• 제목/요약/키워드: Medical Rehabilitation

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교통사고 환자 35예에 대한 한방의료 서비스 만족도 조사 (Survey of Satisfaction with Oriental Medical Care for Traffic Accident Patients ; 35 Cases Report)

  • 박단서;필감흔;이정한;공재철;백동기;송용선;권영미
    • 한방재활의학과학회지
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    • 제18권3호
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    • pp.99-118
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    • 2008
  • Objectives : This study aimed to understand the satisfaction degree of patients due to traffic accident(TA) in order to provide basic data which would give help not only to improve the quality of services, but also to strengthen the competitiveness of oriental medical hospitals on sequela of TA patients. Methods : The data were collected from inpatients and outpatients who answered a self-report questionnaire. Independent t-test, analysis of variance(ANOVA), $X^2$-test, correlation analysis were used for data analysis. Results : According to the research on medical satisfaction degree, the overall satisfaction degree was 4.141. On each field, satisfaction degree related to the doctor service recorded the highest degree among others(4.474). Satisfaction degree related to the appropriateness of service was the second(4.091). On the other hand, satisfaction degree of using procedure was the lowest degree(3.857). On the difference of degrees of satisfaction by general characteristics, patients who were unemployed houseworker group showed lower doctor service satisfaction degree than that of other groups. However, on the difference of degrees of satisfaction related to other general characteristics, there were no significant differences(p<0.05). Conclusions : The service distribution of oriental medical hospital was almost equal without concentrating on specified social classes.

제 4족지 원위지골 골절 지연유합 환자의 복합 한의치료 효과 (The Clinical Effects of Complex Korean Medicine Treatment in Patient with Delayed Union of the 4th Toe Distal Phalanx Fracture)

  • 박경태;신희라;안성후;염승룡;권영달
    • 한방재활의학과학회지
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    • 제29권4호
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    • pp.143-149
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    • 2019
  • The purpose of this study is to report the effect in treating a patient with delayed union of 4th toe distal phalanx fracture with a combination of Korean Medicine treatment. We treated the patient with acupuncture, cupping, pharmacopuncture, moxibustion and herbal medicine, from March 3, 2018 to June 25, 2018 (total 33 times). The numeric rating scale (NRS), X-ray were applied as outcome measures. After complex Korean medicine treatment was carried out, delayed union of 4th toe distal phalanx fracture was improved and pain was reduced. This result shows that Korean medicine treatment may be an effective option for delayed union. Further clinical studies are needed to clarify the effect of Korean medicine treatment on delayed union.

뇌졸중 환자에서 사회적 지지가 재활동기에 미치는 영향: 불확실성의 매개효과를 중심으로 (Mediating Effect of Uncertainty on the Relationship between Social Support and Rehabilitation Motivation in Patients with Stroke)

  • 정희경;문성미
    • 성인간호학회지
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    • 제29권3호
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    • pp.323-331
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    • 2017
  • Purpose: The purpose of this study was to examine whether the uncertainty mediates relationship between rehabilitation motivation and social support. Methods: Participants were 123 adults patients diagnosed as stroke in a hospital located in a Metropolitan City. Data were collected by self-administered questionnaires measuring uncertainty, family support and medical team support as social support, rehabilitation motivation. Data were analyzed using t-test, one-way ANOVA, Pearson's correlation, and multiple regression analyses. The significance of mediating effect was analyzed by Sobel test. Results: Family support and uncertainty, respectively, were influential on rehabilitation motivation (${\beta}=.39$, p<.001, ${\beta}=-.18$, p=.011). Uncertainty showed partial mediating effect on relationship between family support and rehabilitation motivation, however, the effect was not significant (Z=1.63, p=.103). Conclusion: Interventions improving family support and decreasing uncertainty may be helpful in enhancing rehabilitation motivation.

