• 지역사회간호학회지
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• 제11권1호
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• pp.222-230
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• 2000

Complementary & Alternative Medicine(CAM) have become increasingly popular with health care consumer in recent years. The nurse's attitude and beliefs about CAM will influence the response. to the patient's demands and inquiries. The purpose of this study is to evaluate the attitude and beliefs of nurses about CAM. The study was performed in 600 nurses from October to December in 1999 : Nurses were working one university hospital & one general hospital were located in TaeGu city. and two general hospitals located in Kyung Buk city. The study used specially designed questionnaire to 600 nurses, and analyzed by using descriptive statistics, ANOVA data based on 460 completed questionnaire. The findings of the study are as following. 1. The credible forms of subject about CAM were ranked acupunture (66.1%). herbal medicine(56.5%), Sooji chim (50.4%) et al. 2. In the credibility of subject about CAM there were not significant difference by age. clinical career, marriage, health status. The most reason of positive credibility was 'Being human perspective and spiritual supporting'. While the most reason of negative credibility was 'the lack of science test and doubt of disease treatment'. 3. In the experienced rate of subject about CAM there were significant difference not by health status but by age($x^2$=10.096, p= .006), clinical career($x^2$=7.648 p= .022), marriage($x^2$=9.317. p= .002). In the satistied rate of subject about CAM there were not significant difference by age, clinical career, marriage, health status 4. The most usable forms of subject about CAM in nurse's practice was Music therapy(55.9%), and ranked massage (50.9%), acupressure(32.8%). Sooji chim (27.8%) et al.

• Asian Pacific Journal of Cancer Prevention
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• 제14권1호
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• pp.225-230
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• 2013

Objectives: The purpose of this study was to determine patient characteristics and other factors associated with discontinuation of complementary and alternative medicine (CAM) among cancer patients in Korea. Methods: A national, multicenter, cross-sectional survey of cancer patients was performed in which 674 of 2,661 patients were analyzed for their use of CAM after cancer diagnosis. Multiple logistic regression was used to identify the factors related to CAM discontinuation. Results: Among the surveyed cancer patients, 25.3% (674 of 2,661) had used CAM, whereas 38.3% (258 of 674) of those with CAM experience had discontinued CAM therapy. The most frequently used form of CAM was herbs (43.5%). The major reasons for the discontinuation of CAM included absence of effects (23.9%), financial burden (22.9%), and physician opposition (13.7%). Other factors associated with the discontinuation of CAM included metastatic cancer (OR = 2.06), a long duration of cancer treatment (OR = 3.34), dissatisfaction (OR = 4.34), and side effects (OR = 4.23) of CAM therapy. Conclusions: For cancer patients to correctly employ CAM therapy, increase their satisfaction, and reduce their side effects, efforts should be made to analyze the cost effectiveness of CAM, and valid information must be provided to physicians and cancer patients.

• 대한한의학회지
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• 제38권3호
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• pp.13-29
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• 2017

Objectives: The objective of this review is to investigate the use of conventional Western medicine (WM) and complementary and alternative medicine (CAM) on leg cramps. Leg cramps are the occurrence of muscular spasm in the leg muscles which occur frequently in the elderly and are frequently observed in the clinical field. Methods: Relevant clinical studies were searched from five medical databases including PubMed, KISS, RISS, OASIS, and J-STAGE. Systematic review, clinical studies, and clinical practice guideline were included in this review. Results: In total, 27 clinical studies, 9 systematic review and meta-analysis, and 1 clinical practice guideline met the inclusion criteria. Included studies were classified and analyzed according to the type of intervention. Studies on quinine and magnesium have been most studied in WM and CAM, respectively. Although quinine shows some clinical effects on leg cramps, however, the risk of side effects are suggested. In addition, magnesium failed to improve the clinically significant effects in most studies. Five case reports using Oriental herbal medicine (OHM) were included and OHMs were effective in improving leg cramps without side effects, however, the quality of evidence was low. Clinical studies on other interventions were lacking. Conclusions: The results of this study indicate that there is no definite treatment standard for leg cramps until now, and there are limitations such as low level of evidence and side effects for each treatment. OHM can be an effective alternative to conventional intervention on leg cramps, therefore, related clinical studies are needed.

• Journal of Acupuncture Research
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• 제40권4호
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• pp.293-307
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• 2023

This study uses bibliometric methods to analyze publications regarding the use of acupuncture in osteoarthritis over the past 20 years and presents an overview of global research trends. Publications related to acupuncture in osteoarthritis from 2003 to 2022 were retrieved from the Web of Science Core Collection Database. An analysis of the extracted records was conducted according to their publication year, research area, journal title, country, organization, author, and keywords. The VOSviewer program was used to visualize the research trends on acupuncture in osteoarthritis. An analysis of 380 articles indicated a consistent increase in the use of acupuncture for osteoarthritis treatment over the past 20 years. Many articles have been published in research areas such as "integrative complementary medicine" and "general internal medicine." The most prolific journal was Evidence-Based Complementary and Alternative Medicine. In terms of article publication, the most productive country and research organization were China and the Beijing University of Chinese Medicine, respectively. The most frequently occurring keywords were "acupuncture," "knee osteoarthritis," and "pain." This study used a bibliometric analysis to provide an overview of global research trends on acupuncture in osteoarthritis. These findings may suggest the future direction of research on the treatment of acupuncture in osteoarthritis.

