• 정신신체의학
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• 제6권1호
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• pp.70-78
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• 1998

Alternative medicine is defined as the practices used for the prevention and the treatment of diseases that are not taught widely in medical schools, nor generally available inside hospitals. Alternative medicine or therapy is of growing interest to the general public. We conducted a survey to determine the prevalence and patterns of using alternative medicine such as herbal medicine acupuncture, folk medicine, health food and diet, yoga, qi therapy, shiatsu, chiropractics, homeopathy etc.. Based on 794 completed questionnaires, 484 respondents(61%) reported using at least one form of alternative medicine for their medical problems. The major medical conditions for which they used alternative medicine were back pain(85.6%), arthritis(85.4%), hypertension(85.2%), cerebrovascular disorders(86.4%), and insomnia(84.6%). The types of alternative medicine frequently used were herbal medicine, acupuncture, folk medicine, and health food. The reasons why the vast majority of people sought after alternative medicine was that: less side-effect, it is not harmful, it is more effective, there is a shorter waiting time, and a better explanation fur the conditions and a kinder therapist. We found that the frequency of using alternative medicine in the health care system was high. Physicians need to be more aware that many patients may be using alternative medicine. Further survey of the nation-wide prevalence of alternative medicine, and scientific study into the efficacy of this medicine should be followed. In the meantime, we suggest paying attention to possible harmful effects caused by some sorts of alternative medicine.

• 근관절건강학회지
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• 제28권2호
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• pp.79-90
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• 2021

Purpose: The purpose of this review was to analyze the effectiveness of complementary and alternative therapies (CAT) as nursing interventions for patients with osteoarthritis (OA). Methods: A systematic literature review was conducted using the PRISMA statement guidelines. To search for studies related to the effects of CAT applied as nursing care in OA patients, a combination of the keywords 'osteoarthritis,' 'complementary and alternative therapy,' and 'nursing care' were used. Finally, 12 articles retrieved from five electronic databases were included for the analysis. Results: Twelve studies were classified into seven interventions: Tai chi exercise, yoga, qigong, massage. flax seed compress, music, and meditation relaxation, administered by a nurse, and were RCTs. Outcome variables used for pain evaluation were WOMAC and VAS. The duration of interventions varied from 2 to 12 weeks. All twelve interventions had a positive effect on the outcome variables. Conclusion: CAT applied in nursing care for patients with OA significantly reduced pain and improved mobility. When planning a nursing intervention program, it is recommended to combine multiple therapies, considering the duration of effects. In addition, it is recommended to design the study as an RCT to secure the evidence for practical application.

• 한국자연치유학회지
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• 제10권2호
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• pp.71-76
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• 2021

Background: The understanding of back-pain as one of the commonest clinical presentations, made the path to the present study. More than three-quarters of the world's population experience back-pain at some time in their lives Purpose: The present study has evaluated the selected Naturopathic therapeutic procedures on individuals with low back-pain. Methods: Thirteen patients were selected for the study and randomly divided into two groups, viz., Group A, Naturopathic group and Group B, Control group. One patient discontinued. Naturopathic group was treated with mud pack, aromatherapy massage with Eucalyptus oil, acupressure, steam, wet trunk pack, exercises, relaxation and breathing exercises. Advice for life style and diet was given for patients of both the groups. The effect of the therapy was assessed subjectively and objectively. Particular scores drawn for Naturopathic group and control group were individually analyzed before and after treatment and the values were compared using standard statistical protocols. Results: Naturopathic intervention revealed 100% relief in both subjective and objective parameters (i.e., 6 out of 14 parameters showed statistically highly significant P < 0.01 results, while 8 showed significant results P < 0.05). Conclusion: Statistically highly significant results of this study point out the successful management of the multi factorial low back-pain with a multi focused Naturopathic treatment approach. Such encouraging results may pave the way for a future study on a large sample in a longer duration incorporating clinical investigations.

