• 척추신경추나의학회지
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• 제14권2호
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• pp.101-111
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• 2019

Objectives : The purpose of this study was to report five patients with a sternum fracture after a traffic accident who improved with a combination of Korean medicine treatments. Methods : We collected data of traffic accident patients with a sternum fracture who were admitted to Dae-Jeon Jaseng Korean Medicine Hospital from March 2019 to September 2019. We observed five cases of patients treated with acupuncture, pharmacoacupuncture, herbal medicine, and Korean physical therapy. We measured the validity of the treatments using the Numeric Rating Scale (NRS) and European Quality of Life-5 Dimension (EQ-5D) at admission, at two weeks, and on the discharge date of hospitalization. Results : Following treatment using a combination of the above mentioned methods, the general overall condition of the patients had significantly improved. Furthermore, the NRS and EQ-5D scores were numerically better. Conclusions : After the combination of Korean medicine treatments, results from five patients with a sternum fracture after a traffic accident suggested that the treatments were effective. However, the number of subjects was insufficient and individual efficacy was not measured in this study. Therefore, further studies are needed on this topic.

• 대한예방한의학회지
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• 제15권3호
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• pp.67-81
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• 2011

Background : Complementary and alternative medicine has bee used to cardiovascular diseases. In recent years, many hospitals have tried to integrate complementary and alternative medicine(CAM) with conventional medical approaches for patients with chronic diseases. Recently, the prevalence of the use of traditional Korean medicine(TKM) among patients with chronic diseases, expecially, hemiplegia patients after cerebrovascular accident is increasing in Korea. To date, however, there were only few studies addressing the patients' attitudes, and utilization of TKM, compared to the well-documented escalating use of TKM among consumers in Korea. Objectives : The objective of this study was to analyze the prevalence of TKM use among hemiplegia patients after cerebrovascular accident and to determine what factors affect to use CAM among the patients. The study also aims to provide information on TKM and assist therapy selection among various CAM therapies for hemiplegia patients after cerebrovascular accident within health care system in which both practitioners of TKM and practitioners of modern Western medicine coexisted. Methods : The design of the study was descriptive cross-sectional, and data were collected using a 32-items questionnaire. The subjects were one hundred fifty nine patients with chronic diseases who visited or admitted to health care facilities in a hospital in Seoul Metropolitan city, Korea. Data were analyzed using 'SPSS Statistics 18.0 Network Version(on release 18.0.1 of PASW Statistics)' program. Various statistical methods were used to obtain a profile for participants and the therapies most frequently used by hemiplegia patients of TKM. Logistic regression analysis was employed in order to determine the predicting variables of TKM use. Results : The prevalence of the use of TKM was 51.6%. The most common TKM therapies used by the patients included acupuncture(93.2%), herbal medicine(64.8%), and cupping(37.5%). Results of logistic regression analysis revealed that the variables significantly related with TKM use were gender, marital status, job, No. of visiting health care facilities/week. Conclusions : This study shows that the use of TKM among the hemiplegia patients is relatively high in Korea, this topic should be taken into account in the development of a holistic approach for patients with chronic diseases and an efficient chronic disease management system in Korea.

• 대한약침학회지
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• 제10권3호
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• pp.91-99
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• 2007

Objective The purpose of this study is to investigate the difference of treatment effect between Oriental Medicine therapy and Oriental and Western Medicine combination therapy on traffic accident patients. Methods Sixty one traffic accident patients were randomly assigned to the Oriental Medicine therapy group(group I)and Oriental and Western Medicine combination therapy group(group II). Evaluations were made before treatment, after one week treatment and after two weeks treatment using Visual Analog Scale(VAS), Oswestry disability Index(ODI), Neck Disability Index(NDI), Roland Morris Disability Scale(RMDS). The obtained data were analyzed and compared. Results The group I showed significant improvement(p<0.05) according to the VAS, NDI. But that showed insignificant improvement according to the ODI, RMDS. The group II showed significant improvement(p<0.05) according to the VAS, NDI. But that showed insignificant improvement according to the ODI, RMDS. And the difference between the two groups were insignificant according to VAS, NDI, ODI and RMDS. Conclusion There is no significant difference between the two groups after each therapy on traffic accident patients. Further studies are needed for the comparison of the Oriental Medicine therapy and Western Medicine combination therapy.

