Two Cases of Night Fever Treated with Acupuncture on Young-gol and Dae-back: Considered from Meridian and Collateral Aspects

조나영,Jo, Na Young Society for Meridian and Acupoint 2017 Korean Journal of Acupuncture Vol.34 No.3

목적 : 본 연구는 음허로 인한 야간발열 환자 2명에 대한 동씨침의 영골 및 대백혈의 치료효과를 알아보고, 이를 경락학적으로 고찰하는데 목적이 있다. 방법 : 음허로 진단된 2명의 환자를 대상으로 영골 및 대백혈에 침 치료를 시행하고, 15분 간 유침하였으며, 치료 전 후에 체온과 맥박을 측정하고, 구갈에 관한 NRS를 치료전에 측정하였다. 결과 : 영골 및 대백혈 자침 1시간 후 체온이 두명의 환자 모두 정상범위로 하강하였으며, Case 1의 경우는 영골 및 대백혈 자침치료를 시작한지 13일후, Case 2의 경우에는 14일 후에 야간발열 증상이 소실되었다. 11 pm에 측정한 맥박수는 Case 1에서 침 치료 시작 전 평균 82.6에서 치료 기간 중에는 75.2, 치료 후 74.8로 변화하였고, Case 2에서는 침 치료 시작전 평균 83.5에서 치료 기간 중에는 78.5, 치료 후 74.3으로 변화하였다. NRS는 Case 1에서 치료 전 평균 4.2에서 치료 기간 중에는 3.2, 치료 후 1.7로 감소하였으나 Case 2에서는 치료 전 평균 3.3에서 치료 기간 중에는 2.3, 치료 후 2.4로 변화하였다. 결론 : 두 가지 Case에서 영골 및 대백혈 자침은 발열증상을 완화하는데 효과적이었다. 이는 영골 및 대백혈이 수양명대장경의 경락 및 경근이 분포하는 영역에 위치하고 있기 때문에 수양명대장경의 열성병 치료효과와 대장주진의 생리학적 관점에서 고찰해 볼 수 있으며, 앞으로 이와 관련한 체계적이고 다양한 연구가 필요하리라 사료된다.

법의간호 역량에 대한 진화론적 개념분석

조나영,이윤미,손연정,Jo, Na Young,Lee, Yun Mi,Son, Youn-Jung 한국중환자간호학회 2018 중환자간호학회지 Vol.11 No.2

Purpose : This study aimed to clarify attributes, antecedents, and consequences of forensic nursing competency. Method : Rodgers' evolutionary concept analysis was used to analyze twenty nine articles on forensic nursing based on a systematic review of theology, medicine, psychology, and nursing literature. Results : Forensic nursing competency consists of the following seven attributes: awareness of the medico-legal problem, multidisciplinary integrated knowledge, education and training in forensic science, professional career development, evidence based practice in forensic nursing, collaborative forensic nursing with community partner, safety and security effective communication, and supportive relationships. Finally, we could explain the consequences of forensic nursing competency on knowledge construction in nursing, enhancing professional nursing, and establishing a human rights and social justice based approach. The antecedents of forensic nursing competency were forensic science interest, forensic science experience, and nurses' view of person in forensic-works. Conclusion : Based on these results, we recommend the development of a Korean version of a scale to assess forensic nursing competency.

A Study on the Acupuncture sensation Characteristics of Bee Venom and Sweet Bee Venom

조나영,Jo, Na Young The Society of Korean Mecicine Diagnostics 2019 大韓韓醫診斷學會誌 Vol.23 No.1

Objectives The purpose of this study is to determine if there is a difference in acupuncture sensation depending on the bee venom pharmacopunctures. The study was designed to identify the intrinsic acupuncture sensation of the bee venom pharmacopunctures compared to saline. Methods Bee venom,(BV), Sweet bee venom(SBV), and normal saline were injected in order to the left of ST36 (Joksamni), ST37 (Sang-geoheo), right ST36 (Joksamni), ST37 (Sanggeoheo) each. The order of insertion of the BV, SBV, and normal saline was randomly assigned using a computerized random number table. The questionnaire used in this study was based on the Massachusetts General Hospital Acupuncture Sensation Scale (MASS). Results : BV and SBV was statistically significantly higher than saline in soreness, aching, distention, sharp pain and itchiness. Above this, BV was statistically significantly higher than saline in tingling and throbbing. And SBV was statistically significantly higher than saline in warmth. BV was statistically significantly higher than SBV in ichiness. Conclusion. BV and SBV were mainly strong, heavy, and gave a sharp feeling to the subjects. The results of the study can be used as references for future bee venom pharmacopunctures use. In addition, the results of the study can be used as basic data for clinical trials using bee venom pharmacopunctures.