• 한방재활의학과학회지
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• 제23권4호
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• pp.59-71
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• 2013

Objectives The aim of this review is to figure out which acupoints are frequently used to treat low back pain and which exercises are effective to low back pain. Methods We searched the three electronic database (RISS, KISS, KTKP) and manually checked related Korean journals and reference lists up to June 2013. We investigated the frequency of acupoints for using treatment of low back pain. We Introduce exercise therapies we can do easily at home without professional skills for treatment low back pain. Results We included 72 articles in this study. The most frequently adopted acupoints were BL25, BL23, BL24, GB30, BL40, BL26, BL60, GB34, BL52, BL57, GB39. The most frequently adopted meridian pathways were BL, GB, GV, ST. The most frequently adopted disease causing low back pain were HIVD (Herniated intervertebral disc), Lumbar sprain, Spinal stenosis, Compression fracture, Cauda equina syndrome, Spondylolisthesis, Ankylosing spondylitis. There are many exercise therapies (Lumbar stabilizing exercise, Resistance exercise, Bareunmom physical exercise, Mckenzie exercise, Williams exercise, Emblass exercise, Swiss ball exercise, Thera band exercise, Yoga) for treatment low back pain. Conclusions These results suggest that most frequently adopted acupoints were foot taeyang urinary bladder channel acupoints. Beacuse foot taeyang urinary bladder channel is passes through the waist, it will be effective for treatment of low back pain. Also exercise therapy is effective for enhance Muscular strength. In order to treatment of low back pain, Acupuncture treatment is also important, as well as exercise therapy.

• 대한지역사회작업치료학회지
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• 제2권2호
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• pp.15-23
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• 2012

목적 : 본 연구는 뇌졸중 장애인들의 여가활동 실태, 즉 뇌졸중 장애인들이 주로 참여하는 여가활동, 여가활동 이용실태, 여가활동을 하는 이유, 여가활동을 위해 지출되는 비용, 그리고 여가활동 만족도 등에 관한 실태 도출을 통해 뇌졸중 장애인들의 여가활동을 활성화 시키는데 있다. 연구방법 : 본 연구의 대상은 울산광역시에 소재한 장애인복지관에서 여가활동을 이용해본 경험이 있는 뇌졸중 장애인 70명을 대상으로 2010년 7월 1일부터 7월 30일까지 방문을 통한 직접 설문조사를 실시하였다. 분석은 SPSS for Windows ver 12.0(Statistical Package for Social Science) 프로그램을 이용하여 빈도분석을 하였다. 결과 : 첫째, 장애인복지관에서 뇌졸중 장애인이 가장 많이 참여하는 여가활동으로는 수영, 게이트볼, 요가, 기체조 순으로 나타났다. 둘째, 뇌졸중 장애인이 한 달에 여가활동을 위한 비용은 5만원 이하가 적당한 것으로 나타났다. 셋째, 뇌졸중 장애인의 장애인복지관을 이용한 여가활동 만족도는 63.1%가 만족하는 것으로 나타났다. 결론 : 첫째, 장애인복지관에서 뇌졸중 장애인을 위한 여가 프로그램의 개발이다. 둘째, 여가활동 프로그램의 재정적 지원이 필요하다. 셋째, 신체적 기능향상을 위한 여가 프로그램의 개발과 전문가참여가 필요하다. 넷째, 지역사회의 교류 참여이다.

• 동의신경정신과학회지
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• 제35권2호
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• pp.191-203
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• 2024

Objectives: To evaluate the effectiveness of an integrated medical service model for a fibromyalgia patient and their caregiver, focusing on reducing pain and improving quality of life. Methods: A single-case study design was employed, involving a fibromyalgia patient and their primary caregiver treated at W University Hospital. The integrated medical service program, based on the Ministry of Health and Welfare's model, included medical consultations and complementary therapies such as psychological counseling, art therapy, music therapy, horticultural therapy, yoga, and meditation. The program was conducted weekly for 8 weeks, with each session lasting up to 100 minutes. Data collection involved both quantitative and qualitative assessments. Quantitative data included demographic surveys, psychological tests, health-related quality of life measures, pain indices, and sleep quality indices. Qualitative data were gathered through feedback evaluations and emotional assessments. Results: The patient showed improvements in mobility, self-care, daily activities, and anxiety/depression, with EQ-VAS scores increasing from 20 to 40 and pain perception decreasing from 67.41 to 42.58. The caregiver reported reduced anxiety/depression and an increase in EQ-VAS scores from 95 to 98. Both patient and caregiver exhibited emotional changes, with decreased depression and increased happiness. However, the patient showed an increase in fear and anger. Conclusions: The integrated medical service model positively impacted the emotional and psychological well-being of the fibromyalgia patient and their caregiver. Despite the limitations of a small sample size and a single-case study design, the findings suggest that an integrated approach can be beneficial. Larger-scale studies are needed to confirm and generalize these results.

