• Title/Summary/Keyword: 비약물치료

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A Systematic Review of Nonpharmacological Interventions on Activities of Daily Living in Dementia (치매 환자의 일상생활 수행능력 향상을 위한 비약물 중재에 관한 체계적 고찰)

  • Koo, Seul-Gi;Park, Hae-Yean;Park, Ji-Hyuk
    • 한국노년학
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    • v.37 no.2
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    • pp.445-459
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    • 2017
  • The purpose of this study is to provide a systematic review of the nonpharmacological interventions of ADL improvement for dementia published in foreign journals for the past 10 years, and to provide general information on nonpharmacological interventions and effective intervention methods to dementia expert in clinical practice. We searched published studies in the Medline Complete, PubMed Central, and Scopus databases from January 2007 to November 2016. The main keywords used "Dementia AND (ADL OR Activities of daily living) AND Nonpharmacological interventions" and total of 9 studies were selected for analysis from 974 searched articles. The level of evidence were belonged to 3 each studies in I~III level. The mostly provided nonpharmacological interventions were exercise, the study field was variety of areas including rehabilitation(occupational therapy, physical therapy), nursing, and psychology. The Barthel Index(BI) was most frequently used assessment tools to evaluate basic activities of daily living, Cognition was most dependent variables measured with the ADL. Through this study, we provided evidence for the understanding of nonpharmacological interventions of ADL improvement for dementia. In the future, based on this study, helpful intervention needed for ADL training.

Non-Psychopharmacologic Therapy of Tic or Tourette's Disorder (틱장애 혹은 뚜렛장애의 비약물치료)

  • Lim, Myung Ho;Lee, Young Lim;Kim, Bung-Nyun
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.25 no.2
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    • pp.53-64
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    • 2014
  • Tic disorder is a childhood neuropsychological disorder characterized by abrupt, involuntary, and repetitive stereotyped muscle movement or vocal sound. Tourette's disorder shows a chronic prognosis, and can last for life if no treatment is applied. Although tic disorder has been known for ages, the underlying cause is still not well known. Non-pharmacological treatments have long been used for the tic disorder, but few clinical studies were conducted. However, the European Society for the Study of Tourette's Syndrome recently issued non-pharmacologic guidelines for treatment of tic disorders based on the research findings obtained so far. In addition, guidelines for non-pharmacologic evidence-based treatment were reported in Canada, North America. By synthesizing the newly reported foreign guidelines for treatment and review articles, the aim of this study is to investigate the non-pharmacologic therapies used for treatment of tic disorder or Tourette's disorder.

Research Trends of "Cancer-Related Depression": analysis using MeSH in PubMed (MeSH를 이용한 "암 관련 우울증" 연구 동향 분석)

  • Kim, Miyoung;Lee, Choon Shil
    • Proceedings of the Korean Society for Information Management Conference
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    • 2012.08a
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    • pp.143-146
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    • 2012
  • 본 연구에서는 MEDLINE에 수록된 논문의 암 관련 우울증 문헌을 대상으로 MeSH(Medical Subject Headings) 키워드를 이용하여 1992년부터 2011년까지 20년간의 연구 동향을 분석하였다. 암과 우울증에 해당하는 MeSH 키워드를 주제로 다룬 논문 3,389편과 50,778개의 키워드를 대상으로 주요 학술지 및 암 발병 위치와 우울증 치료요법을 분석하였다. 암 관련 우울증 논문의 암 발병 위치별 빈도는 유방암이 799편으로 가장 높았으며, 폐암, 전립선암, 뇌종양, 두경부암이 뒤를 이었다. 또한 우울증 치료 요법별 빈도는 비약물치료가 552편으로 약물치료 400편보다 높게 나타났으며 비약물치료는 크게 상담치료와 상담 외 치료에 대한 키워드로 구분되었고, 약물치료는 치료 요법명과 약명으로 다시 구분되었다.

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A proposal for management of migraine in dental clinic (치과임상에서 편두통 치료에 대한 제안)

  • Park, YounJung;Lee, Hye-Jin;Kim, Seong Taek
    • Journal of Dental Rehabilitation and Applied Science
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    • v.35 no.4
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    • pp.199-205
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    • 2019
  • Management of migraine, one of common primary headache disorders, involves the diverse strategies non-pharmacological treatment, such as headache diary, lifestyle modification, regular exercise and relaxation, cognitive behavioral therapy and neurostimulation, and pharmacological treatment. Among the treatments, this review described a pharmacologic treatment of migraine, classified into acute and preventive treatment based on the severity and the frequency of headache. It introduced the way to optimize pharmacological treatment and updated the latest treatment for migraine.

Biofeedback Treatment for Insomnia (불면증의 바이오피드백 치료)

  • Koo, Moon-Sun;Yu, Bum-Hee
    • Korean Journal of Psychosomatic Medicine
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    • v.14 no.1
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    • pp.18-24
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    • 2006
  • Insomnia is associated with numerous psychiatric and physical conditions, and hyperarousal is known to play an important role in the development of insomnia. There are a lot of limitations to use hypnotic medications for the treatment of insomnia. As psychological factors can greatly affect the development and progress of insomnia, several non-pharmacological treatment methods have been used for insomnia. Biofeedback is effective in the treatment of insomnia and its treatment effect lasts considerably long. Biofeedback together with relaxation techniques can reduce levels of arousal in insomnia patients so that they are effective for induction and maintenance of sleep. In conclusion, biofeedback treatment seems to be very helpful for insomnia patients who show high levels of arousal and have limitations in the use of hypnotic medications.