자연분만 후 발생한 비골신경마비 환자에 대한 Muscle Energy Technique(MET)의 병행치료 효과 증례보고

조나영 ( Na-young Jo ),노정두 ( Jeong-du Roh ) 대한한방부인과학회 2016 大韓韓方婦人科學會誌 Vol.29 No.4

Objectives: The purpose of this study is to evaluate the clinical effects of Muscle Energy Technique (MET) for peroneal nerve palsy after normal delivery. Methods: Two patients with peroneal nerve palsy were treated with acupuncture, moxibustion, cupping and MET. MET was performed in piriform, gluteus medius, anterior tibial and adductor muscles. To evaluate the effect of MET, we analyzed Ankle dorsiflexion range of motion (ROM), Manual Muscle Test (MMT), Numerical Rating Scale (NRS) and Ankle Hindfoot Scale (AHS). Results: In Case 1, ROM score was changed from -5 to 20, and MMT score was changed from 0 to 4. NRS score was changed from 5 to 1, and her AHS score was changed from 54 to 94 after treatment. In Case 2, ROM score was changed from 0 to 20, and her MMT score was changed from 1 to 5. NRS score was changed from 4 to 1, and her AHS score was changed from 64 to 97 after treatment. Conclusions: MET may be a useful treatment for patients who, shortly after childbirth or while breastfeeding, strongly refuse to treat the irritation.

임상한의학입문 역할을 반영한 원전학 수업 설계

조나영(Jo Na-young),조학준(Jo Hak-jun) 대한한의학원전학회 2021 대한한의학원전학회지 Vol.34 No.2

목적: 임상한의학 진료를 위한 준비 부족을 해결하고자 임상한의학입문 과정을 개발하고 그 역할을 반영한 원전학 수업을 설계하였다. 방법: 의학교육에 대한 가이드를 따르고 의과대학에 개설된 임상의학입문 과정을 참고하여 임상한의학입문 과정을 계획, 개발하고, 해당 과정에서 원전학의 역할을 제시하였다. 결과: 임상한의학입문은 임상한의학 실습 과정에서 부족한 교육을 나선형 교육과정의 틀에서 보충, 보강하는 것이며, 기초한의학 교육 완성 단계에서 여러 가지 평가를 통해 역량을 측정한다. 본 과정에는 한의학적 진단(辨證), 진찰(望·聞·問·切 등 四診), 한의학 진단(辨證) 체계가 반영된 환자 면담 기법, 한의학의 특성이 반영된 임상 술기, 기본 술기, 치료 계획, 환자교육 등이 포함된다. 본 과정에 기초한의학 교수들이 두루 책임 교수로 참여하며 주임교수를 선정하여 본 과정을 관리한다. 원전학의 경우, 기존의 학습성과를 임상표현에 따라 재편하고 교안(교재)에 의안(醫案) 또는 증례를 보충하고, 새로운 교육전략과 교수 방법을 보다 적극적으로 활용해야 한다. 결론: 원전학 교과가 임상한의학입문으로서 역할을 할 수 있으며, 이를 통해 기초한의학과 임상한의학의 연계성을 높여 학습자의 만족도를 높일 수 있다. Objectives : A transition course of ‘Introduction to Clinical Korean Medicine’ was developed to meet the demands for better preparation for clinical application of Korean Medicine within the curriculum. A Korean Medical Classics curriculum reflecting such demands was newly designed. Methods : Based on the ‘Introduction to Clinical Medicine(ICM)’ course of the Medical School curriculum that follows the medical education guideline, the ‘Introduction to Clinical Korean Medicine(ICKM)’ course was designed and developed. The role of Korean Medical Classics was suggested in the process. Results : In the following course, Korean Medical diagnosis, diagnostics, patient intake methods reflecting the Korean Medical diagnostic system, clinical skills, basic skills, treatment planning, patient education, etc. are included. Faculty members of the basic sectors of the Korean Medical school will participate in this curriculum, of which a head will be appointed to overlook the curriculum. In the case of Korean Medical Classics, previous learning outcomes need to be reorganized based on clinical expression while clinical case studies need to be added to course material. A more active approach utilizing new pedagogic strategies and teaching methods should be taken. Conclusions : The Korean Medical Classics curriculum could effectively take on the introductory role to clinical Korean Medicine, successfully strengthening the connection between the basic and clinical Korean Medicine to improve learners’ satisfaction.

