The Journal of Korean Obstetrics and Gynecology (대한한방부인과학회지)

The Society of Korean Medicine Obstetrics and Gynecology (대한한방부인과학회)
권호 표지
DOI QR코드

DOI QR Code

A Survey on Korean Medicine Doctors' Recognition and Clinical Fields of Treating Primary Dysmenorrhea for Developing Korean Medicine Clinical Practice Guideline for Dysmenorrhea

월경통 한의표준임상진료지침 개발을 위한 한의사의 인식과 원발성 월경통 치료에 관한 실태조사

  • Woo, Hye-Lin (Dept. of Clinical Korean Medicine, Graduate School, Kyung-Hee University) ;
  • Ji, Hae-Ri (Dept. of Clinical Korean Medicine, Graduate School, Kyung-Hee University) ;
  • Park, Kyoung-Sun (Dept. of Korean Medicine Gynecology, College of Korean Medicine, Kyung-Hee University) ;
  • Hwang, Deok-Sang (Dept. of Korean Medicine Gynecology, College of Korean Medicine, Kyung-Hee University) ;
  • Lee, Chang-Hoon (Dept. of Korean Medicine Gynecology, College of Korean Medicine, Kyung-Hee University) ;
  • Jang, Jun-Bock (Dept. of Korean Medicine Gynecology, College of Korean Medicine, Kyung-Hee University) ;
  • Lee, Jin-Moo (Dept. of Korean Medicine Gynecology, College of Korean Medicine, Kyung-Hee University)
  • 우혜린 (경희대학교 대학원 임상한의학과) ;
  • 지해리 (경희대학교 대학원 임상한의학과) ;
  • 박경선 (경희대학교 한의과대학 한방부인과교실) ;
  • 황덕상 (경희대학교 한의과대학 한방부인과교실) ;
  • 이창훈 (경희대학교 한의과대학 한방부인과교실) ;
  • 장준복 (경희대학교 한의과대학 한방부인과교실) ;
  • 이진무 (경희대학교 한의과대학 한방부인과교실)
  • Received : 2017.04.24
  • Accepted : 2017.05.22
  • Published : 2017.05.26
Download PDF
⟨ Previous Next ⟩

Abstract

Objectives: This study is aimed to figure out Korean medicine doctors' recognition of Korean Medicine clinical practice guidelines (CPG) and clinical fields of treating primary dysmenorrhea before developing CPG for dysmenorrhea. Methods: We conducted a questionnaire survey targeting 515 Korean medicine doctors belonging to the Association of Korean Medicine by e-mail and analyzed the answers. Results: 81.2% of the respondents knew the concepts and contents of CPG, and 98.7% agreed about the necessity of CPG. 94.2% were willing to use CPG for dysmenorrhea in learning and treating. Average number of patients visiting the respondents' clinics for dysmenorrhea was 3.9, the main age group was 20s (63.1%), and the treatments the patients given before were mostly Western treatments such as pain killers and hormonal drugs. The respondents answered that they diagnosed patients with dysmenorrhea mainly with pattern diagnosis (41.6%), and treated them with herbal medicine (39.2%), acupuncture (31.6%) and moxibustion (22.6%) for 2-3 months. They answered that the acupoint they use most was San yin jiao, and the prescription was Gui-zhi-fu-ling-wan, They answered that the field considered to need further study was decoction of herbal medicine most (27.4%), and the field considered to need insurance coverage was also decoction of herbal medicine most (40.2%). Conclusions: We figured out Korean Medicine doctors' recognition of CPG, clinical diagnosis, treatment, cost for treating dysmenorrhea, and fields of clinical research and policy they required.

