The Journal of Korean Medicine (대한한의학회지)

The Society of Korean Medicine (대한한의학회)
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Case series of 3 Pressure Ulcers Cured with Education through Telemedicine

비대면 한의진료를 통한 교육으로 완치한 욕창환자 3례에 대한 증례보고

  • Hanbit Jin (Department of Diagnostics, College of Korean Medicine, Wonkwang University) ;
  • Mijin Lee (Abuba Visiting Nursing Center) ;
  • Jungchul Kim (Kimjungchul Korean Medicine Clinic) ;
  • Baekki Min (Kibaek Korean Medicine Clinic) ;
  • Hoyoel, Bang (Dongbang Shintong bubu Korean Medicine Clinic) ;
  • Jungtae Leem (Department of Diagnostics, College of Korean Medicine, Wonkwang University)
  • 진한빛 (원광대학교 한의과대학 진단학교실) ;
  • 이미진 (어부바방문간호센터) ;
  • 김정철 (김정철한의원) ;
  • 민백기 (기백한의원) ;
  • 방호열 (동방신통부부한의원) ;
  • 임정태 (원광대학교 한의과대학 진단학교실)
  • Received : 2024.02.05
  • Accepted : 2024.05.07
  • Published : 2024.06.01
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Abstract

Objectives: The case series with pressure ulcers who was cured by education through telemedicine will be presented as a model for how a Korean medicine doctor can participate in the telemedicine of pressure ulcers. We also aim to report on the perspectives of medical staff and patients regarding the improved telemedicine services in Korean medicine. Methods: The study included three cases of pressure ulcers in home care, and education on pressure ulcer management was provided to patients, caregivers, and collaborators via telemedicine. Basic training was provided to teach the sealed wet dressing therapy method. After the basic training, feedback on the treatment was provided by taking photos or videos of the patient's treatment process, and the feedback process was repeated until the dressing method was perfected. Results: A combination of telemedicine, home visits, and home care successfully treated pressure ulcers in home care patients using a multidisciplinary approach. The education through telemedicine alone improved the National Pressure Ulcer Advisory Panel (NPUAP) stages and the total score of the Pressure Ulcer Scale for Healing (PUSH) Tool, and all three cases were finally cured with an average treatment duration of 26.7 days. The patient's and clinician's perspectives also showed that telemedicine can effectively engage patients, caregivers, and collaborators, and motivate them to manage pressure ulcers. Conclusions: For patients having trouble visiting the hospital or desiring treatment at home, consideration can be given to telemedicine for traditional Korean medicine education in pressure ulcer management.

Keywords

Acknowledgement

This work was supported by a National Research Foundation of Korea grant funded by the Korea government (No NRF-2022R1C1C2008738). This research was also supported by the Bio&Medical Technology Development Program of the National Research Foundation (NRF) funded by the Korean government (MSIT) (No. RS-2023-00261934).

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