슬관절 전치환술 후 한의 핵심 결과 지표를 개발하기 위한 임상 평가지표에 대한 문헌 연구

전채헌,김혜진,이정민,권미리,장승원,김현호,공병희,임정태 한방재활의학과학회 2019 한방재활의학과학회지 Vol.29 No.3

Objectives Osteoarthritis is hard to manage with both conventional and Korean medicine treatment. The core outcome set (COS) to demonstrate the effectiveness of Korean medicine treatment has not been established yet. We aimed to present preliminary data of COS by performing a literature review on the evaluation indices used in existing clinical research. Methods We examined the literature from 2000 to 2017 in two Korean electronic databases (Korea citation index and oriental medicine advanced searching integrated system) by searching for the following 3 terms ‘total knee replacement (Korean)’, ‘total knee replacement,’ and ‘knee surgery.’ We found 333 articles; among them, 50 duplicates were removed. Finally, we selected 160 articles after complete screening. We then extracted measured indices and clinical outcomes from the selected articles and categorized the relevant criteria. Results According to this study, the hospital for special surgery and knee society, range of movement angle, cross leg, Berg balance scale and balance ability, muscle strength, 6 minutes walking test, visual analogue scale, self-efficacy, the 12-item and 36-item short form survey and self-rated health status are the most commonly used outcomes of knee. Conclusions This study found that the several categories after total knee replacement (TKR) are being evaluated in the literature, and we were able to verify the most frequently used evaluation indices in these categories. The results of this study will be used to establish evaluation indices for the treatment of TKR in the future using Korean medicine. (J Korean Med Rehabil 2019;29(3):51-60)

지역 보건소에서 시행한 코로나 바이러스 감염증-19 진단 검사상 양성인 재택치료 환자의 비대면 한의진료 효과: 후향적 차트 리뷰

전채헌,최대준,김경묵,김혜진,임정태,지규용 한의병리학회 2022 동의생리병리학회지 Vol.36 No.4

Due to the coronavirus disease 2019 (COVID-19) pandemic, appropriate management of sequelae and treatment of infectious symptoms became increasingly important healthcare issues. Although the practice guidelines and treatment cases based on the East Asian traditional medicine have been reported, there are rare studies on the use of Korean medicine in Korea. Therefore, this study aimed to present the progress of non-contact Korean medical treatment for infected patients at a local public health center using retrospective chart review. A total of 18 patients were prescribed with 5 days of herbal decoction and medicine extract covered by the national health insurance. With the questionnaire form, the progression and improvement of symptoms before and after treatment were evaluated using the numerical rating scale (NRS), and the treatment satisfaction and opinions were obtained. The symptoms such as cough (5.56±2.23 to 2.89±2.14), sputum (6.11±1,75 to 3.28±2.47), sore throat (6.06±2.70 to 1.47±1.62), anorexia (5.56±2.63 to 1.94±2.21), nausea (3.75±1.71 to 1.17±1.11), diarrhea (3.40±2.63 to 1.50±1.51), chest tightness (4.93±2.46 to 2.29±2.30) and fatigue (6.44±1.79 to 2.67±1.88) all improved according to the NRS, and the satisfaction with herbal medicine treatment on a 5-point Likert scale was 4.24±0.90. No side effects and adverse reactions were reported. Thereupon non-contact Korean medical treatment can be concluded that it effectively reduces the COVID-19 infection mild symptoms in restrictive extent. Since the retrospective data does not include a control group, the more confirmative data is needed by multicenter and large-scale controlled clinical study afterwards.

Collagen, LPS, CFA로 유발된 류마티스 유사 관절염 동물실험 모델에서 한약제제 경구투여의 효과: 2008년 이후 발표된 국내 논문에 대한 체계적 문헌고찰

원정윤,전채헌,송호준,정지원,김태광,김현호,임정태,Won, Jeong-Yoon,Jeon, Chae-Heun,Song, Ho-Joon,Jeong, Ji-Won,Kim, Tae-Gwang,Kim, Hyun-Ho,Leem, Jungtae 한방재활의학과학회 2017 한방재활의학과학회지 Vol.27 No.4

Objectives This study was designed to review animal studies about the efficacy of herbal medicine for Rheumatoid arthritis animal model which was published in Korea after 2008. We also systematically investigated the reporting quality of the animal studies. Methods We systematically searched original articles in 8 databases since 2008. And manual searching was conducted through 10 Korean medicine journals from 2008. Studies were included if they used animal experimental model(s) with orally administered herbal medicine. Data were extracted regarding animal model, rheumatoid arthritis indicator and detail of intervention. Reporting quality of each study was also assessed by the STARA and ARRIVE guidelines. Results Nine hundred two articles were screened. Finally, 35 articles were included. 35 studies all showed that the herbal medicine used in the studies has significant effect on alleviating the macroscopic indicators, hematological indicators, histological indicators, genetic indicators, osteological indicator of Rheumatoid Arthritis and others. Species of animals was reported in 100% while ventilation and noise were reported in 0% in STRASA guidelines. Ethical statement was reported in 42.9%, experimental animals and sample size were reported in 24%, 29% and there was no study reporting funding. Conclusions These results suggest that herbal medicine might be effective treatment for Rheumatoid Arthritis. It should be improved by clinical studies. And there is a need for studying about efficacy and safety of each specific herbal medicine. And we should improve the Reporting quality of the animal studies published in Korea.

