect of horticultural activities depending on the level of resilience. The results obtained in this study can be utilized in planning a horticultural activity program and setting the purpose and goals of horticultural activity programs. The subjects of this study were divided into the high resilience experimental group (Group A), the low resilience experimental Group (Group C), the high resilience control group (Group B), and the low resilience control group (Group D). The experiment was conducted in the campus of G University from September to November 2017, and the experimental group participated in the program once per week, a total of 10 sessions. The Korean version of the Connor-Davidson Resilience Scale, autonomic nervous assessment, and the interpersonal relationship change scale were carried out as pre- and post-assessment. Statistical analysis was performed using a non-parametric test. Group A showed statistically significant positive changes in relaxation of physical tension and stability. In conclusion, those with high resilience showed the higher intervention effects of horticultural activities on physical relaxation and stability than those with low resilience. However, there were some possible limitations in this study. Since the number of subjects was small and subjects were limited to college students, it is impossible to generalize the results of this study. Therefore, it is necessary to conduct follow-up studies to address and overcome these limitations.

색채자극에 따른 심박변이도 변화와 한열조습변증의 상관성 (Variable Heart Rate Variability Measurements Induced by Wearing Color Glasses and Their Relationship with Hanyeol or Joseup Patterns of Korean Medicine Diagnostics, a Preliminary Observation)

  • 인창식;김선현;이능기;이우철;고형균;박영배;전세일
    • 대한한의진단학회지
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    • 제10권2호
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    • pp.79-87
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    • 2006
  • Objective : Biologic responses to color stimulation was observed and analyzed in relation with Korean medicine diagnostics. Methods : Twelve volunteers participated and completed the questionnaire on Hanyeol or Joseup patterns of Korean medicine diagnostics. Standard deviation of RR intervals (SDNN), an overall indicator of heart rate variability, was measured while wearing partially transparent acetate film glasses of various colors: (1) transparency or black, (2) red, green, or blue, or (3) cyan, or yellow. Results : Different responses to the color environmental stimulation were observed. Yeol pattern score was inversely related with the SDNN value under red color stimulation. Conclusion : This line of observations may serve as a basis of clinical application of color therapy, in particular, in relation with pattern diagnosis of Korean medicine, and may be applied in combination with existing electrodermal meridian measurement systems for better evaluation of Gi (life energy) phenomenon.

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The Place of Complementary Medicine in the Treatment of Autistic Children

  • Konac, Ozgur Taskiran;Baldemir, Ercan;Inanc, Betul Battaloglu;Kara, Bilge;Topal, Yasar;Topal, Hatice
    • 대한약침학회지
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    • 제19권1호
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    • pp.28-36
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    • 2016
  • Objectives: The purpose of this study is to achieve a vision for autistic children and their parents aimed at generating interest in ideas such as "Sanitas Per Aquam" (SPA), massage and music therapy, which has begun to have widespread use and to attract attention. Methods: This cross-sectional, descriptive study was carried out with autistic children and their parents from February to April 2015 in $Mu{\breve{g}}la$, Turkey. The study was began by interviewing experts in the field and by developing a suitable assessment questionnaire. In order to direct the flow of conversation between the researchers and the autisitc children and their parents, the researchers conducted semi-structured face to face interviews in a form that had been determined by using reports in the literature and the opinions of experts in the field. Results: Forty two boys (84%) and eight girls (16%) with autism participated in our study. Children in the 0 - 7 age group spent long time in the bathroom (P = 0.001). Boys liked to be hugged more than girls (P = 0.01). Children ages 0 - 7 years liked bright lighting while those 15 years of age and older liked gloomy lighting (P = 0.009). Except for these statistically significant sex- and age-related differences, no other statistically significant differences were noted in the parameters of this study. Although the result was not statistically significant, more children with mild autism disorder obeyed commands like inhale or exhale (P = 0.051). Conclusion: Treatment for autism spectrum disorders is not yet fully possible, so many studies are being done to alleviate some symptoms and to improve the quality of life for individuals with autism and their families. As a result of our study, whether touching the areas the children want touched and listening to their favorite music are required to stimulate the brain remain as questions in our minds.