• 한방재활의학과학회지
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• 제23권4호
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• pp.203-212
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• 2013

Objectives This study was to investigate the correlation of low back pain, stress by event, and fear-avoidance beliefs caused by traffic accident. Methods We investigated 103 cases of out-patient with traffic accident. The patients answered that Visual Analogue Scale (VAS), Impact of Event Scale Revised Korean Version (IES-R-K), and Fear-Avoidance Beliefs Questionnaire (FABQ) on the first medical examination. We calculated statistical significance with this data. Results VAS, IES-R-K, and FABQ scores of the female patients with the traffic accident were higher than the male patients. VAS, IES-R-K, and FABQ scores showed low significant positive correlation and showed partial correlation between IES-R-K and FABQ, controlled by VAS, had no statistical significance in this research. Conclusions More considerations on pain, stress by event, and fear avoidance belief should be needed in treatment of the traffic accident patients.

• 대한약침학회지
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• 제9권2호
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• pp.129-134
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• 2006

Objectives : The purpose of this study was to investigate the clinical progress of patients diagnosed as sequela of traffic accident. Methods : We studied 34 cases who were admitted in Semyung University Oriental Hospital from 1st, January, 2005 to the 31st, December, 2005. And we came to some conclusion about clinical tendencies as follows. Results and Conclusions : 1. Women had occupied more than men, and 14 persons in 20th were the most distribution of age. 2. In distribution of onset, less than 7 days was the most(58.8 %), followed by less then 28 days(20.6 %). 3. Most patients used western medical hospital(47.1 %) and oriental medical hospital(44.1 %) as primary hospital. 4. In chief complaint, cervical pain was most(32 cases, 94.1%), the others were low back pain(22 cases, 64.7 %), back pain(5 cases, 14.7 %), chest pain(5 cases, 14.7 %). 5. In treatment methods, acupuncture and physical therapy was most(33 cases, 97.1%), the others were Extract-med.(31 cases, 94.0%), electric-acupuncture(27 cases, 79.4%), Herb-med.(23 cases, 67.6%), Herb-acupuncture(l8 cases, 52.9%) and Taping therapy(15 cases, 44.1%). 6. In hospital days, $8{\sim}14$days was most(l5 cases, 44.1%), the other were 15-21days(l2 cases, 35.3%). over the 29 days(4 cases, 11.8%) and 22-28 days(3 cases, 8.8%). 7. 34 patients were examined, and all cases were 'improved'. And statistically significance compared after-treatment with before-treatment group(p<0.005).

• 대한한방내과학회지
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• 제41권4호
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• pp.676-687
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• 2020

Objectives: The aim of this study was to report improvement of acute headache incurred in a traffic accident in five patients who underwent inpatient treatment with Korean medicine. Methods: We collected data for traffic accident patients with acute headache who were admitted to the Ja-Seng Hospital of Korean Medicine from November 2019 to April 2020 and received combinational Korean medical treatment. All patients had numerical rating scale (NRS) values of 6 or greater. The patients were treated with acupuncture, pharmacopuncture, herbal medicine, and chuna treatment. We measured the validity of the treatment with the NRS, Headache Impact Test-6 (HIT-6), and Henry Ford Headache Disability Inventory (HDI) at admission and on the date of hospital discharge. Results: At the end of the treatment, all patients showed decreases in NRS, HDI, and HIT scores. Conclusions: The combination of Korean medicine at admission was effective in five patients with acute headache after a traffic accident. However, the number of subjects was insufficient and individual efficacy was not measured in this study. Therefore, further studies are needed on this topic.

