Park, Jang-Kyung;Maeng, Yu-Sook;Lee, Seung-Bok;Kim, Dong-Il
The Journal of Korean Obstetrics and Gynecology
/
v.23
no.1
/
pp.108-123
/
2010
Purpose: We analyzed the characteristics of women who gave birth at an obstetrician and those who received oriental medicine postpartum care, and investigated the level of their satisfaction to obtain fundamental data for Oriental-Western cooperative medicine treatment for postpartum care. Methods: The review was based on a 5-months' data, from August 1 through December 31, 2009. Information on age, labor record, level of education, and occupation of the patients who had received postpartum oriental-western cooperative medicine treatment was based on Electric Medical Record(EMR) of O O Oriental Medicine Hospital. The questionnaires were completed by the patients at the time of their discharge from the hospital. Results: The patients who were admitted to oriental medicine hospitals tended to be primiparae, and they were more likely to be younger women with higher education levels. The level of satisfaction on postpartum care program of oriental medicine hospitals was high. Conclusion: It is necessary to specialize the facilities, dietary formula, and staff training of oriental medicine hospitals through a survey of postpartum patients' demand and satisfaction level. In oriental-western cooperative medicine hospitals, it is needed to specialize the postpartum program for creating demand of premature delivery mothers.
The purpose of this study was to examine the cognition and the attitudes towards the oriental medicine of the nursing students. The questionnaire consisted of the 8 general questions, the 19 questions on the medical characteristics and the 36 questions on the cognition and the effects of the oriental medicine. As the result of the factor analysis, the four factors were divided. In the factor one, they were affirmative in the cognition and the effects of the herbs and the acupuncture and so on. Whreas they considered the western medicine more effective in the surgeon, the operation and the microbial disease. In the factor two, they said that the oriental medicine agreed with their constitution. They had a good recognition of the herbs and recognized its effects, adding that the oriental medicine was mysterious. In the factor three, they said that the oriental medine lacked the scientific bases and herb medicine were not convenient, But they recognized their effects. In the factor four, they recognizd the limit of the oriental medicine. They thought that it was desirable to utilize the oriental medicine with the western medicine as the complementary relation. The corelation between each type and the general features had relationship(P<0.05) as follows: the grade and factor 1, the age and factor 1, family situation and factor 4, family number and factor 4, and whether a family has a patient and factor 1. The higher the grade was, the much they had the western medical-oriented cognition. This was because ~he present nursing education system was the western medical-oriented one. It includs the only one oriental medical course. According to the results of this study, nursing students recognized the general effects of the oriental medical from the disease prevention to its treatment in the first grade. But they came to consider the oriental medical as the complementary fact of the western medical as their grade was higher. However, owing to the application of the oriental medical insurance, the use of the oriental medicine is on the increase and in the nursing field the atteention on the oriental nursing is growing too. There fore the suitable application of the courses related to the oriental medical is required for activating the oriental medicine.
The purpose of this survey was to find out the actual condition and the problems of combined medications of patients who have general diseases, respiratory diseases. The objects of this survey were 1,769 outpatients who visited 8 Oriental hospitals and Seoul national university hospital respiratory clinics. SPSS program was used to analyze the survey data. The mean age of patients was lower in oriental hospital than in western hospital. The monthly family incomes were higher in oriental hospital patients than in western hospital patients. The condition of patients was better in oriental hospital than western hospital and self-assessed health status was more positive in oriental hospital patients than in western hospital patients. The percentage of having experienced of treated in oriental and western hospital at the same time was 21% in western hospital patients and 45% in oriental hospital patients. In patients with respiratory diseases, the percentage of having taken combined medications was 40.2% in oriental hospital and 13.7% in western hospital. In patients with non-respiratory diseases, the percentage of having taken combined medications was 27.4% in oriental hospital and 8.3% in western hospital. And in the patients with two different diseases, the percentage of having taken combined medications was 27.9% in oriental hospital and 6.3% in western hospital. The percentage of having experienced synergistic effects was 33.0% in western hospital and 56.3% in oriental hospital. The percentage of side effects was 12.6% in western hospital and 12.2% in oriental hospital. This survey was meaningful in that it reported the actual condition of combined medications of patients who have general diseases, respiratory diseases. For the deep study on synergistic and side effects of combined medications, it is necessary to collect many cases of synergistic and side effects by doctors in western and oriental hospitals.
Objectives : This study aimed to design manual of guideline book for combined medicaion of the oriental and the western drugs in the disease of the aged. Method : First, we collected informations about guideline book for drug medication, and we investigated wishes of professors who are working for an oriental medicine at universities. Result & Conclusion : 1. The greater part of professors recognized necessity of guideline book for combined medicaion of the oriental and the western drugs. 2. The basic stages of framing guideline book for combined medicaion of the oriental and the western drugs are as follows. The first step is planning of framing guideline book for combined medicaion of the oriental and the western drugs. The second step is organization of framing group and advisory committee for guideline book. The next steps are searching the core of items and making a searching all the literature and estimating the literature. And then, we should complete basic contents of guideline book in a row, and those must be examined thoroughly by external experts. Finally we can make public the guideline book for combined medicaion of the oriental and the western drugs. If there are reform contents in the guideline book, we can amend contents and make public the revision guideline book again. 3. We need guideline information center for combined medicaion of the oriental and the western drugs in the disease of the aged for framing, wide-spread and development of guideline book. 4. We think that the guideline information center should be composed of a steering committee, a committee of controlling informations and advisory committee for guideline book.
