DOI QR코드

DOI QR Code

증례를 통해 본 치매의 한양방 협진 모델 연구

A Study on the System of Collaborative Practice between Korean Traditional Medicine and Western Medicine for Dementia based on a Case Study

  • 이고은 (원광대학교 한의과대학 한방신경정신과교실) ;
  • 양현덕 (원광대학교 산본병원 신경과교실) ;
  • 전원경 (한국한의학연구원 한의신약개발그룹) ;
  • 강형원 (원광대학교 한의과대학 한방신경정신과교실)
  • Lee, Go-Eun (Department of Neuropsychiatry, College of Korean Traditional Medicine, Wonkwang University) ;
  • Yang, Hyun Duk (Department of Neurology, Sanbon Hospital of Wonkwang University, School of Medicine, Wonkwang University) ;
  • Jeon, Won Kyung (KM-Based Herbal Drug Development Group, Korea Institute of Oriental Medicine) ;
  • Kang, Hyung-Won (Department of Neuropsychiatry, College of Korean Traditional Medicine, Wonkwang University)
  • 투고 : 2013.08.27
  • 심사 : 2013.09.17
  • 발행 : 2013.09.30

초록

Objectives : This report describes the diagnostic and therapeutic procedures of Collaborative Practice between Korean Traditional Medicine and Western Medicine for two dementia patients. Furthermore, through these cases, we suggest a model of collaborative practice between Korean traditional medicine and western medicine for the treatment of dementia. Methods : Two patients suffering from several symptoms related to dementia received collaborative practice between Korean traditional medicine and western medicine. Physicians of deparment which paient first visit interviewed patient and patient's guardians, discussed the symptoms and the status of the patient. Since then, the medical team made a differential diagnosis based on the results of brain imaging, hematology, urine test. and apprehended the status of dementia by the neuropsychological test. Korean traditional physicians examined the physical symptoms and identified the pattern of dementia in Korean traditional medicine. Following this, they decided on the method of acupuncture, moxibustion, cupping and herbal treatment. Western physicians decided on the type of medication after consideration of the patient's other medical conditions. Every intervention was decided by both Korean traditional physicians and western physicians after discussion. The medical team provided education on dementia and counseled the guardians. They also wrote the paper for using the long-term care insurance for the aged. Results : Two patients showed no improvement on the neuropsychologic and activity of daily living tests. However, the patients' subjective physical symptoms were improved. The collaborative practice between Korean traditional medicine and western medicine improved the patients' and guardians' satisfaction. Conclusions : Through these cases, we propose a model of collaborative practice between Korean traditional medicine and western medicine for dementia categorized diagnosis-test, treatment, prevention, management. More specifically, we supplement qigong and psychotherapy which was inadequate in these cases.

키워드

참고문헌

  1. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders: DSM-IV. 4th ed. American Psychiatric Association. Washington; 1994.
  2. Katzman R. Education and the Prevalence of Dementia and Alzheimer's Disease. Neurology. 1993;43:13-20. https://doi.org/10.1212/WNL.43.1_Part_1.13
  3. Lee KS, Suh HS. Alzheimer's Disease: Clinical Trials and Future Perspectives. Korean Journal of Psychopharmacology. 2012;23(4):131-5.
  4. Rowe MA, Glover JC. Antecedent, Descriptions and Consequences of Wandering in Cognitivelyimpaired Adults and the Safe Return (SR) Program. American Journal of Alzheimer's Disease and Other Dementias. 2001;16(6):344-52. https://doi.org/10.1177/153331750101600610
  5. Lee SY. Effects of Aromatherapy and Foot Reflex Massage on Emotion, Sleep Disturbance, and Wandering Behavior in Older Adults with Dementia. Korean Journal of Rehabilitation Nursing. 2013;15(1):9-17. https://doi.org/10.7587/kjrehn.2013.9
  6. Korean dementia association. The Cilinical Approach for Dementia. Second Edition. Academia Gyoung-gi; 2011.
  7. Ryu CH, Jung IC, Cho SH, Hwang WW, Kang WC, Lee SR. Preliminary Study to Develop the Instrument of Oriental Medical Evaluation for dementia. Journal of Oriental Neuropsychiatry. 2010;21(4): 123-35.
  8. Lee GE, Yang HD, Heo EJ, Jeon WK, Lyu YS, Kang HW. The Current State of Clinical Studies on Scalp Acupuncture - Treatment for Dementia-by Search for China Literature Published from 2001 to 2011 in CAJ (China Academic Journals)-. Journal of Oriental Neuropsychiatry. 2012:23(1);13-32. https://doi.org/10.7231/JON.2012.23.2.013
  9. Lee GE, Yang HD, Heo EJ, Yang HD, Kang HW. The Study on the Korean Traditional Medical Treatment and System of Collaborative Practice Between Korean Traditional Medicine and Western Medicine for Dementia: Based on Analysis of Questionnaire Survey in Professional Group. Journal of Oriental Neuropsychiatry. 2012:23(4);49-68 https://doi.org/10.7231/jon.2012.23.4.049

피인용 문헌

  1. Analysis of Western-Korean cooperative treatment in hospital-care of patients with dementia vol.34, pp.3, 2017, https://doi.org/10.13045/acupunct.2017092
  2. 한의학 융합 연구와 관련된 국내외 연구 동향 고찰 vol.29, pp.4, 2013, https://doi.org/10.15188/kjopp.2015.08.29.4.313
  3. 한양방 협진치료를 받은 치매와 경도인지장애 환자에 대한 후향적 의무기록 분석 vol.29, pp.2, 2013, https://doi.org/10.7231/jon.2018.29.2.111
  4. 요추 수술 후 재활 치료에서의 한양방협진 매뉴얼 제안 vol.28, pp.4, 2018, https://doi.org/10.18325/jkmr.2018.28.4.59
  5. 혈관성 치매에 대한 근거기반 의한 협진 매뉴얼 제안 vol.40, pp.1, 2013, https://doi.org/10.13048/jkm.19005
  6. 치매(痴呆)에 대한 임상 한의학 연구 경향 분석 : 지난 10년간의 국내 논문을 중심으로 vol.24, pp.1, 2020, https://doi.org/10.25153/spkom.2020.24.1.004