DOI QR코드

DOI QR Code

A Survey on Korean Medicine Doctors' Recognition for Developing Korean Medicine Clinical Practice Guideline for Growth Disorders

성장장애 한의표준임상진료지침 개발을 위한 한의사 인식조사

  • Ahn, Hye Ri (Department of Pediatrics, College of Korean Medicine, Daejeon University) ;
  • Sim, Soo bo (Department of Pediatrics, College of Korean Medicine, Daejeon University) ;
  • Lee, Hye Lim (Department of Pediatrics, College of Korean Medicine, Daejeon University)
  • 안혜리 (대전대학교 한의과대학 소아과학교실) ;
  • 심수보 (대전대학교 한의과대학 소아과학교실) ;
  • 이혜림 (대전대학교 한의과대학 소아과학교실)
  • Received : 2021.07.07
  • Accepted : 2021.11.18
  • Published : 2021.11.30

Abstract

Objectives The purpose of this study is to provide data for development of the korean medicine (KM) clinical practice guidelines (CPG) for growth disorder (GD) by identifying the awareness and knowledge needs of KM doctors (KMD) through online survey. Methods Survey questionnaire was produced by referring to the previous recognition survey studies for clinical KMDs. The survey questionnaire was composed 18 questions regarding the current status of clinical care for GD, clinician's knowledge level about GD, and other details that clinicians use during practice. The survey was conducted from January 2021 to March 2021. An online survey was conducted on 101 KMDs from the association of pediatrics of KM. Results According to the survey, 96 respondents (40.3%) said the causation of GD without growth hormone deficiency needs to be included in CPG. 96 (23.5%) of the respondents wishes to utilize percentile in diagnosis and evaluation of the growth assessment. 24.7% of the clinicians were using the herbal medicine treatment. Currently, when treating with KM for GD, herbal medicine (100%) is the most widely used, followed by acupuncture (77.6%), and moxibustion (36.7%). In terms of a complex treatment, growth therapy efficacy (26.8%) is shown to be the most important factor to consider and needed to be included in CPG for the complex treatment, and diet (22.3%) is also considered to be important in GD. Conclusions In this study, we were able to understand the clinical KMDs' perception of GD, knowledge level, and the requirements in the CPG. The results of this study will provide the basic data for development of CPG for GD.

Keywords

Acknowledgement

본 연구는 보건복지부 재원으로 한국보건산업진흥원의 한의표준임상진료지침개발 사업 지원에 의하여 이루어진 것임 (no. HF20C0183)