Objectives : This study was aimed to promote the cooperative system of Korean and Western medicine in the dual health care system through a survey of physicians on recognition, problems and solution of the cooperative system. Methods : The research took place at Dongguk University Hospital from May 25 to 27, 2009 with 44 professors, residents, and interns employed by the hospital. Results : Of total 44 surveyed doctors, positive and moderate responses on the cooperative system between Korean and Western medicines were 40.9% and 43.2%, respectively. They scored it positive (62.5%) and moderate (31.3%) based on their experiences. These results can be supposed to represent the environment for the interdisciplinary medicine. Even in the interdisciplinary hospital of Korean and Western medicine, 68.2% of responders had no experience of the cooperative medical system. Expected interdisciplinary efficient departments were ordered rehabilitation medicine, neurology and orthopedics and associated with musculoskeletal disorders, the most frequent diseases treated by Korean traditional medicine. Conclusions : Korean and Western medical doctors, as medical personnel, intellectual persons as well as specialists, need a recognition and attitude to understand and respect each others' medicine. However, both groups also realize there are many complicated issues in the treatment of patients. It is difficult to require a change of Western doctors' perceptions and attitude toward Korean traditional medicine only with results of a survey. For the efficient cooperative system in the medical field, Korean medical doctors will need to study and consider specific problems mentioned by Western medicine.
Anatomical terms is very important for the whole medical area. In the past, medical student have confused with the anatomical terms which were base on Japanish-Chinese. So they have to be made easily for reading and learning. Fortunately the anatomical terms in Korean had completely made through the fourth edition. According to the oriental law and customs human dissection was prohibited, therefore human anatomy naturally undeveloped. In this study, on the view of the Korean terms carried out the comparison between oriental and western anatomical terms in osteology and splanchnology. The oriental anatomical terms expressed with only looking at and touching the part of the human body. The gross structure of the osteology, is similar to oriental and western medicine but there's no detailed nomenclature of the bone. Instead of it, they expressed connection to acupuncture point or disease in the human body. So it's difficult to find out the anatomical terms of the splanchnology like recent ones.
1. Objectives Chronic pyelonephritis is one of the obstinate disease in current medicine. chronic pyelonephritis can be healed through cooperative treatment of western medicine and Sasang constitutional medicine. 2. Methods This patient who was not treated by western medicine alone was healed when Sasang constitutional medicine was prescripted with modern western medicine 3. Results We can get significal changes in lab results when western medicine and clinical Sasang constitutional medicine was practiced together. 4. Conclusions We suggest that cooperation with western and Sasang constitutional medicine is much effective in treating chronic pyelonephritis and other obstinate diseases.
This case is about the patient who has experienced available effect as a result of executing the treatment of physical constitution after deteriorating by symptoms being R/O because of side effects by Western medicine during the treatment by Western medicine after having diagnosis of melancholia. In the beginning of being clouded consciousness, it has paralleled the treatment by Oriental medicine and Western medicine. After restoration of consciousness the treatment by Oriental medicine was only executed. As a result of that, the initial symptoms and the existing melancholia have gotten better, and then it presented that the normal daily life would be available. We could examine that the treatment of physical constitution had available effect against melancholia. And it needs to widen it to the disorder of psychoneurosis hereafter. Also it showed that it needs systematic clinical research.
Purpose: This study was a descriptive study to compare of quality of life, relationship with CVA patients, and family support between caregiver of patient with CVA in western and oriental medicine. Method: Total 270 caregivers for CVA patients were selected from western medicine department (114) and oriental medicine department (156) at K hospital in Seoul. The instrument tools utilized in this study were quality of life, Family support, Caregiver's relationship with patients, daily activity. Collected data were analyzed by $X^2$-test, t-test using SPSS Windows 12.0 Program. Result: The result are as follows: 1) There was no significant difference in quality of life between caregivers of patients with CVA in western and oriental medicine(t=.26, p=.792). 2) There was significant difference in relationship with patients(t=2.64, p=.009) and family support(t=2.12, p=.035) before onset of disease between caregivers of patients with CVA in western and oriental medicine. Conclusion: As a result, caregivers of oriental medicine with CVA patients showed closer relationship with patients before the onset of disease and higher family support compare to caregivers of western medicine with CVA patients.
This study aims to examine a special type of hospital known as Western Oriental medicine treatment designed to provide the best treatment by combining the advantages of Western and Oriental medicine, The actual conditions of the organizations and operations of O.P.D and how the cooperative treatment between Western and Oriental medicine is conducted at general hospitals that operate the cooperative treatment by applying a drawing analysis and an area analysis, and provide materials that help design hospitals that offers the cooperative treatment based on the information. According to the results of this study, the forms of the cooperative treatment between Western and Oriental medicine included several methods; to operate the cooperative center separately between an Oriental hospital and a general hospital, to operate the cooperative hospital, using several floors for an Oriental hospital inside a general hospital, and to operate the cooperative center in specialized centers inside a general hospital and the type of cluster that offers the cooperative treatment in specialized centers is known as the best appropriate treatment.
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