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http://dx.doi.org/10.7231/jon.2017.28.3.263

A Survey of the Recognition on the Practice Pattern, Diagnosis, and Treatment of Korean Medicine of Dementia and Mild Cognitive Impairment - Focusing on the Differences between Neuropsychiatrists of Korean Medicine and General Physicians -  

Seo, Young Kyung (Clinical Trial Center, Dunsan Korean Medicine Hospital of Daejeon University)
You, Dong Keun (Department of Oriental Neuropsychiatry, College of Korean Medicine, Daejeon University)
Kim, Hwan (Department of Oriental Neuropsychiatry, College of Korean Medicine, Daejeon University)
Kim, Siyeon (Clinical Trial Center, Dunsan Korean Medicine Hospital of Daejeon University)
Lee, Go eun (Department of Korean Medical Rehabilitation, National Rehabilitation Center)
Kim, Sang-Ho (Department of Neuropsychiatry of Korean Medicine, Pohang Korean Medicine Hospital, Daegu Haany University)
Kang, Hyung-Won (Department of Korean Neuropsychiatry Medicine, College of Korean Medicine, Wonkwang University)
Jung, In Chul (Department of Oriental Neuropsychiatry, College of Korean Medicine, Daejeon University)
Publication Information
Journal of Oriental Neuropsychiatry / v.28, no.3, 2017 , pp. 263-274 More about this Journal
Abstract
Objectives: To identify the current status of Korean medical practice pattern, diagnosis and treatment of dementia through recognition survey, and to use it as a preliminary data for various dementia research. Methods: Questionnaires were developed through expert meetings. The disease was defined as dementia and mild cognitive impairment, and areas were designated to practice pattern, diagnosis and treatment. From December 18, 2016-January 18, 2017, 221 respondents, including 36 neuropsychiatrists of Korean Medicine and 185 general physicians (including other medical specialists) were included. Results: 1. In both groups, the most commonly used KCD (Korean standard classification of disease and cause of death) were in the order of Unspecified Alzheimer's Dementia (F00.9), Mild Cognitive Impairment (F06.7), and Unspecified Dementia (F03). 2. The most commonly used pattern identification were zang-fu and qi-blood-yin-yang in both groups. 3. Diagnostic evaluation tools were mainly conducted by MMSE, radiologic examination, K-DRS, GDS and CDR in both groups. 4. Both groups reported using acupuncture and herbal medicine mainly. 5. In both groups, the acupuncture method was used extensively in the order of Body, Scalp, and Sa-Am. 6. Neuropsychiatrists used a variety of herbal medicines such as Wonjiseokchangpo-san (Yuanzhushichangpu-san), Yukmijihwang-tang (Liuweidihuang-tang), Palmijihwang-won (Baweidihuang-won), Sunghyangjungki-san (Xingxiang Zhengqi-san) and Ondam-tanggami (Wendan-tangjiawei). General physicians used a variety of herbal medicines such as Ondam-tanggami (Wendan-tangjiawei), Bojungikgi-tang (Buzhongyiqi-tang), Yukmijihwang-tang (Liuweidihuang-tang). 7. Neuropsychiatrists used a variety of Korean herbal preparation products (benefit and non-benefit) such as Ekgan-sangajinpibanha (Yigan-sanjiachenpibanxia), Yukmijihwang-tang (Liuweidihuang-tang), Jodeung-san (houteng-san), Palmijihwang-won (Baweidihuang-won). General physicians used a variety of Korean herbal preparation products such as Bojungikgi-tang (Buzhongyiqi-tang), Banhabaegchulcheonma-tang (banxiabaizhutianma-tang), Yukmijihwang-tang (Liuweidihuang-tang), Ekgan-sangajinpibanha (Yigan-sanjiachenpibanxia), Palmijihwang-won (Baweidihuang-won). Conclusions: By confirming awareness of Korean medical doctors treating dementia in clinical fields and understanding differences between neuropsychiatrists of Korean medicine and general physicians, it can be used to understand guideline users' needs and confirm clinical questions during development of future clinical practice guidelines for dementia.
Keywords
Dementia; Mild Cognitive Impairment; Recognition Survey; Clinical Practice Guideline of dementia;
Citations & Related Records
Times Cited By KSCI : 4  (Citation Analysis)
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1 The Korean Society of Oriental Neuropsychiatry Textbook Compilation Committee. Oriental Neuropsychiatry. 1st ed. Paju : Jipmoondang. 2011:332.
2 Kang HW, Jung IC, Jung SY. Diagnosis of dementia by oriental medicine method. Ministry of health and welfare. 2014:1-3.
3 Park YS, Suk MS. The Improvement plan of Social Welfare Service for Advancing Family Resilience of Caring Dementias. Journal Of Korean Social Welfare Administration. 2002;6:119-44.
4 Korean Neuropsychiatric Association. Textbook of Neuropsychiatry. 3rd ed. Seoul : Imiscompany. 2017:579.
5 Kim KH. The Review of Clinical Studies on Acupuncture Treatment of Vascular Dementia. Professional Graduate School of Oriental Medicine of Wonkwang University. 2014:1-41.
6 Ministry of health and welfare Central Dementia Center. Korean Dementia Observatory 2016. 2016:10.
7 Petersen RC et al. Mild Cognitive Impairment - Clinical Characterization and Outcome. Neurology. 1999;56(3):303-8.
8 Park MS, Kim YM. Study on Syndrome Differentiation of Dementia. Journal of Oriental Neuropsychiatry. 2014;28(3):251-62.
9 Kim KN, Cho SH. Review of Clinical Trials about Herbal Medicine for Vascular Dementia. J of Oriental Neuropsychiatry. 2012;23(4):37-48.   DOI
10 Lee GE, Park JH, Yang HD. The Current State of Clinical Studies on Scalp Acupuncture - Treatment for Dementiaby Search for China Literature published from 2001 to 2011 in CAJ(China Academic Journals). J of Oriental Neuropsychiatry. 2012;23(2):13-32.   DOI
11 Kwon YJ, Cho HY, Whang WW, Cho SH. A Systematic Review of Clinical Studies for Herbal Medicine of Dementia - based on Korean Literature. Journal of oriental neuropsychiatry. 2010;21(4):151-61.
12 Kim WY, Han CH, Heo EJ, Kang HW, Jeon WK. A review of non-pharmacological intervention efficacy in patients with mild cognitive impairment. Journal of oriental neuropsychiatry. 2011;22(3):1-11.   DOI
13 KIOM (Korea Institute of oriental medicine). Preferred Reporting Items for Development of Clinical Practice Guideline in Korean Medicine. 2015;20-7.