강황의 항치매효과에 대한 체계적인 문헌고찰

조나영 ( Na Young Jo ) 대한한의진단학회 2018 大韓韓醫診斷學會誌 Vol.22 No.1

Objectives The incidence of degenerative diseases is increasing as society ages, and this increased the economic burden on society. Oxidative stress was also under suspicion as one of the causes. Recent studies have found that Curcuma longa Rhizoma had antioxidant, anti-inflammatory, antimutagenic, and anticancer effects. Through this study, we figure out trends in Curcuma longa Rhizoma research and evaluate the therapeutic potential of Curcuma longa Rhizoma for dementia. Methods The search was made using domestic and international internet search sites. “Naver academic,” “Google scholar,” “Korea institute of oriental medicine (KIOM OASIS),” “Korean traditional knowledge portal (KTKP),” “Library of Congress,” “Research information sharing service (RISS),” “National Digital Science Links (NDSL),” and “Pub med” are used to search. The searched for words were “turmeric,” “Curcuma longa Rhizoma,” “antioxidant,” and “nerve regeneration.” Results It could be seen that a lot of research done on Curcuma longa recently. In previous studies, the most common research disease was cancer. In previous studies, the most common effects of Curcuma longa was antioxidant and anticancer. Curcumin, Vitamin B1, and various essential oils were the functional components of Curcuma longa Rhizoma. Curcuma longa Rhizoma performs DPPH radical scavenging activity and ABTS radical cation decolorization activity; it inhibits NO and iNOS. Conclusion The destruction of nerve cells due to oxidative stress is a cause of dementia. Curcuma longa Rhizoma have antioxidant effects. Therefore, we believed that it is an effective treatment for dementia. Various studies will be made on Curcuma longa Rhizoma.

약침을 이용한 수화조절법으로 호전된 갱년기 상열감 및 발한과다 환자 치험 3례

조나영 ( Na Young Jo ),노정두 ( Jeong Du Roh ) 대한한방부인과학회 2015 大韓韓方婦人科學會誌 Vol.28 No.2

Objectives: The purpose of this study is to evaluate the clinical effects of ascending kidney water and descending heart fire pharmacopuncture treatment for hot flush and sweating. Methods: Ascending kidney water and descending heart fire pharmacopuncture is achieved by injecting pharmacopuncture on a specific acupoint to change from the state of water-fire disharmony to harmonious state. Hwangryunhaedok-tang (黃連解毒湯) pharmacopuncture is injected on both side Gyeonjeong (GB21), Pungji (GB20). Total 0.4 cc was injected by 0.1 cc each point. BUM (Bear`s gall bladder, ox bezoar and musk) pharmacopuncture is injected on both side Jeonjung (CV17), Jungwan (CV12), Gihae (CV6). Total 0.15 cc was injected by 0.05 cc each point. Treatment was done daily. The method of evaluation are Hot Flush Score (HFS), VAS and sweating areas. Results: In case 1, after treatment hot flush score was reduced from 24 to 4 points. VAS scale was reduced from 7 to 2. It took about two weeks for the symptoms to decrease by half. Associated symptoms almost did not stay at discharge. In case 2, after treatment hot flush score was reduced from 28 to 2 points. VAS scale was reduced from 10 to 3. And emotional symptoms were reduced about 70%. In case 3, after treatment hot flush score was reduced from 8 to 1 points. VAS scale was reduced from 6 to 1. And headache and chest discomfort symptoms have disappeared. Conclusions: Ascending kidney water and descending heart fire pharmacopuncture treatment is effective for improve ascending kidney water and descending heart fire energy. Therefore, it will be used to alleviate hot flush and sweating.

각가의론 수업에서 학습한 의사소통기술에 대한 학생 인식 조사

조학준,조나영,박정수,Jo, Hak-Jun,Jo, Na-Young,Park, Jeong-Su 대한예방한의학회 2021 대한예방한의학회지 Vol.25 No.2

Objectives : The objectives of this study are to provide the education of communication skills in the class of theories of Korean medical famous physicians and to survey students' perception of the effect. Methods : The class of theories of Korean medical famous physicians was newly designed and was given to students. The results from the questionnaire survey with second year students at department of Korean medicine were applied to the evaluation of study issues. The scale used for this study was the modified version of 'Beyer-Fetzer's Essential Elements of Communication Skills Assessment Sheet', which was developed by researchers in line with the education of Korean medicine. Results : In six (except for 'opening a conversation') out of seven categories, post-test results were more improved than pretest results. In the category of communication skills (a total of 25 questions), post-test results were higher than pretest results in all items. Among them, 13 items were statistically significant. With regard to the question as to how important the class of communication skills is to raise their professionalism as Korean medicine doctor, post-test result was higher than pretest result. Regarding an appropriate education point of time, there were various points in the entire period of curriculum. The appropriateness of teaching-learning method was positively evaluated. In terms of the content helpful for learning, learner-oriented activities was preferred over teacher-oriented lecturing. Conclusions : The communication skills learned in the class of theories of Korean medical famous physicians were effective. Communications skills should be taught constantly in the entire curriculum in order to raise students' professionalism as Korean medicine doctor. In terms of education method, it is desirable to design a class based on students' various activities, rather than lecturing.

