• Journal of Yeungnam Medical Science
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• v.38 no.4
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• pp.361-365
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• 2021

Stroke patients have reduced aerobic capacity. Therefore, intensive structured exercise programs are needed. We report the case of a patient with stroke and cardiac disease who underwent early inpatient cardiac rehabilitation (CR). A 38-year-old male patient with atrial fibrillation, heart failure, and cerebral infarction underwent a symptom-limited exercise tolerance test (ETT) without any problems on day 45 after admission. He completed a 2-week inpatient program and an 8-week home-based CR program. Follow-up ETT showed increased exercise capacity. The present case might be the first to report a safely performed CR program in a patient with stroke and cardiac comorbidity in Korea. Systematic guidance is needed for post-stroke patients to receive safe and effective CR for the secondary prevention of stroke and cardiovascular risk.

• Journal of Korean Medicine Rehabilitation
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• v.32 no.3
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• pp.161-169
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• 2022

A 50-year-old Korean male tour guide without any medical or family history complained of left knee pain. After receiving umbilical cord blood injection treatment, the pain gradually worsened. After being diagnosed with septic arthritis in the left knee, arthroscopic lavage, debridement, antibiotic treatment, and routine rehabilitation therapy were performed, but the symptoms persisted. In the hospital, acupuncture, pharmacopuncture, acupotomy, Chuna manual therapy, and cupping therapy were performed in addition to the usual treatment for 59 days. To evaluate the patient's improvement, the numeric rating scale, EuroQol 5-dimension, pain disability index, and Lysholm knee scoring system were used. After treatment, the symptoms improved in all assessment tools, swelling, and range of motion of the joint. Through this study, it was found that complex Korean medical therapies may be effective for postoperative ankylosis in septic arthritis of the knee, and further studies are needed to clarify the therapeutic effect.

• Journal of Yeungnam Medical Science
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• v.39 no.4
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• pp.347-351
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• 2022

• Journal of Korean Medicine Rehabilitation
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• v.18 no.3
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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.

• Journal of Korean Medicine Rehabilitation
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• v.29 no.4
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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.

• Korean Journal of Adult Nursing
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• v.29 no.3
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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.

• Journal of The Korea Institute of Healthcare Architecture
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• v.11 no.1
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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

• Journal of The Korea Institute of Healthcare Architecture
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• v.27 no.1
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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.

• Journal of Clinical Nutrition
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• v.10 no.2
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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.

• Journal of Physiology & Pathology in Korean Medicine
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• v.25 no.5
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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.