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고지혈증의 원인과 치료 - 고지혈증과 식사요법

  • Jang, Yun-Jeong
    • The Monthly Diabetes
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    • s.285
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    • pp.30-34
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    • 2013
  • 고지혈증의 치료를 위해서는 올바른 식사와 생활습관의 수정이 필요하다. 미국 당뇨병학회(American Diabetics Association, ADA)는 당뇨병환자의 고질혈증의 치료를 위해 생활습관 조정, 신체 활동 증가, 체중 감소, 금연과 함께 개인별 상황을 고려한 영양적 중재를 권하고 있고, 국립 콜레스테롤 교육 프로그램(National Cholesterol Education Program, NCEP)에서 제정한 고지혈증 치료지침서(Adult Treatment Panel III, ATP III)에서는 비약물 요법의 중요성을 강조하면서 식사요법 및 생활습관의 개선(therapeutic lifestyle change, TLC)으로 고지혈증의 치료를 시작하여 6주 이상 실시한 후에 효과가 없을 때는 약물치료를 하도록 권하고 있다. 따라서 고지혈증 개선을 위해 바람직한 식사 원칙에 대하여 자세히 알아보고자 한다.

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The Revised Korean Practice Parameter for the Treatment of Attention-Deficit Hyperactivity Disorder (IV) - Non-Pharmacologic Treatment - (주의력결핍 과잉행동장애 한국형 치료 권고안(IV) - 비약물적 치료 -)

  • Shin, Yun Mi;Kim, Eui-Jung;Kim, Yunsin;Bhang, Soo Young;Lee, Eunha;Lee, Cheol-Soon;Chang, Hyoung Yoon;Hong, Minha;Shin, Dongwon
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.28 no.2
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    • pp.84-95
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    • 2017
  • Attention-deficit hyperactivity disorder (ADHD) is a neuropsychiatric disorder that begins in early childhood and can persist throughout adulthood. ADHD causes difficulties in various area of life, such as academic achievement, peer relationships, family functioning, employment and marriage. Although ADHD is known to respond well to medication, such treatment is more effective when combined with psychosocial (non-pharmacologic) therapy in terms of alleviating the core symptoms and improving appropriate functions. Psychosocial treatment interventions are divided into psychoeducation, behavioral parent training, school intervention, cognitive behavior therapy, social skill training, parent-child interaction therapy, play therapy, other treatments (coaching, complementary and alternative medicine), neurofeedback and Cogmed. Adult ADHD cognitive behavioral therapy is described separately. These practice parameters summarize the evidence for psychosocial treatment. Based on this evidence, specific recommendations are provided for psychosocial interventions.

Survey of Insomnia Treatment Status for Doctors (의사 대상 불면증 치료 현황 조사 연구)

  • Choi, Yeonsun;Lee, Mi hyun;Choi, Jae-Won;Kim, Soohyun;Kim, Jichul;Lee, Yu Jin
    • Sleep Medicine and Psychophysiology
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    • v.23 no.2
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    • pp.77-83
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    • 2016
  • Objectives: The present study investigated current practices of insomnia treatment among Korean doctors in clinical settings. Methods: A total of 100 doctors participated in the present study and filled out a series of survey questions regarding their treatment of insomnia patients. Results: The results revealed that the primary type of insomnia treatment was pharmacological and that the most popular medication was zolpidem. The majority of doctors reported that they also utilized non-pharmacological treatments such as sleep hygiene education and cognitive-behavioral therapy. However, these treatments tended to result in low satisfaction. In addition, the doctors perceived that patients largely preferred pharmacological treatments to non-pharmacological ones and did not have sufficient knowledge of non-pharmacological treatments. Conclusion: Many doctors believed that non-pharmacological treatments for insomnia were important, but reported that they were difficult to implement in practice. The results of this study suggest that improved medical conditions for non-pharmacological treatments and education of physicians are necessary to appropriately treat insomnia.

Convergence effectiveness verification for developing practice guidelines for dementia patients cognitive programs (치매환자 인지프로그램 실무지침 개발을 위한 융합적 효과검증)

  • Ham, Min-Joo
    • Journal of the Korea Convergence Society
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    • v.12 no.5
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    • pp.85-91
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    • 2021
  • This study is a methodological study that explains the procedure for verifying effectiveness in developing practical guidelines for cognitive programs suitable for dementia patients. Based on the development of evidence-based new clinical practice guidelines, a preliminary recommendation for the domestic dementia patient care guidelines was developed. The practical guidelines consisted of the final four types, and the content validity score of the configuration items was 0.87 to 1 point. In the sub-categories of field applicability, appropriateness score was 3.95 to 4.34 points, applicability score was 3.57 to 4.27 points, and predicted effect score was 3.84 to 4.22 points. Through the examination of the content validity and field applicability of experts, it was confirmed that the practical guidelines developed in this study can be used as the basis for establishing an intervention plan for dementia cognitive program managers engaged in clinical practice. In future studies should further facilitate the development of evidence-based treatment guidelines to select appropriate treatment activities for dementia patients.