종합병원 재활의학과의 공간구성에 대한 연구 - 수도권 사례 분석을 중심으로 - (A Study on the Spatial Composition of the Rehabilitation Medical Treatment in a General Hospital - focused on cases of metropolitan area -)

  • 표건우;박재승
    • 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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    • 제11권1호
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    • pp.23-31
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    • 2005
  • Rehabilitation medicine patients in Korea have increased due to the development of medical technology and the structural change of diseases resulted from life quality improvement. Following this trend, many hospitals are making efforts, such as renovating rehabilitation medicine, but architectural criteria are not sufficiently suggested for specialized rehabilitation medicine. The purpose of this study is to present the research data to improve the quality of rehabilitation medicine in general hospital. Data collecting skills such as drawing documents analysis, interviews, observation were used to examine the condition of rehabilitation medicine. And, case study method was used to generate the design data which can be used for the appropriate spatial composition and the area calculation

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지방의료원 재활의학부의 공간구성 분석 연구 (A Study on the Analysis of the Spatial Composition of Rehabilitation Department in Regional Public Hospital)

  • 이주랑;채철균
    • 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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    • 제27권1호
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    • pp.35-44
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    • 2021
  • Purpose: To presenting basic data for the spatial composition required when planning the future department of rehabilitation medicine by analyzing the spatial composition of the location, size, area, and plan type of the rehabilitation department of the Regional Public Hospital. Methods: 3 Methods have been used in this paper. 1) Analyzing drawings to derive the net floor area of each room. 2) A literature survey about rehabilitation healthcare system. 3) Observation survey for user circulation analysis. Results: 1) Rehabilitation is an overall process of treatment that helps to play a role as an individual in society, away from the perspective of treating physical damage. The Department of Rehabilitation Medicine of the local medical center must provide rehabilitation medical services corresponding to the recovery and maintenance period for community rehabilitation. 2) The Department of Rehabilitation Medicine can be classified into diagnostics area, examination area, treatment area, management area, and interface area based on the rehabilitation treatment process. Implication: It can be used as basic data when planning related facilities by analyzing the characteristics of the space plan of the required room according to the relationship between activities, movement lines, and operation plans based on user behavior.

성인 단장증후군 환자의 다학제 장 재활: 국내 단일 기관 다학제 장재활 클리닉의 경험 (Multidisciplinary Intestinal Rehabilitation for Short Bowel Syndrome in Adults: Results in a Korean Intestinal Rehabilitation Team)

  • 윤소정;이상훈;박효정;김현정;윤지혜;민자경;서정민
    • Journal of Clinical Nutrition
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    • 제10권2호
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    • pp.45-50
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    • 2018
  • Purpose: Intense multidisciplinary team effort is required for the intestinal rehabilitation of patients afflicted with the short bowel syndrome (SBS). These include enteral and parenteral nutrition (PN) support, monitoring of complications related to treatment, and considering further medical or surgical options for intestinal adaptation. Methods: In the Intestinal Rehabilitation Team (IRT) at the Samsung Medical Center, we have experienced 20 cases of adult SBS requiring multidisciplinary intestinal rehabilitation. This study is a retrospective review of the collected medical records. Results: Of the 20 subjects treated, 12 patients were male and 8 patients were female. At the time of referral to the IRT, the mean age was 51.5 years, and the mean body weight was 50.1 kg, which was 90% of the usual body weight. The diseases or operative managements preceding massive bowel resection were malignancy in 11 cases, cardiac surgery in 2 cases, trauma in 2 cases and one case, each of tuberculosis, corrosive esophagitis, atrial fibrillation, simultaneous pancreas and kidney transplantation, and perforated appendicitis. Of these, there were 14 survivals and 6 mortalities. The fatalities were attributed to progression of disease, intestinal failure-associated liver disease, and sepsis (unrelated to intestinal failure) (2 cases each). Among the 14 surviving patients, 8 patients have been weaned off PN, whereas 6 are still dependent on PN (mean PN dependence 36%). Conclusion: This paper reports the results of multidisciplinary intestinal rehabilitation of adult short bowel patients treated at the Samsung Medical Center. Further studies are required to improve survival and enteral tolerance of these patients.