소아과 질환에서 주양육자 대상의 질적연구 논문에 대한 COREQ (Consolidated Criteria for Reporting Qualitative Research) 가이드라인을 이용한 방법론적 질평가

김혜진,전채헌,한예지,정문주,김현호,임정태 대한한방소아과학회 2018 대한한방소아과학회지 Vol.32 No.4

Objectives This research was aimed to analyze and assess the articles of qualitative research of Pediatrics by following Consolidated Criteria for Reporting Qualitative Research (COREQ). Methods Two researchers analyzed and assessed the reports’ quality and appropriateness based on COREQ guideline. The articles that failed to achieve consensus from the two researchers, the third researcher made a final decision. Results A total of fifty-six reports which used caregivers as participants, were selected and adopted qualitative research methods were chosen. In most qualitative studies, COREQ was not implemented. Some parts of the studies were poorly described and elaborated when reviewing them based on the COREQ guidelines. In the ‘Research team and reflexivity’, there was lack of description about the researcher. In the ‘Study design’, there were no detailed descriptions on the approaches they took in recruiting their study participants. There was not enough detail reflexivity participants who refused, and where the recruitment took place. There were also no records of whether there was a pilot test or a data saturation. In ‘Analysis and findings’ section, there were few articles mentioning Participant checking, and the main opinion of the participants were well analyzed in all the papers, but excluding opinions of few participants. Conclusions There are still many qualitative studies that have caregivers as participants, in the field of pediatrics. However, methodological skills are insufficient. The use of the COREQ guidelines should be further implemented for more robust and methodological improvement.

야제 환아의 한의치료에 대한 질적 연구 - 주양육자의 서술을 중심으로 -

김혜진,전채헌,김은지,김현호,임정태,유수향,Kim, Hyejin,Jeon, Chaeheun,Kim, Eunji,Kim, Hyunho,Leem, Jungtae,Ryu, Suhyang 대한한방소아과학회 2018 대한한방소아과학회지 Vol.32 No.1

Objectives This study sets out to examine treatment experiences of child patients with night crying based on the traditional Korean medicine. Also, the study traces the process in which clients chose traditional Korean medicine treatment, and proposes a possible future direction of Korean medicine treatment. Methods The investigator conducted a semi-standardized open-ended question interview with two main fosterers of a child who received traditional Korean medicine treatment for night crying, and examined two fosterers' experiences of a child with the traditional Korean medicine treatment. Their interviews were recorded with their facial expressions and acts for analysis. Collected data was analyzed based on the Grounded theory. Results The participants felt a sense of responsibility, worry, and fear for their children with night crying. They had easy access to traditional Korean medicine doctors who were in the community and had positive experiences with traditional Korean medicine treatment. They reported that some people had been forced to use traditional Korean medicine, had misunderstandings about traditional Korean medicine, and had prejudice that night crying is not a disease. They felt there was a room for improvement in terms of the high medical expenses and the absence of a cooperative system between Oriental and Western medicine. Conclusions As the first qualitative study on night crying based on the traditional Korean medicine treatment, this study proposed a future direction for traditional Korean medicine treatment for night crying in the shoes of fosterers. The findings showed that the fosterers chose traditional Korean medicine treatment for night crying child based on their feelings, accessibility and experiences with traditional Korean medicine. Fosterers felt a need for improvement of the general public's perceptions about Korean medicine treatment on night crying, and a cooperative system between Oriental and Western medicine.

저신장 및 성장과 관련된 질적연구에 대한 체계적 문헌 고찰

김혜진,임정태,노민영,정문주,전채헌,한예지,김현호 대한한방소아과학회 2019 대한한방소아과학회지 Vol.33 No.4

Objectives: The aim of this study is systematic evaluation of the quality of qualitative studies related to short stature. It will be utilized as fundamental data for future qualitative research about Korean Medicine Pediatrics treatment for short stature. Methods: We searched qualitative studies related to short stature in the Pubmed. Two researchers independently assessed the quality of the qualitative researches by using Consolidated criteria for reporting qualitative research (COREQ) and Critical Appraisal Skills Program (CASP). We also qualitatively synthesized theme of each included studies. We presented integrated theme and categories with in vivo coding about qualitative research about short stature. Results: A total of 47 papers were screened and 7 papers were finally selected. In the quality assessment using COREQ, detalied information about the researchers, methods of approach, reasons for non-participation, presence of non-participants, participant’s review of the transcript, and participant’s review of the findings were insufficient. In the quality evaluation using CASP, there were lack of justifications for the research methods, description method of research, and bias in process of data analysis. The findings were synthesized into three themes: fixed idea about height, discomfort caused by small stature and personal coping strategy with stress caused by short stature. Conclusions: In further qualitative research, it is necessary to report the research according to COREQ and CASP checklist. It is also necessary to understand the stress and coping strategies to short stature of patients, We need to develop a social management strategy for short stature.