The Journal of Korean Obstetrics and Gynecology (대한한방부인과학회지)

The Society of Korean Medicine Obstetrics and Gynecology (대한한방부인과학회)
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A Survey on Korean Medicine Doctors' Recognition and Treatment Method for Developing Clinical Practice Guideline of Nausea and Vomiting of Pregnancy

임신오조 한의표준임상진료지침 개발을 위한 한의사의 인식과 치료 실태에 관한 조사

  • Heung-Sook Lee (College of Korean Medicine, Dong-Guk University) ;
  • Hyo-Jeong Jung (Dept. of Obstetrics & Gynecology, College of Korean Medicine, Dong-Guk University) ;
  • Su-Ji Choi (College of Korean Medicine, Dong-Eui University) ;
  • Dong-Il Kim (Dept. of Obstetrics & Gynecology, College of Korean Medicine, Dong-Guk University)
  • 이흥숙 (동국대학교 한의과대학) ;
  • 정효정 (동국대학교 한의과대학 산부인과학교실) ;
  • 최수지 (동의대학교 한의과대학) ;
  • 김동일 (동국대학교 한의과대학 산부인과학교실)
  • Received : 2023.04.11
  • Accepted : 2023.05.26
  • Published : 2023.05.26
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Abstract

Objectives: This study was aimed to develop a Korean Medicine (KM) clinical practice guideline (CPG) of Nausea and Vomiting of Pregnancy (NVP). Methods: We conducted a questionnaire survey targeting KM doctors belonging to the Association of Korean Medicine by e-mail. We received 1,023 responds, and analyzed the answers. Results: 1. 83.0% of respondents knew the concepts and contents of CPG, and 98.1% had practical use plan. 2. 82.1% of respondents used pattern identification diagnosis for NVP patients, and the most commonly diagnosed pattern was spleen-stomach weakness (脾胃虛弱) with 41.3%. 3. The most frequently used treatment for NVP patients was KM combined treatment (46.7%). Herbal medicine+acupuncture (46.8%) was most used among KM combined treatments, and herbal medicine (37.1%) was most used among KM single treatments. 4. Among the contents of CPG for NVP, the fields of interest were selected in the order of KM treatment, KM-Western medicine cooperative treatment, KM diagnosis, prevention and regimen management. In the 'diagnosis part', the use of the symptom evaluation scale questionnaire was 41.8%, higher than the KM pattern diagnosis (34.4%). In the 'treatment part', herbal medicine accounted for 33.8%, higher than that of acupuncture (including electro-acupuncture) at 23.7%. 5. As for the expected development effects, opinions on evidence-based, safety, clinical use, and standardization were the most common. Conclusions: We figured out KM doctors' recognition of KM clinical practice guideline, clinical diagnosis, treatment on NVP to make the contents of the CPG reflecting the clinical situation.

Keywords

Acknowledgement

이 연구는 보건복지부의 재원으로 한국보건산업진흥원의 한의약혁신기술개발사업지원에 의하여 이루어진 것임(HF22C0120).

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