• 한방재활의학과학회지
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• 제28권3호
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• pp.67-78
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• 2018

Objectives The purpose of this study is to carry out a survey on satisfaction for Korean medicine treatments in traffic injury patients. Methods Satisfaction survey was carried out on the 237 traffic injury patients who had been treated by Korean medicine treatments in Department of Korean Rehabilitation Medicine, Wonkwang University Gwangju Medical Center from February, 2017 to August, 2017. The questionnaire form of preceding study was used to assess the satisfaction degree of patients. All data were coded by SPSS v20.0 (IBM Corp., Armonk, NY, USA) and analysed by descriptive maneuver, x2-test, T-test and correlation. Results Among the 237 cases, the first hospital to be selected for traffic injury treatment was Korean medicine hospital in 91 cases. And 97 patients were transferred from the western medicine hospital. The main reason for choosing Korean medicine hospital was that the patients prefer Korean medicine treatments than western medicine treatments. 85.2.% of patients answered that their symptoms were improved, and 75.1% of patients answered that they were satisfied with Korean medicine treatments. The satisfaction degree of cupping treatment and acupuncture was relatively high, but the degree of Herbal medicine and physical treatment was relatively low. There were no statistically significant differences in satisfaction degree with sex and age. The satisfaction degree, improvement of symptoms, intention to revisit and intention to recommend was significantly correlated each other. Conclusions The degree of improvement of symptoms and The satisfaction degree were revealed relatively high. Additional and repetitive studies are needed to understand the patient's position and improve the quality of Korean medicine treatments for traffic accident patients.

• 한국응급구조학회지
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• 제7권1호
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• pp.135-146
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• 2003

The purpose of this study was to improve EMS-System in Korea through the research in EMS-System of advanced country. The response time is defined as the interval from the time of call receipt to the time of scene arrival. The important factor was to shorten moving distance of ambulance. It should be considered to accomplish this factor that the vehicle must be increased and the convenient location chosen for optimizing of service area. The transport of emergency patients carried out almost by 119 Emergency Medical Service but out of all the employees at 119 EMS only 11.3% have own qualified EMT degree. They should be employed more and more specially at 119 EMS for a superior level of emergency medical care for civilian. In America, EMT can take care of emergency patients following the order from medical Director at the scene of accident. But in Germany, prehospital care was emphasized from the beginning and, in those days, a medical doctor was sent for treatment of emergency patients at the scene, the so-called a Rendezvous system. Hierby this study makes the suggestion to improve the EMS-System, it is effective to use the medical Director system in America and furthermore a Rendezvous system in Germany. The functional integratin and unification of the report system as well as enough personal and equipmental elements saved together invaluable lives.

• Child Health Nursing Research
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• 제3권2호
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• pp.131-141
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• 1997

The purpose of this study was to propose for protection of childhood injury or accident and to provide safety measures. Data was collected from 2,052 who visited emergency room of E University Hospital during 1 year period from January to December, 1996. The results were as follows : 1. The most common type of accident was fall down (53.4%). 2. Male patients outnumbered female by the ratio of 1.68 : 1. 3. The highest incidence rate of accidents were observed in children between 1-3 years age group(34.9%). 4. Accidents were seasonally more frequent in spring(28.2%). 5. Accidents mainly took place at home (63%). 6. The time of accidental occurrence appeared to be predominantly high during a day 8 : 00 PM to 0 : 00 AM (35.l%). 7. The most frequent involved part of body was head and face (74%). 8. Most patients discharged from the hospital in good condition(85.4%). Through clinical analysis, in the relation to accident, there were statistically significant difference in sex, age, season, injury place(all p=0.000).

• 기본간호학회지
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• 제14권1호
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• pp.53-61
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• 2007

Purpose: The purpose of this study was to investigate the effects of an information protocol for anxiety and nursing satisfaction of family caregivers. The caregivers were caring for a family member who had a CVA (cerebrovascular accident) and who had been admitted to the ICU (intensive care unit). Method: The research design was a non-equivalent control group non-synchronized design. Data were collected from April 1 to October 31, 2005 at D hospital in Busan City The participants were 40 family caregivers of patients with a CVA admitted to the ICU. Caregivers in the experimental group participated in the information protocol for 30 min. Both groups were pre-tested before the intervention for two variables, anxiety and nursing needs. The post-test of both groups included anxiety and nursing satisfaction. The instruments used in this study were the Spielberger's state anxiety inventory (1976) and the nursing satisfaction scale developed by Molter (1979). Results: Anxiety scores were significantly lower and nursing satisfaction scores were significantly higher for caregivers in the experimental group compared to those in the control group. Conclusion: The information protocol was effective in reducing anxiety and increasing the level of nursing satisfaction of family caregivers caring for an ICU patients with a CVA.