• 제목/요약/키워드: Integrative Therapy

검색결과 812건 처리시간 0.027초

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;이도은;이명수;이창훈;이정한;하원배;강형원;정종혁
    • 동의신경정신과학회지
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    • 제35권2호
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    • pp.191-203
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    • 2024
  • 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.

미세전류치료가 퇴행성 무릎관절염 환자의 통증과 균형에 미치는 영향 (Micro-current Treatment Effects on Pain, Balance of the Degenerative Knee Arthritis)

  • 정준성;조남정
    • 대한통합의학회지
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    • 제3권2호
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    • pp.9-16
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    • 2015
  • Purpose: The purpose of this research was to ascertain the effect of Micro-current on a pain, balance, of knee joint in the patients with degenerative arthritis. Method: The 30 subjects who had micro-current in this research and randomly assigned into two group, an experiment group and a control group. micro-current was applied to 15 subject in the experiment group after general physical therapy. experiment group was applies general therapies and micro-current stimulation. The measurement were analyzed by using SPSS(V.20). In order to compare the post to the amount of pre-changes and post-changes of each group, the paired t-test was used. The difference between the experiment group and the control group was analyzed by using the analysis of convariance. Results: The results of this study were as follows; 1) In VAS measures, the pain point was significantly decreased in both the experimental and the control group. 2) Mc Gill Pain Questionnaire(MPQ), the pain point was significantly decreased in both the experimental and the control group. 3) TUG measures, the second was significantly decreased in both the experimental and the control group. 4) Weight distribution measures, the authority was significantly decreased in both the experimental and the control group. Conclusion: The micro-current is considered a degenerative knee arthritis that can be presented as an effective physical therapy intervention.

치료적 중재 사이 낮잠이 뇌졸중 환자의 운동학습에 미치는 효과 (Effect of Nap between Therapeutic Interventions on Motor Learning in Patients with Stroke)

  • 이나정;최용원;최민경;감경윤
    • 대한통합의학회지
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    • 제2권3호
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    • pp.9-14
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    • 2014
  • Purpose : The purpose of this research was to determine the effects of nap between therapeutic interventions on motor learning in patients with stroke. Method : Thirty stroke patients with hemiplegia were participated in this study. After the screening by questionnaire about nap time, the patients were assigned to nap or non-nap group. Therapeutic interventions for 30 min were provided two times per day for 5 days per week and the serial reaction time tasks were conducted 2 times before and after a nap per day for 3 days per week. Between the therapeutic interventions, a nap for 60~120 minutes was allowed to the nap group while non-nap group was not. Intervention programs were carried out during the total 15-day. Result : Compared with the non-nap group, the reaction-precision level of nap group was increased (p<.05) for the non-affected upper extremity in the serial reaction time tasks. Conclusion : This study demonstrated that nap between therapeutic interventions has positive effects on motor learning in patients with stroke.

보건계열 학생들의 임상실습에 대한 만족도 및 인식도 조사 (The Surveys of Satisfaction and Perception on Clinical Practice for Dept. of Health-related Students)

  • 이나정;박성호
    • 대한통합의학회지
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    • 제1권1호
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    • pp.77-85
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    • 2013
  • Purpose : The purpose of this study was to investigate the fieldwork satisfaction of Dept. of Health-related students, and to ascertain a change of perception on deciding on a course after fieldwork, and on a desired field and facility. Methods : Structured questionnaires were distributed to student of Dept. of Health-related(Occupational therapy, Physical therapy, Dental hygiene) from March 2 to April 30 of 2011. The questionnaires of 150 respondents were analyzed through frequency analyses, cross- and multi-reply analyses using SPSS ver. 12.0. Results : In fieldwork satisfaction, highly satisfied items were diversity of therapeutic equipment and tools, regular education, and recognition of the importance of fieldwork. The awareness of their decisions on employment and desired field changed positively for 52.7% students and negatively for 13.3%. Conclusion : Based on the results of this study, we identified that the awareness of one's decision on employment and desired field changes through fieldwork.

조명에 따른 음악활동이 자율신경계에 미치는 영향 (The Effects of Music Intervention upon Lighting on Autonomic Nervous System)

  • 오혜원;이혜진;김민호;김동관
    • 대한통합의학회지
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    • 제1권1호
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    • pp.11-22
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    • 2013
  • Purpose : The purpose of this study was to investigate the effects of music intervention upon lighting on stress. Method : The participants 60 college students, were divided three groups. Two groups were apply each music and bright lighting(bright lighting groups) and music and dark lighting(dark lighting groups) during 13minutes at Snozelen and the other group was control group. Each groups were assessed stress resistance, activity of parasympathetic nerve, activity of sympathetic nerve, balance of ANS, physical arousal by EKG of CANS 3000, at before and after other each intervention. The analyses were performed using version of SPSS 17. Result : The change rate of bright lighting group was showed statistically significant decrease in stress resistance compared to control group. And the change rate of dark lighting group was showed statistically significant decrease in resistance stress, activity of parasympathetic nerve, and balance of ANS compared to control group and statistically significant increase in stress resistance and activity of parasympathetic nerve compared to bright lighting group. Conclusion : The results of this study indicate that music intervention on dark lighting is more effective on decrease of stress than application of bright lighting and general lighting.