Clinical and Experimental Pediatrics

대한소아청소년과학회 (The Korean Pediatric Society)
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학동기 소아에서 보완대체요법의 이용실태

A study on the utilization of complementary and alternative medicine for elementary children

  • 안영준 (조선대학교 의과대학 소아과학교실) ;
  • 김은영 (조선대학교 의과대학 소아과학교실) ;
  • 문경래 (조선대학교 의과대학 소아과학교실)
  • Ahn, Young Joon (Department of Pediatrics, College of Medicine, Chosun University) ;
  • Kim, Eun Young (Department of Pediatrics, College of Medicine, Chosun University) ;
  • Moon, Kyung Rae (Department of Pediatrics, College of Medicine, Chosun University)
  • 투고 : 2009.04.17
  • 심사 : 2009.09.11
  • 발행 : 2009.10.15
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초록

목 적:만성질환자가 아닌 일반 학동기 아동을 대상으로 보완대체요법 이용실태를 파악하며 소아청소년과 의사로서 대처 방향을 모색하고자 연구를 실시하였다. 방 법:3개 초등학교 1학년부터 6학년 1,688명의 학부모를 대상으로 설문조사를 시행하였다. 그중 설문지가 회수된 794명(47%)을 분석하였다. 결 과:일반적인 학동기 아동에서 보완대체요법의 이용률은 278명(35%)이었고, 보완대체요법의 종류는 한약제 62.6%, 보조식품 31.3%, 비타민 30.2%, 선식 11.2%, 침술 11.2%, 체 냄, 수지침 순이었다. 보완대체요법의 이용률은 어머니의 학력이 대학 이상 일 때, 종교가 있을 때, 가정 월 총수입이 100만 원 이상일 때 의미 있게 높았으며 이용하게 된 동기는 질병예방목적이 가장 많았고, 주로 주변 사람이나 매체를 통해 이용하였다. 보완대체요법에 대한 만족하지 못하는 경우는 16%였고, 재사용 의향이 없는 경우는 20.5%였고, 환아가 건강할 때 주로 사용하는 경향을 보였다. 환아가 영양결핍, 아토피 피부염, 관절통증, 알레르기비염, 비만, 천식 때 주로 이용하는 경향을 보였다. 결 론:보완대체 의학의 사용이 아이의 건강상태와는 밀접하지 않으며 사용 경로 또한 주변 사람의 권유나 방송 매체 등을 통해 이루어지고, 병원치료와 병행 시 좋을 것이라는 막연한 기대감으로 사용되고 있는 경우가 많아 보완대체요법에 대한 부작용, 효과, 안전성에 대한 연구가 필요하며 만성질환 및 알레르기 질환의 경우 소아청소년과 의사로서 현대의학의 적극적인 치료 및 교육이 필요할 것으로 사료된다.

Purpose: Recently, complementary and alternative medicine (CAM) has been increasingly used in children. Studies have shown that 34% of adults and 11% of children use CAM in the USA and Canada. The purpose of this study was to investigate the prevalence and patterns of CAM use in elementary children in Korea. Methods:From July to August 2007, parents of elementary children completed a questionnaire survey at Gwang-ju. In all, 794 questionnaires were analyzed. Results:Of the 794 respondents, 278 answered that their pupils (35%) had experienced CAM. The following types of CAM therapy were used: herbal medicine, 62.5% dietary supplements, 31.2% vitamins, 30.2% and acupuncture, 11.1%. CAM therapies were used for the following diseases: nutritional deficiency, 33.3% atopic dermatitis, 31.3% arthralgia, 31.3% allergic rhinitis, 28.8% obesity, 26.3% and asthma. The following were the motives to use CAM: prevention of diseases (33.5%), dissatisfaction with modern medicine (21.2%), and complementary therapy to modern medicine (20.5%). People gained information about CAM through neighbors (65%) and mass media (21%). Moreover, 83 parents (30%) were satisfied with CAM because of its effectiveness. Conclusion:Many parents have advocated the use of CAM in their children. However, most of them used CAM without any prescription or adequate knowledge. Further studies are required to determine the efficacy of CAM.

키워드

과제정보

연구 과제 주관 기관 : Chosun University

참고문헌

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피인용 문헌

  1. A Qualitative Study of Quality of Life and the Experience of Complementary and Alternative Medicine in Korean Women With Constipation vol.34, pp.2, 2009, https://doi.org/10.1097/sga.0b013e3182109405
  2. 양방치료를 받고 있는 신경계질환아동에서 한방치료 및 기타 병행치료 이용실태에 관한 조사 vol.26, pp.2, 2009, https://doi.org/10.7778/jpkm.2012.26.2.072
  3. A Clinical Study of the Relationship between Obesity and Pubertal Development in Girls vol.15, pp.3, 2009, https://doi.org/10.5223/pghn.2012.15.3.175
  4. Current utilization and influencing factors of complementary and alternative medicine among children with neuropsychiatric disease: a cross-sectional survey in Korea vol.16, pp.None, 2016, https://doi.org/10.1186/s12906-016-1066-4