• Nutrition Research and Practice
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• 제3권4호
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• pp.323-327
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• 2009

This study was to investigate the role of complementary and alternative medicine in the prevention and treatment of benign prostatic hyperplasia. For this purpose, a randomized, double-blind, placebo-controlled trial was performed over 12 months on 47 benign prostatic hyperplasia patients with average age of 53.3 years and international prostate symptom score over 8. Subjects received either sweet potato starch (group A, placebo, 320 mg/day), pumpkin seed oil (group B, 320 mg/day), saw palmetto oil (group C, 320 mg/day) or pumpkin seed oil plus saw palmetto oil (group D, each 320 mg/day). International prostate symptom score, quality of life, serum prostate specific antigen, prostate volume and maximal urinary flow rate were measured. In groups B, C and D, the international prostate symptom score were reduced by 3 months. Quality of life score was improved after 6 months in group D, while those of groups B and C were improved after 3 months, compared to the baseline value. Serum prostate specific antigen was reduced only in group D after 3 months, but no difference was observed in prostate volume in all treatment groups. Maximal urinary flow rate were gradually improved in groups B and C, with statistical significance after 6 months in group B and after 12 months in group C. None of the parameters were significantly improved by combined treatment with pumpkin seed oil and saw palmetto oil. From these results, it is suggested that administrations of pumpkin seed oil and saw palmetto oil are clinically safe and may be effective as complementary and alternative medicine treatments for benign prostatic hyperplasia.

• Tuberculosis and Respiratory Diseases
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• 제61권4호
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• pp.339-346
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• 2006

연구배경: 우리나라에서 대체-보완의료가 기관지천식의 환자에서 광범위하게 사용되어지리라고 추측되고 있다. 그러나 우리나라 성인천식환자에서의 대체-보완의료의 실태는 아직 보고된 바가 없다. 이 연구는 우리나라의 성인천식환자에 있어서 대체-보완의료의 사용실태와 경향을 알아보고자 시행하였다. 방 법: 2000년 1월부터 2003년 12월까지 경희대병원에 1회 이상 입원한 병력이 있는 천식 환자를 대상으로 하였으며 설문조사 연구에 동의하는 환자 100명에게 직접면담 하거나 전화를 통해 설문조사를 시행했다. 환자들의 병력은 병록지를 참고로 조사하였다. 결 과: 조사환자 100명 중 53명이 대체-보완 의료를 경험하였다. 환자가 치료받은 병원 수가 많을수록 대체-보완의료를 경험한 횟수가 많았으며, 연령 별로는 50대가 가장 많이 대체-보완의료를 경험하였다. 흔히 사용한 대체-보완의료의 종류는 음식 및 건강식품이 35명으로 가장 많았다. 그 다음으로 약초가 28명, 침 요법이 9명, 쑥뜸요법이 6명, 그리고 호흡운동이 1명이었다. 결 론: 연구에 참여한 천식환자의 절반이상(53%)에서 대체-보완의료를 경험하였다. 향후 천식치료에 있어 한방 및 대체-보완의료에 대한 실태와 임상적 유용성에 대한 추가적인 연구가 필요할 것으로 보인다.

• 대한한방소아과학회지
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• 제26권2호
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• pp.72-84
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• 2012

Objectives The purpose of this study is to investigate prevalence and the frequency of using Korean medicine, Complementary Alternative Medicine (CAM), and other parallel treatments in children and young adolescence with neurological diseases. Methods From April to July 2011, parents of the children and adolescents patients suffering from neurological disease completed questionnaires. Results 578 parents answered the questionnaires. 310 cases (53.5%) were using Parallel Treatments. Types of the Parallel Treatments being used are as follows. Rehabilitation 166 cases (27.4%), Speech Therapy 169 cases (27.9%), Education (Art, Music, Play) 109 cases (18.0%), Health supplement 72 cases (11.9%), Counselling, Cognitive & Behavioral Therapy 45 cases (7.4%), Herbal Medicine 24 cases (4.0%), Acupuncture, Moxibustion 13 cases (2.1%), Neurofeedback Therapy 1 case (0.2%), Etc 7 cases (1.2%). 257 cases (44.5%) have used Parallel Treatment before. Parallel Treatments being used in the past are as follows. Herbal Medicine 146 cases (35.4%), Acupuncture, Moxibustion 64 cases (15.5%), Education (Art, Music, Play) 54 cases (13.1%), Rehabilitation 47 cases (11.4%), Speech Therapy 46 cases (11.1%), Health supplement 30 cases (7.3%), Counselling? Cognitive & Behavioral Therapy 15 cases (3.6%), Neurofeedback Therapy 4 case (1.0%), Chuna, Manual Massage 2 case (0.5%), Etc 5 cases (1.2%). Conclusions Although patients were on both western medicine and Korean medicine, CAM, and other parallel treatment, the ratio of Korean medicine treatment was not as high as expected. Further studies are required to develop the model of integrative medicine.