References

  1. Kim SY. The standards of clinical practice guideline. J Health Tech Assess. 2016;4(2):53-7. https://doi.org/10.34161/johta.2016.4.2.003
  2. Shim SB, Lee JA, LEE HL. The current state of clinical practice guidelines on complementary and alternative medicine in paediatrics in countries except East Asia. J Pediatr Korean Med. 2020;34(2):75-89. https://doi.org/10.7778/JPKM.2020.34.2.75
  3. Institute of Medicine (US) Comittee on Standards for Developing Trustworthy Clinical Practice Guidelines, Clinical practice guidelines we can trust. Washington, DC: National Academies Press. 2011:25-6.
  4. Chun PS, Lee YS. An investigation of current status of the clinical practice guidelines in korea. Korean J Clin Pharm. 2015;25:178-86.
  5. Korea Institute of Oriental Medicine. Obesity_korean medicine clinical practice guideline. Seoul: Elsevier Korea L.L.C. 2016: 1-196.
  6. Korea Institute of Oriental Medicine. Idiopathic facial palsy_korean medicine clinical practice guideline. Seoul: Elsevier Korea L.L.C.. 2015: 1-146.
  7. Korea Institute of Oriental Medicine. Ankle sprain_korean medicine clinical practice guideline. Seoul: Elsevier Korea L.L.C.. 2015: 1-178.
  8. Korea Institute of Oriental Medicine. Lumbar herniated intervertebral disc in adults_korean medicine clinical practice guideline. Seoul: Elsevier Korea L.L.C.. 2015: 1-146.
  9. Korea Institute of Oriental Medicine. Atopic dermatitis_korean medicine clinical practice guideline. Seoul: Elsevier Korea L.L.C.. 2015: 1-116.
  10. Korea Institute of Oriental Medicine. Shoulder pain in adults_korean medicine clinical practice guideline. Seoul: Elsevier Korea L.L.C.. 2015: 1-220.
  11. Korea Institute of Oriental Medicine. Depression_korean medicine clinical practice guideline. Seoul: Elsevier Korea L.L.C.. 2015: 1-276.
  12. National Institute for Korean Medicine Development. Korean Medicine Clinical Practice Guideline [Internet]. Guideline center for Korean Medicine; 2016 [Updated 2019; cited 2021 Jun 14]. Available from: https://nikom.or.kr/nckm/html.do?menu_idx=42.
  13. Lee EJ, Lee BR, Lee JH, Chang GT. A study on the recent trend of chief complaint of korean pediatric and adolescent outpatients. J Pediatr Korean Med. 2016; 30(1):45-58. https://doi.org/10.7778/JPKM.2016.30.1.045
  14. Health Insurance Review & Assessment Service. Statistics by ATC Codes (by Year, Gender, Age) [Internet]. Healthcare Bigdata Hub; 2015 [Updated 2020; cited 2021 Feb 26]. Available from: http://opendata.hira.or.kr/home.do.
  15. Choi SH, Park EJ. A clinical study of the pediatric patients who visited oriental medical hospital for growth treatment. J Pediatr Korean Med. 2018;32(4):51-62. https://doi.org/10.7778/JPKM.2018.32.4.051
  16. Yoon HJ, Kim DG, Lee JY. A study for the parent's recognition of the oriental medical treatment and the expectation of children's growth. J Pediatr Korean Med. 2011;25(1):119-27. https://doi.org/10.7778/JPKM.2011.25.1.119
  17. Kim HJ. Qualitative research through in-depth interviews on the experiences of the caregivers who have chosen traditional korean medicine growth treatment. [Master]. [Na-ju (Jeollanam-do)]: Dongshin University, 2020. 56 p.
  18. Lee BR, Kwon CY, Jang SB. A systematic review of economic analysis on idiopathic short stature. J Pediatr Korean Med. 2021;35(2):1-10. https://doi.org/10.7778/JPKM.2021.35.2.1
  19. Lee DN, Kim HJ, Yu JS. A survey on Korean medicine clinical practice guideline of coldness of hands and feet. J Korean Obstet Gynecol. 2017;30(3):92-116. https://doi.org/10.15204/JKOBGY.2017.30.3.092
  20. Park IH, Hwang EH, Hwang MS, Heo I, Kim BJ, Lim KT, Shin BC. A web-based survey on clinical practive patterns of Korean medicine treatment for traffic injuries. J Korean Med Rehabil. 2017;27(4):131-45. https://doi.org/10.18325/jkmr.2017.27.4.131
  21. Deaprtment of Pediatrics, Nationwide Korean Medicine College. Pediatrics of korean medicine. 3rd ed. Seoul: Ui Sung Dang Publishing Co.; 2020:809-17.
  22. Kwon JH, Cho SW, Yu SA. Review of clinical researches for herbal medicine treatment in pediatric growth - focusing on recent national studies -. J Pediatr Korean Med. 2018;32(4):103-12. https://doi.org/10.7778/JPKM.2018.32.4.103
  23. Park SG, Park SH, Lee SH, Lee JY. Review of clinical research in Chinese medical journal for acupuncture, moxibustion, and manual therapy of pediatric growth. J Pediatr Korean Med. 2019;33(1):58-77. https://doi.org/10.7778/JPKM.2019.33.1.58
  24. Lee YJ. Cho CH, Lee HJ. Effects of light pollution from mobile digital devices on sleep and circadian rhythms. Sleep Med Psychophysiol. 2020;27(1): 1-7. https://doi.org/10.14401/KASMED.2020.27.1.1
  25. Choi MH, Kim DG, Lee JY. The effect of sleep on the growth of children. J Pediatr Korean Med. 2012; 26(4):24-3. https://doi.org/10.7778/JPKM.2012.26.4.025