동의신경정신과학회지 (Journal of Oriental Neuropsychiatry)

  • 제35권2호
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  • Pages.191-203
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  • 2024
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  • 1226-6396(pISSN)
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  • 2234-4942(eISSN)
대한한방신경정신과학회 (The Korean Society of Oriental Neuropsychiatry)
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섬유근통 환자와 보호자의 삶의 질 증진을 위한 의·한 협진 기반의 통합의료서비스모델 적용평가 사례 연구: 심리 및 매체 상담개입을 중심으로

A Case Study Evaluating the Effectiveness of an Interdisciplinary Team-Based Integrated Medical Service Model in Improving the Quality of Life of a Fibromyalgia Patient and Caregiver through Psychological and Various Counseling Interventions

  • 정문주 (원광대학교 보건과학대학 의료상담학과) ;
  • 이도은 (원광대학교 장흥통합의료병원 대한통합의료연구원) ;
  • 이명수 (원광대학교 장흥통합의료병원 대한통합의료연구원) ;
  • 이창훈 (원광대학교 장흥통합의료병원 대한통합의료연구원) ;
  • 이정한 (원광대학교 장흥통합의료병원 대한통합의료연구원) ;
  • 하원배 (원광대학교 장흥통합의료병원 대한통합의료연구원) ;
  • 강형원 (원광대학교 장흥통합의료병원 대한통합의료연구원) ;
  • 정종혁 (원광대학교 장흥통합의료병원 대한통합의료연구원)
  • Moon Joo Cheong (Department of Medical Counseling, College of Health Sciences, Wonkwang University) ;
  • Do-Eun Lee (Korea Institute of Integrated Medical Research, Wonkwang University Jangheung Integrative Medical Hospital Rare Disease Treatment Research Center) ;
  • Myeung Su Lee (Korea Institute of Integrated Medical Research, Wonkwang University Jangheung Integrative Medical Hospital Rare Disease Treatment Research Center) ;
  • Chang Hoon Lee (Korea Institute of Integrated Medical Research, Wonkwang University Jangheung Integrative Medical Hospital Rare Disease Treatment Research Center) ;
  • Jung Han Lee (Korea Institute of Integrated Medical Research, Wonkwang University Jangheung Integrative Medical Hospital Rare Disease Treatment Research Center) ;
  • Won Bae Ha (Korea Institute of Integrated Medical Research, Wonkwang University Jangheung Integrative Medical Hospital Rare Disease Treatment Research Center) ;
  • Hyung Won Kang (Korea Institute of Integrated Medical Research, Wonkwang University Jangheung Integrative Medical Hospital Rare Disease Treatment Research Center) ;
  • Chong Hyuk Chung (Korea Institute of Integrated Medical Research, Wonkwang University Jangheung Integrative Medical Hospital Rare Disease Treatment Research Center)
  • 투고 : 2024.06.16
  • 심사 : 2024.06.21
  • 발행 : 2024.06.30
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초록

Objectives: To evaluate the effectiveness of an integrated medical service model for a fibromyalgia patient and their caregiver, focusing on reducing pain and improving quality of life. Methods: A single-case study design was employed, involving a fibromyalgia patient and their primary caregiver treated at W University Hospital. The integrated medical service program, based on the Ministry of Health and Welfare's model, included medical consultations and complementary therapies such as psychological counseling, art therapy, music therapy, horticultural therapy, yoga, and meditation. The program was conducted weekly for 8 weeks, with each session lasting up to 100 minutes. Data collection involved both quantitative and qualitative assessments. Quantitative data included demographic surveys, psychological tests, health-related quality of life measures, pain indices, and sleep quality indices. Qualitative data were gathered through feedback evaluations and emotional assessments. Results: The patient showed improvements in mobility, self-care, daily activities, and anxiety/depression, with EQ-VAS scores increasing from 20 to 40 and pain perception decreasing from 67.41 to 42.58. The caregiver reported reduced anxiety/depression and an increase in EQ-VAS scores from 95 to 98. Both patient and caregiver exhibited emotional changes, with decreased depression and increased happiness. However, the patient showed an increase in fear and anger. Conclusions: The integrated medical service model positively impacted the emotional and psychological well-being of the fibromyalgia patient and their caregiver. Despite the limitations of a small sample size and a single-case study design, the findings suggest that an integrated approach can be beneficial. Larger-scale studies are needed to confirm and generalize these results.

키워드

과제정보

This research was supported by a grant of the Korea Health Technology R&D Project through the Korea Health Industry Development Institute (KHIDI), funded by the Ministry of Health & Welfare, Republic of Korea (grant number : RS-2020-KH092068).

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