• 동서간호학연구지
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• 제8권1호
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• pp.27-40
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• 2003

Purpose: The Purpose of this study was to analyze the trends of research related with oriental nursing. Method: 124 articles about oriental nursing from 1990 to July 2003 were analyzed according to the articles' characteristics, sources by publication period, research design, nursing intervention effect of experimental study and concept, and content of literature review. Result: 1. The number of studies related with oriental nursing has progressively increased by year from 1990, and that of articles was the highest during the period between 1995 to 1999. 2. The majority of research design were survey and correlational studies, and most of them were published in the before 2000. But experimental design were used in the after 2000. 3. Nursing intervention used in the experimental design were Dan Jeon Breathing, Qigong, Yoga, Guided Imagery, Aroma therapy, San-Yin-Jiao(SP-6) Pressure, Percutaneous Electrical Nerve Stimulation, Massage(Meridian Point, hand, foot, etc.) Chuna- Bed Exercise Program. Diet for Sasang Constitution etc. 4. The key concept of literature review articles is ki(energy), oriental nursing, health promotion, oriental medicine management of illness etc. Conclusion: The summary of the above results shows a tendency that the study has increased by year. Especially, experimental study proved affirmative effect. Besides in the literature review, inquiry of theories and practical perspective, which is necessary for the establishment of oriental nursing was introduced. However, for the establishment of oriental nursing, more experimental and qualitative studies are to be required.

• 한국산학기술학회논문지
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• 제17권6호
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• pp.389-399
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• 2016

본 연구의 목적은 최근 10년간(2005-2014) 만성 요통을 가진 중년 여성을 대상으로 국내에서 실시된 운동중재 연구의 현황을 파악하고, 운동 중재 연구의 효과를 알아보기 위해 시도된 것이다. 문헌검색은 한국교육학술정보원(http://www.riss.kr), 국회도서관, 한국학술정보(http://kiss.kstudy.com)와 DBpia(http://www.dbpia.co.kr)를 통해 검색하였다. PRISMA(preferred reporting items for systematic reviews and meta-analysis, 2008) 가이드라인에 따라 자료를 수집한 후 연구자가 원본을 확인하고, 선별하여 총 12편의 논문을 최종 분석하였다. 분석한 논문 중 간호학 전공 논문은 1편이었으며, 11편은 타과 논문이었다. Scottish Intercollegiate Guideline Network의 체크리스트를 참고하여 논문의 질적 평가를 실시하였다. 논문의 질적 평가내용을 종합한 결과, 10점 만점에 8점인 연구가 1편이었으며, 5-6점인 연구는 8편 이었고, 3-4점인 연구가 3편이었다. 운동 중재내용을 분석한 결과 평균 55분을 시행하였으며, 1주일에 평균 3.1회의 빈도로 총 시행횟수는 평균 29.7회로 진행되었다. 연구 결과 요부신경근 조절운동, 요가운동, 수중운동이 중년여성의 요통에 효과가 있는 것으로 나타났으며, 향후 이를 간호학 중재로 활용하여 근거기반 간호실무의 토대를 마련할 수 있을 것이다.