일본인의 모 한방병원 체험에 관한 분석 (Analysis on Oriental Medical Tour Experience of Japanese)

  • 김두희;이동은;김형길;조웅희;홍선기;최은주;유준상;박원형;차윤엽;이선구;이우천
    • 동의생리병리학회지
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    • 제25권5호
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    • pp.914-918
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    • 2011
  • This survey was designed to analyze questionnaire of Japanese who experienced Oriental Medical Tourism and to facilitate it afterwards. The survey was organized for 38 Japanese participants in oriental medicine hospital from Feb. 10 to Mar. 7 in 2011. According to the research, most of them didn't know about oriental medicine but they were interested. They preferred preventive medication through health improvement to medical treatment. When making decisions on which tourism products to use, the quality of medical service came first consideration for them. The most appropriate length of visit was 4~7days and cost per day was 7100~14000 yen. We need to gather more information on their various fields of interest in order to provide customized medical service and more surveys should be conducted henceforth.

골반부와 관련된 국내임상연구동향 고찰 -골반부의 변위를 중심으로- (Analysis of the Research Trends of Pelvic Malposition in Korean Clinical Research)

  • 박재현;남수현;김동후;강준혁;허우영
    • 한방재활의학과학회지
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    • 제25권2호
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    • pp.81-88
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    • 2015
  • Objectives The purpose of this review was to analyze the research trends in clinical research related to pelvic malposition published in Korean medicine journals. Methods We searched articles in Korean databases (OASIS, NDSL, RISS, and KTKP), and sorted the articles by publishing date, pelvic malposition type, field of study, and measurement index. Results 1. 25 original articles and 9 case report articles were reviewed. 2. In recent years, this topic has been studied more frequently, with an increasing number of original articles published. 3. 16 articles analyzed pelvic malposition type. And half of the articles focused on ilium. 4. The original articles have figured out the correlation between pelvic malposition measurement indices and other measurement indices or diseases. 5. Treatment tools, such as chuna therapy, the mckenzie method, devices for correcting malposition, acupuncture were used in the case report articles. 6. 29 measurement indices, such as Ferguson's angle, Ilium shadow measurement, and Iliac height difference were used. Conclusions According to the literature, pelvic malposition is related to other diseases and measurement indices, and manual medicine on pelvic malposition can be effective. However, due to the lack of sufficient empirical evidence from medical articles to support this, further clinical research should be conducted.

요추 척추관 협착증의 비수술적 치료에 대한 최근 국내·외 연구 동향 (Recent Domestic and International Trends on Non-Surgical Treatment of Lumbar Spinal Stenosis)

  • 김미현;박은상;황현호;이여경;송금주;권미리;강준혁
    • 한방재활의학과학회지
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    • 제31권3호
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    • pp.1-17
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    • 2021
  • Objectives The present study examined the recent domestic and international trends of non-surgical treatment of lumbar spinal stenosis (LSS). Methods The studies on non-surgical treatment of LSS were investigated via searching Korean web databases and PubMed. As a result, 39 studies were analyzed according to the authors, the types of study, the relationship to surgical treatment and the method of treatment. Results The first authors' occupations were identified as 17 doctors, 12 Korean medicine doctors, six physiotherapists, three chiropractic doctors and one doctor of science. The most common type of study in Korea was the case report and most of the studies were retrospective. Overseas, there were many prospective or experimental studies including randomized controlled trials (RCT). In Korea, non-surgical treatment was performed independently of surgical treatment in most cases. Among non-surgical treatments, the most researched treatment was traditional Korean medicine (TKM), followed by injection therapy, exercise therapy, and physical therapy. Conclusions Through this review, we can determine the effectiveness of TKM and its research direction. TKM should be studied experimentally including RCT and it should be conducted not only on acupuncture, but also on other treatment methods such as acupotomy, chuna, and herbal medicine. It is also necessary to conduct studies on TKM before and after surgery to compare the effects of surgery and TKM together, as well the effects on non-surgical treatments.