Keywords

References

  1. Korean Society of Obstetrics and Gynecology. Gynecology. 5th edition. Seoul:Korea Medical Book Publishing Co. 2015:129-32.
  2. Kim T. Pathogenesis and Management Guideline of Dysmenorrhea. Korean Journal of Obstetrics and Gynecology. 2005;48(7):1613-20.
  3. Shahindokht NR, et al. Comparing the analgesic effect of heat patch containing iron chip and ibuprofen for primary dysmenorrhea: a randomized controlled trial. BMC Women's Health. 2012;12:25. https://doi.org/10.1186/1472-6874-12-25
  4. Wong CL, et al. Oral contraceptive pill for primary dysmenorrhoea. Cochrane Database Syst Rev. 2009;7(4):CD002120.
  5. The Society of Korean Medicine Obstetrics and Gynecology. Oriental Obstetrics & Gynecology 2. 3rd edition. Seoul: Eui Seong Dang Publishing Co. 2016:99-100.
  6. Woo HL, et al. Analysis on Chief Complaints of Outpatients Visiting Korean Gynecology Clinic of Traditional Korean Medicine Hospital in Gangdong-gu, Seoul. J Korean Obstet Gynecol. 2017;30(1):29-41. https://doi.org/10.15204/jkobgy.2017.30.1.029
  7. Department of Obstetrics and Gynecology of Catholic University. Current Principles and Clinical Practice of Obstetrics & Gynecology. Seoul:Koonja Publishing Co. 2011:133-4.
  8. Wong LP, Khoo EM. Dysmenorrhea in a multiethnic population of adolescent Asian girls. International Journal of Gynecology & Obstetrics. 2010;108(2):139-42. https://doi.org/10.1016/j.ijgo.2009.09.018
  9. Kim JS, et al. The Menstruation discomfort and quality of life of female university students. Journal of the Nursing Academic Association of Ewha Womans University. 2011;45:14-28.
  10. Health Insurance Review & Assessment Service. Disease Subdivision(N946) Statistics(2012-2016)[Cited Apr 17, 2017]. Available from:http://opendata.hira.or.kr/op/opc/olap4thDsInfo.do.
  11. KOSIS. Reasons and Chief complaints that make patients visit Korea Medicine clinics(2011)[Cited Apr 17, 2017]. Available from:http://kosis.kr/statHtml/statHtml.do?orgId=117&tblId=DT_11787_N002&vw_cd=MT_ZT ITLE&list_id=117_11787_A02&c onn_path=F0&path=.
  12. Kim JY, Kim KH, Kim JH. Health Care Utilization of Outpatients in the Oriental Hospital. J Korean Oriental Med. 2000;21(4):129-37.
  13. ACOG Committee on Practice Bulletins-Gynecology. ACOG Practice Bulletin No. 11: Medical management of endometriosis. Obstet Gynecol. 2010;116(1):211. https://doi.org/10.1097/AOG.0b013e3181e8b011
  14. Chen HM, Chen CH. Effects of acupressure at the Sanyinjiao point on primary dysmenorrhoea. J Adv Nurs. 2004;48(4):380-7. https://doi.org/10.1111/j.1365-2648.2004.03236.x
  15. Society for Meridian and Acupoint. College Meridian and Acupoint Particulars 1. Seoul:Jongryeo Publishing Co. 2012:64-79, 213-27, 282-92.
  16. Lee TH. Sa-am-do-in-chim-gu-yo-kyul. Seoul:Hangrim Publishing Co. 1975:243.
  17. Lee IS, et al. Effect of Sa-am Acupuncture Treatment on the Dysmenorrhea (Pilot Study, Single Blind, Randomized, Sham Acupuncture, Controlled Clinical Trial). The Journal of Korean Acupuncture & Moxibustion Society. 2007;24(3):63-79.
  18. Yang YG. Dong-si-ki-hyul-chim-guh-ak. Seoul:Daesung Medical Publishing Co. 1992:1.
  19. Kim DH, Three cases on OB & GY outpatients treated by Dong's acupuncture therapy. J Korean Obstet Gynecol. 2002;15(13):217-23.
  20. Cho JH. Effect of GeJiBockRyungHwan on Dysmenorrhea caused by Blood Stagnation: randomized, double-blinded, placebo-controlled multi-center study. Graduate School, Kyung Hee University. 2010.
  21. Kim YH. Cheong-kang-eui-gam. Seoul :Sungbo Publishing Co. 2001:391.
  22. Lim JH, et al. Clinical efficacy of Hyunburikyungtang-gagam for dysmenorrhea caused qi-stagnation and blood clots. J Korean Obstet Gynecol. 2002;15(4):228-37.
  23. Hur J. Dong-eui-bo-gam. Kyungnam :Dong-eui-bo-gam Publishing Co. 2010:1751.
  24. Kim CH. Study on Wen-jing-tang used in gynecologic disease. J Korean Obstet Gynecol. 1998;11(1):251-65.
  25. Pan JC, et al. The traditional Chinese medicine prescription pattern of patients with primary dysmenorrhea in Taiwan: A large-scale cross sectional survey. Journal of Ethnopharmacology. 2014;152:314-9. https://doi.org/10.1016/j.jep.2014.01.002
  26. Park SK, Kim RK, Oh MS. Cheo-bang- je-hyeong-hak. Seoul:Yeonglim Publishing Co. 2010:200-3.
  27. Lee HW, et al. Herbal medicine (Danggui Shaoyao San) for treating primary dysmenorrhea: A systematic review and meta-analysis of randomized controlled trials. Maturitas. 2016;86:19-26.
  28. Lee E, et al. A Study on the Side Effects and Toxicity of Herbal Medicine. Korean J Orient Int Med 2002;23(2):222-7.
  29. Korean Acupuncture and Moxibustion Medicine Society. The Acupuncture and Moxibustion Medicine. Seoul: Jipmoon Publishing Co. 2012:293-6, 330.
  30. Health Insurance Review & Assessment Service. Disease Subdivision(N944) Statistics(2012-2016)[Cited Apr 17, 2017]. Available from:http://opendata.hira.or.kr/op/opc/olap4thDsInfo.do.
  31. KOSIS. File of medical charge of medical, dental and Korean medicine (2017)[Cited Apr 17, 2017]. Available from:http://www.hira.or.kr/cms/policy/03/01/04/02/1353640_27462.html.
  32. Health Insurance Review & Assessment Service. List of herbal medicine covered by health insurance and table of maximum charge(2017)[Cited Apr 17, 2017]. Available from:http://www.hira.or.kr/cms/policy/03/01/04/02/13 53690_27462.html.