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A Survey on General Public's Experience and Perception of Korean Medicine Treatment for Developing Clinical Practice Guideline of Nausea and Vomiting of Pregnancy

임신오조 한의표준임상진료지침 개발을 위한 일반인 대상 의료 이용 경험 및 인식도 조사

  • Hyo-Jeong Jung (Dept. of Obstetrics & Gynecology, College of Korean Medicine, Dong-Guk University) ;
  • Su-Ji Choi (Dept. of Obstetrics & Gynecology, College of Korean Medicine, Dong-Eui University) ;
  • Dong-Il Kim (Dept. of Obstetrics & Gynecology, College of Korean Medicine, Dong-Guk University)
  • 정효정 (동국대학교 한의과대학 산부인과학 교실) ;
  • 최수지 (동의대학교 한의과대학 부인과교실) ;
  • 김동일 (동국대학교 한의과대학 산부인과학 교실)
  • Received : 2023.04.14
  • Accepted : 2023.05.26
  • Published : 2023.05.26

Abstract

Objectives: This study was conducted to reflect the public's perspective when developing Korean Medicine (KM) Clinical Practice Guideline (CPG) for nausea and vomiting of pregnancy (NVP). Methods: 317 respondents who had experienced nausea and vomiting during current or past pregnancy completed the questionnaire online, and we analyzed their answers. Results: 1. 24% of all respondents had received KM treatment. The most common reason for choosing KM treatment was "it would be relatively safe for pregnant women and fetuses", and the reason for not choosing KM treatment was "they did not know much about it". 2. Respondents who had experienced KM treatment for NVP had felt the effects of KM treatment (79%), and chose herbal medicine as the most effective and preferred treatment. 3. 64.1% of respondents who had not experienced KM treatment for NVP preferred cooperative treatment with Western medicine. They answered that herbal medicine would be the most effective treatment, but preferred acupuncture. 4. The most important factor when treating NVP was "the safety of treatments". 59% of all respondents perceived KM treatment is safe for NVP. The treatments perceived as safest were herbal medicine and acupuncture, while the treatments with the least safety information were pharmacopuncture and electro-acupuncture. 5. Treatments that medical consumers were comprehensively interested in were acupuncture, KM treatment & Fluid, herbal medicine, moxibustion, and acupressure, in order. Conclusions: This study revealed the public's experience of using medical care, preference and perception of KM treatment for NVP. Therefore we would reflect the patients' clinical needs in the CPG.

Keywords

Acknowledgement

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

References

  1. Kim Y. Changes in patient-centered medical services: focused on improvements on communication between doctors and patients. JSTS. 2013;13(2):71-110.  https://doi.org/10.5573/JSTS.2013.13.1.071
  2. Ahn IS, et al. The Analysis of Delivery Outcomes in Cases of Hyperemesis Gravidarum Patients Medicated with Pinelliae Rhizoma - to Establish a Guideline in Administration of Pinelliae Rhizoma. J Korean Obstet Gynecol. 2014;27(3):94-103.  https://doi.org/10.15204/jkobgy.2014.27.3.094
  3. Kim KO. Nausea and Vomiting in Pregnancy. Korean J Med. 2012;82(5):525-31.  https://doi.org/10.3904/kjm.2012.82.5.525
  4. Nordeng H, Havnen GC. Use of herbal drugs in pregnancy: a survey among 400 Norwegian women. Pharmacoepidemiol Drug Saf. 2004;13(6):371-80.  https://doi.org/10.1002/pds.945
  5. Brown A, et al. South Australian Perinatal Practice Guideline : Nausea and Vomiting in Pregnancy and Hyperemesis Gravidarum. SA Health: Government of South Australia. https://www.sahealth.sa.gov.au 
  6. Korean Society of Obstetrics and Gynecology. Obstetrics. 6th rev. ed. Seoul:Koonja publisher. 2019:894. 
  7. Committee on Practice Bulletins-Obstetrics. ACOG Practice Bulletin No. 189: Nausea And Vomiting Of Pregnancy. Obstet Gynecol. 2018;131(1):e15-e30.  https://doi.org/10.1097/AOG.0000000000002456
  8. Jo HJ, et al. A Clinical Analysis of Patients that Used Herbal Medicine during Pregnancy for Medical Treatment. J Korean Obstet Gynecol. 2008;21(4):150-8. 
  9. Choi MS, Kim DI. A clinical analysis of patients that used herbal medicine in pregnancy and retrospective survey of patient's treatment satisfaction. J Korean Obstet Gynecol. 2005;18(3):127-38. 
  10. Graham R, et al. Clinical practice guidelines we can trust. Washington, DC:National Academies Press. 2011:11. 
  11. Korean Pharmacopuncture Institute. Pharmacopuncturology. third edition. Seoul:Elsevier Korea. 2020:817-8. 
  12. Xiong LL. Comparison of curative effects of different administration routes of vitamin B6 for hyperemesis gravidarum. Maternal and Child Health Care of China. 2013;28(19):3085-6. 
  13. Cui Y, Liu YZ, Yi LH. Impacts of Acupoint Injection on Motilin in the Patients with Hyperemesis Gravidarum. World Journal of Integrated Traditional and Western Medicine. 2014;9(1):53-7.