DOI QR코드

DOI QR Code

A Study on the Application of Standard Korean Medicine Clinical Pathway for Dysmenorrhea

월경통 한의표준임상경로 적용 가능성 및 유효성 평가 연구 프로토콜

  • Choi, Su-Ji (Dept. of Obstetrics & Gynecology, College of Korean Medicine, Dong-Guk University) ;
  • Kim, Dong-Il (Dept. of Obstetrics & Gynecology, College of Korean Medicine, Dong-Guk University) ;
  • Noh, Eun-Ji (Dept. of Obstetrics & Gynecology, College of Korean Medicine, Dong-Guk University)
  • 최수지 (동국대학교 한의과대학 부인과교실) ;
  • 김동일 (동국대학교 한의과대학 부인과교실) ;
  • 노은지 (동국대학교 한의과대학 부인과교실)
  • Received : 2022.01.14
  • Accepted : 2022.02.25
  • Published : 2022.02.25

Abstract

Objectives: The purpose of this study protocol is firstly to investigate the status of Korean medical treatment of dysmenorrhea, and secondly to investigate effectiveness of the Clinical Pathway (CP) of dysmenorrhea and review the applicability. Methods: This is a multi-center observational study. The data will be prospectively collected from 14 Korean medicine clinics. 45 patients for each of the CP-applied and non-applied groups will be recruited to compare the degree of improvement in menstrual pain. All the diagnosis records, treatment methods, treatment results, adverse events, and medical expenses of patients with dysmenorrhea will be collected. We will investigate the proportion of patients who could be applied with CP, and the actual number of CP applications, and CP completion rate to evaluate the applicability. Additionally, the satisfaction survey will be used to collect feedback from medical staff members and patients. Results: The results of this study will be disseminated through peer-reviewed publications and scientific presentations. Conclusions: This study is expected to provide valuable data for application of standard Korean medicine clinical pathway for dysmenorrhea.

Keywords

Acknowledgement

본 연구는 한국한의약진흥원 한의표준임상진료지침 개발사업단(HI16C0275)의 지원을 받아 수행된 연구 결과입니다.

References

  1. Hillen TI, et al. Primary dysmenorrhea in young Western Australian women: prevalence, impact, and knowledge of treatment. Journal of adolescent health. 1999;25(1):40-5. https://doi.org/10.1016/S1054-139X(98)00147-5
  2. Polat A, et al. Prevalence of primary dysmenorrhea in young adult female university students. Archives of gynecology and obstetrics. 2009;279(4):527-32. https://doi.org/10.1007/s00404-008-0750-0
  3. Lim KT, et al. A study on patterns of menarches and menstrual disorders in urban middle school girls. Korean Journal of Obstetrics and Gynecology. 1994;37(4):663-72.
  4. Kim HO, et al. Premenstrual syndrome and dysmenorrhea in Korean adolescent girls. Korean Journal of Obstetrics and Gynecology. 2008;51(11):1322-9.
  5. 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
  6. 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(1):13-28.
  7. Woo HL, et al. Analysis on Chief Complaints of Outpatients Visiting Korean Gynecology Clinic of Traditional Korean Medicine Hospital in Gangdong-gu, Seoul. The Journal of Korean Obstetrics and Gynecology. 2017;30(1):29-41. https://doi.org/10.15204/JKOBGY.2017.30.1.029
  8. Kim M, Han CH. Development of a Critical Pathway for a Korean Medicine Hospital Inpatient with Stroke. The Journal of Korean Medicine. 2021;42(2):62-71. https://doi.org/10.13048/jkm.21015
  9. Oh KE, et al. Development of Clinical Pathway and Analysis of Clinical Patterns for Optimizing the Integrative Medical Service. The Journal of the Korean Medicine Diagnostics. 2012;16(2):23-32.
  10. Hong M, et al. Development and Validity Test on Preliminary Critical Pathway of Integrative Medicine for Lung Cancer Patients Treated with Chemotherapy. J Int Korean Med. 2017;38(6):917-29. https://doi.org/10.22246/jikm.2017.38.6.917
  11. Eom YJ, et al. A Pilot Study on Effects of Critical Pathway Application for Hwa-Byung. J of Oriental Neuropsychiatry. 2021;32(4):337-43.
  12. Kim JH, et al. A Study on the Development and Application of Korean Medical Critical Pathway of Lumbar Disc Herniation in Four Different Medical Associations. J Korean Med. 2021;42(3):1-8.
  13. Kim BJ, et al. An Integrative Care Model of Clinical Pathway Approach for Acute Pain after Back Surgery: A Protocol for Clinical Trial. J Korean Med Rehabi. 2017;27(4):111-9. https://doi.org/10.18325/jkmr.2017.27.4.111
  14. Witt CM, et al. Acupuncture in patients with dysmenorrhea: a randomized study on clinical effectiveness and cost-effectiveness in usual care. American journal of obstetrics and gynecology. 2008;198(2):166.e1-166.e8. https://doi.org/10.1016/j.ajog.2007.07.041
  15. Sriprasert I, et al. Efficacy of acupuncture versus combined oral contraceptive pill in treatment of moderate-to-severe dysmenorrhea: a randomized controlled trial. Evidence-based Complementary and Alternative Medicine. 2015:1-10. Available from:URL:https://doi.org/10.1155/2015/735690.
  16. Yeh LLL, et al. A randomised placebo -controlled trial of a traditional Chinese herbal formula in the treatment of primary dysmenorrhoea. PloS one. 2007;2(8):e719. https://doi.org/10.1371/journal.pone.0000719
  17. Andersch, B. Milsom I. An epidemiologic study of young women with dysmenorrhea. American journal of obstetrics and gynecology. 1982;144(6):655-60. https://doi.org/10.1016/0002-9378(82)90433-1
  18. The Society of Korean Medicine Obstetrics and Gynecology. Korean Medicine Obstetrics & Gynecology (Vol 2). 4th rev. ed. Seoul:Euiseongdang. 2021:106-26.
  19. Kim JS, et al. Development of Clinical Practice Guidelines for Sasang Constitutional Medicine Symptomatology -Purpose, Development Strategy and Procedure. Journal of Sasang Constitutional Medicine. 2013;25(1):23-33. https://doi.org/10.7730/JSCM.2013.25.1.23
  20. Shin ES. Trends in the development of and emerging tasks of clinical practice guidelines in Korea. Journal of the Korean Medical Association. 2012;55(4):371-8. https://doi.org/10.5124/jkma.2012.55.4.371
  21. Go DY. The background and status of 3th comprehensive plan to develop Korean Traditional Medicine. The Journal of Korean Medicine Policy. 2016;4(1):8-9.
  22. Kim D, et al. Survey on practice behavior and model acceptance of traditional Korean medicine (TKM) doctors in order to develop health insurance payment model related with TKM clinical practice guidelines (CPGs). Journal of Society of Preventive Korean Medicine. 2017;21(3):1-10.
  23. Kim JW. Research on the Acceptability of the Main Project, based on the Application of the Diseases Subject to the Pilot Project of Packed Herbal Medicine in the National Health Insurance -Focus on facial paralysis, menstrual pain, sequelae of cerebrovascular disease-. Department of Health Administration, Graduate School, Yonsei University. 2021:56, 84, 104-6.
  24. Woo HL, et al. A Survey on Korean Medicine Doctors' Recognition and Clinical Fields of Treating Primary Dysmenorrhea for Developing Korean Medicine Clinical Practice Guideline for Dysmenorrhea. The Journal of Korean Obstetrics and Gynecology. 2017;30(2):93-106. https://doi.org/10.15204/JKOBGY.2017.30.2.093