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- 저자 : 도은진 ( Eun Jin Doh ) (검색결과 3 건)
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아토피피부염에 대한 올바른 교육의 중요성에 대한 설문조사
도은진 ( Eun Jin Doh ),최미라 ( Mira Choi ),임지수 ( Ji Soo Lim ),윤현선 ( Hyun-sun Yoon ),이동훈 ( Dong Hun Lee ),김규한 ( Kyu Han Kim ) 대한피부과학회 2017 大韓皮膚科學會誌 Vol.55 No.6
Background: Therapeutic education is important for successful management of atopic dermatitis (AD). Objective: To provide effective therapeutic education, clear common misunderstandings, and answer questions regarding AD among patients and caregivers. Methods: A questionnaire survey was conducted for patients and caregivers who visited the Department of Dermatology at Seoul National University Hospital, Seoul, Korea, regarding the course, etiology, and management of AD. Results: Among the 327 subjects who participated in the study, only 35.2% were aware of the natural course of AD, which usually improves with age. Many subjects (53.2%) misinterpret AD relapse as resistance to topical steroids. We found that 87.8% of subjects were under the impression that improvement in a patient`s immunity can improve the symptoms of AD. Dietary restriction was considered an essential management strategy, and 59.0% of subjects agreed to delay the initiation of weaning foods. Most subjects did not have accurate information about cleansing methods, and 30.9% of subjects reported that they used only water without any cleanser. We noted that 47.5% of subjects obtained information regarding AD from medical doctors who they considered the most reliable sources (82.5%). Subjects preferred printed materials (41.3%) over seminars or video-clips to obtain educational information. Conclusion: Therapeutic education regarding the course, etiology, and management of AD using printed materials put together by physicians would be a valuable tool for the effective management of AD. Institutional support such as educational programs covered by the National Health Insurance Service is required. (Korean J Dermatol 2017;55(6): 329∼336)
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최미라 ( Mi Ra Choi ),도은진 ( Eun Jin Doh ),이동훈 ( Dong Hun Lee ) 대한피부과학회 2016 大韓皮膚科學會誌 Vol.54 No.4
Low-level laser or light therapy (LLLT) was used to accelerate wound healing without the use of thermal effects in the early days. Although the exact mechanism of LLLT is still unclear, it has been recognized as a photobiomodulation process. Today, LLLT is being credited as a non-invasive treatment modality, and in particular, being widely applied in the field of dermatology. In this review, we summarize the basic principles and clinical applications of LLLT to provide an up-to-date guidance on its practical and safe uses. Further studies are needed to elucidate the mechanism of action of LLLT in various indications, and to determine the wavelength and dose for optimal clinical use. (Korean J Dermatol 2016;54(4):241~248)
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이동훈 ( Dong Hun Lee ),도은진 ( Eun Jin Doh ),이진영 ( Jin Young Lee ),박양 ( Yang Park ),오재원 ( Jae Won Oh ),이미희 ( Mi Hee Lee ),홍수종 ( Soo Jong Hong ),이소연 ( So-yeon Lee ),박준수 ( Joon Soo Park ),남동호 ( Dong-ho Nahm 대한천식알레르기학회(구 대한알레르기학회) 2016 Allergy Asthma & Respiratory Disease Vol.4 No.4
Purpose: The effective management of atopic dermatitis (AD) adjusted to individual clinical courses and demands can be challenging to both patients and physicians. Understanding of actual situations, experienced and perceived by patients with AD and their caregivers, is essential to improve clinical outcomes and satisfaction in real practice.Methods: This multicenter survey was conducted in patients with AD or their caregivers from 9 centers with questionnaires on diagnosis and management of AD.Results: A total of 324 patients and caregivers participated in the study. Most of the AD cases were initially diagnosed by physicians (80.6%), followed by self-diagnosis. Patients and caregivers thought that allergic substances, such as house dust mites, food, and pollutants, are responsible for AD development; moisturization, environmental control, and improvement of the body constitution are important for AD management. Allergy tests were performed in 194 patients (59.9%), but allergen avoidance strategy was instructed in only 81 subjects (41.8%). Major topical medications were steroids (81.8%) and topical immunomodulators (34.3%), while systemic medications were steroids (42.6%), antihistamines (36.4%), and cyclosporins (2.8%). One hundred eighty-one subjects (55.9%) had received complementary alternative medicine, including Oriental medicine. Many subjects desired to receive individualized management, use of specialized institutions for AD as well as evidence-based, effective, sustainable treatment.Conclusion: Our findings suggest that there may still be an unmet need for patients with AD in real practice. Personalized, evidence-based, and multidisciplinary approaches, including patient education, should be implemented for good outcomes. (Allergy Asthma Respir Dis 2016:4:271-275)
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