• 생명과학회지
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• 제18권7호
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• pp.968-973
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• 2008

본 연구는 유방암 절제술을 받은 40-60대의 기혼 중년을 대상으로 복합운동을 1년간 실시하여 골다공증약과 운동을 병행한 군과 운동군으로 나누어 기능적 체력과 골밀도에 미치는 효과를 분석하고 이에 따른 효과적인 운동프로그램의 기초 자료를 제공하는데 있다. 대상자총 24명을 두군으로 나누어, 이중 18명은 골다공증 범위(T-score=$-2.2{\pm}0.8$)에 있으며 복합운동만을 실시하였다. 나머지 6명은 골다공증진단(T-score=$-4.6{\pm}0.9$)을 받고 골다공증약(Alendronate 70 mg/주 당)을 처방 받아 복용하면서 복합운동을 병행하여 실시하였다. 본 연구 결과, 기능적 체력 요소 중 좌전굴, 악력, 윗몸일으키기에서는 시기간에 유의한 향상을 보였다. 12개월 후, 골 밀도의 변화는 복합운동군(N=18)에서는 변화가 없었으며, 복합운동과 골다공증약 복용(N=6)을 병행하고 있는 그룹은 유의한 개선을 나타냈다. 따라서 하타요가, 탄성밴드 및 볼 운동이 포함된 장기간 점진적 강도의 복합운동프로그램이 유방암절제술 여성의 기능적 체력의 개선 및 골밀도 지연에 효과가 있었고, 특히 운동과 골다공증약을 병행한 그룹에서 골다공증개선에 긍정적인 영향을 미쳤으므로, 유방암 수술 후 회복기 운동프로그램으로 적극 활용할 수 있도록 제안한다. 앞으로 대상자 수를 늘려 골다공증약과 운동과의 병행관계를 심층적으로 연구하고, 유방암 수술 후 운동중재프로그램의 유형 및 강도를 달리하여 유방암과 골밀도 및 운동과의 관련성을 연구 해 볼 필요가 있겠다.

• 재활간호학회지
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• 제1권1호
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• pp.51-60
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• 1998

The result of studying papers about management of lower back pain published in domestic and foreign nursing and medical magazines in these 10 years is as follows ; 1. General characteristic of lower back pain ; 1) In sex distribution, there were more men than women in 5 papers and more women than men in 4 papers among 9 papers surveryed. 2) In age distribution, thirties to forties of patients had more lower back pain as surveyed by general hospitals and fifties to sixties of patients had more lower back pain as surveyed by oriental medical hospitals. 3) In cause factor, there were 50 to 65% of sprain, 32 to 44% of herniated intervertebral disc and 13 to 29% of degenerative changes. 4) In symtom distribution, there were 26 to 57% of lower back pain, 42 to 65% of lower back pain with radiating pain and 34 to 99% of paravertevral muscle spasm. 5) In period of pain management distribution, 18 to 40% of patients experienced pain for less than 6 months and 59 to 82% of them experienced pain for more than 6 months in 3 papers among 4 papers. 6) In surveying the treatment, 66 to 88% of patients had conservative treatment and there were treatments of general hospital, oriental medicine, self remedy and traditional practice in conservative treatment. 7) In job distribution, 12 to 50% of them were housekeepers, 23 to 31% office workers, 4.6 to 36% blue color workers and 11 to 15% students. 2. As psychological character lower back pain paients had anxiety, depression, anger-hostility, phobic anxiety, neurasthenia, hypochondriasis, and interpersonal sensitivity. 3. To distinguish the cause of lower back pain, plain lumbar roentgenogram, straight leg rasing test, eletromyelogic findings, somatosensory evoked potentials CT and MRI were performed. 4. To relieve lower back pain. epidural adhesiolysis, epidulal injection of local anesthetic in mixture with steroid, lumbar spinal root block, low level laser therapy, acupuncture like transcutaneous nerve stimulation(AL TENS), topical capsaicin and lumbar orthotics were used in medical field, and relaxation technique was used in nursing field. 5. Mckenzie's extension exercise and William's flexsion exercise for lower back pain were used in medical field and Yoga exercise was applied in nursing field. 6. The more school education and self efficacy were high, the better they had active coping lower back pain positively and the less self efficacy was the more they had serious pain. As a result of studying the paper there have been very little research for lower back pain in nursing fields of Korea and foreign countries. Because 60 to 80% of population expeience lower back pain at least more than once, it is necessary to develop the study and clinical practice for management of lower back pain.