• Asian Pacific Journal of Cancer Prevention
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• 제16권15호
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• pp.6237-6241
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• 2015

Usage of traditional, complementary and alternative medicine (TCAM) has gained popularity over the past few years. However, very little is known about TCAM use among Malaysian cancer patients. This study aimed to identify the determinants of TCAM usage among cancer patients with determination of relationships between demographic factors, patient satisfaction with conventional treatment, knowledge on TCAM and healthcare professional influence. Patient's perceptions towards TCAM were also determined. A simple random convenient sampling method was used to recruit 354 patients from Hospital Kuala Lumpur between February to April 2013. All were directly interviewed with a structured questionnaire. In this study, 172 respondents were TCAM users. There was no significant differences between demographic background of respondents in the usage of TCAM. Minimal correlation was found between patient satisfaction with the conventional treatment and usage of TCAM (r=0.091). A poor correlation was found between healthcare professional's influence and TCAM usage (r=-0.213) but the results suggested that increase in influence would decrease TCAM usage. Patient TCAM knowledge correlated negatively with the TCAM usage (r=-0.555) indicated that cancer patients are less likely to use TCAM when they have more TCAM knowledge. Healthcare professionals should be fully equipped with the necessary TCAM knowledge while maintaining patient satisfaction with the conventional treatment. They should also intervene on patient TCAM usage where a potential drug interaction or a harmful adverse event can occur.

• Applied Biological Chemistry
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• 제35권1호
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• pp.42-50
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• 1992

한약재를 대상으로 용철 보체 분석법$(TCH_{50})$을 이용, 항보체 활성물질에 대한 전반적인 검색을 실시하였다. 총 55종의 시료의 열수 추출물을 대상으로 동 활성을 측정한 결과, 대조구에 비해 70%이상의 $TCH_{50}(total\;complement\;hemolysis\;of\;50%)$의 감소를 일으키는 비교적 강력한 항보체 활성을 소유한 울금, 대복피, 조각자, 화살나무, 가시오갈피, 인동, 부자, 계피 등 9종의 시료를 선택할 수 있었다. 이들은 pronase 소화 후 활성을 유지한 반면, $NaIO_4$ 산화에 의해 급격한 활성의 감소를 나타냄으로써, 그 활성의 본체가 다당에 기인함을 알 수 있었다. 또한 가장 높은 활성을 보였던 대복피(Areca catchu) 다당의 경우 $Ca^{++}$ 이온 부재시 부분적으로 활성의 감소를 보였으며, 정상인의 혈청과 반응시 C3의 분해산물을 면역 전기 영동법에 의해 확인할 수 있었는 바, 동 사실로부터 대복피의 보체 활성화 기구는 classical pathway뿐만 아니라 alternative pathway도 경유함을 알 수 있었다.

• Asian Pacific Journal of Cancer Prevention
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• 제14권6호
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• pp.3593-3601
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• 2013

Background: For a number of reasons from cultural compatibility, to accessibility, to cost, traditional healers are a major source of health care in developing countries. In Malaysia, it's been estimated that upwards of 80% of the population consult traditional healers even if simultaneously seeking treatment from the Western medical system. Partially as a result of the widespread practice of visiting traditional healers, cancer diagnosis and treatment in Malaysia is often delayed or interrupted resulting in late presentation, advanced stage diagnosis, and a higher mortality rate than in Western countries. However, there is very little research on the role of traditional healers in cancer treatment in Malaysia. Materials and Methods: This qualitative study was designed to identify the roles traditional healers play in cancer diagnosis and treatment, with an eye to alleviating the cancer burden through educational responses with four publics in mind-policy makers, Western medical personnel, traditional healers, and the general public. In-depth interviews were conducted with 14 Malay traditional healers, 13 cancer survivors who had seen both traditional healers and Western doctors, and 12 cancer medical specialists. Results: Analysis of the data from these 39 participants revealed four roles traditional healers play in cancer treatment-medicinal healer, emotional comforter, spiritual guide, and palliative caregiver. Conclusions: Three roles (emotional, spiritual, palliative) can be seen as complementary to the allopathic system. Emotional and spiritual roles may augment the effectiveness of biomedical treatment. Cancer awareness and education programs need to position traditional healers as complementary, rather than an alternative to Western medical treatment; Validating the roles Traditional Healers can play in cancer treatment in MY through health promotion and education will contribute to alleviating the nation's cancer burden.