한의학 교육에서 內傷發熱 증례를 이용한 표준화환자 프로그램 개발 연구

조학준(Jo Hak-jun),조나영(Jo Na-young) 대한한의학원전학회 2020 대한한의학원전학회지 Vol.33 No.4

목적: 內傷發熱을 주제로 한의학 교육에서 한의학적 진단(변증), 치료 등이 전제된 표준화 환자(Standardized Patients, SP) 프로그램을 개발하는 것이다. 방법: 內傷發熱과 관련하여 한의학적 방법으로 진단, 치료 사례를 다양한 한의학 원전 등 문헌 자료에서 발굴하고, 관련된 증례보고 중 유의성 있는 증례를 바탕으로 이미 개발된 표준화환자 프로그램의 절차와 양식에 따라 해당 모듈을 개발하였다. 특히 9가지 유형을 명확하게 판별할 수 있도록 병력 청취, 신체 진찰에 대한 평가항목을 개발하는 데 유의하였다. 결과: 內傷發熱에 대해 饑餓勞倦의 氣虛, 飢飽勞倦의 血虛, 火鬱(過食生冷), 傷食, 陽虛, 陰虛, 痰症, 瘀血, 肝氣鬱 등 9가지 유형의 변증 모델을 선택하고, 각 유형에 대한 병력 청취, 신체 진찰, 환자와의 의사소통과 환자에 대한 교육의 측면에서 평가항목을 개발하였다. 결론: 內傷發熱 증례를 이용한 표준화환자 프로그램을 개발할 때 한의학 고전에 근거한다면 임상한의학 교육에서 한의학적 특성을 더 명확히 반영할 것이며, 진료수행시험(CPX) 등 한의사 졸업 역량을 측정하는 데 도움이 될 것이다. Objectives : The objective of this paper is to develop a standardized patient program with a focus on diagnosis and treatment of internal damage fever in Korean Medical education. Methods : First, cases of diagnosis and treatment of internal damage fever were collected from various classical texts, then a module was developed according to pre-existing standardized patient program’s protocols based on selected cases. Careful consideration was given to developing evaluation criteria on history taking and physical examination that are necessary to accurately differentiating the 9 types. Results : Nine types of differentiation models on internal damage fever were selected, which are qi deficiency from overexertion/fatigue and famish; blood deficiency from overexertion/fatigue, famish and fullness; fire stagnation from excessive eating and cold foods; food damage; yang deficiency; yin deficiency; phlegm; stagnated blood; liver qi stagnation. For each type, evaluation criteria in regards to history taking, physical examination, communication with patient, and patient education were developed. Conclusions : When developing a standardized patient program using internal damage fever cases, it would better reflect the characteristics of Korean Medicine in clinical education of Korean Medicine if the program is based on classical texts. It would also be useful in evaluating students’ graduation competence in exams such as CPX.

종합병원 간호사의 전문직 자아개념과 자기효능감이 직무만족도에 미치는 영향

박은진,한지영,조나영,Park, Eun Jin,Han, Ji Young,Jo, Na Young 한국데이터정보과학회 2016 한국데이터정보과학회지 Vol.27 No.1

본 연구는 지방 종합병원 간호사의 전문직 자아개념, 자기효능감 및 직무만족도를 확인하고 이들 간의 관계를 파악하며 직무만족도에 미치는 영향 요인들을 분석함으로써 궁극적으로 간호조직의 생산성을 높이기 위한 서술적 조사연구이다. B시 종합병원간호사 156명을 대상으로 설문지로 측정하였다. 간호사의 전문직 자아개념은 $3.02{\pm}0.23$, 자기효능감은 $2.92{\pm}0.21$, 그리고 직무만족도는 $2.76{\pm}0.26$이었다. 전문직 자아개념, 자기효능감 및 직무만족도 모두 유의한 순상관관계가 있는 것으로 나타났으며, 그 중 전문직 자아개념과 직무만족이 가장 높은 상관관계가 있는 것으로 나타났다 (r=.325, p <.001). 직무만족도에 영향을 주는 예측요인은 전문직 자아개념 (${\beta}=.403$, t=5.327, p <.001), 자기효능감 (${\beta}=.238$, t=3.309, p=.001) 그리고 임상경력 (${\beta}=-.224$, t=-3.014, p=.003) 이었으며, 24.2%의 설명력을 나타냈다. 따라서 지방 종합병원에 근무하는 간호사의 직무만족도를 높이기 위한 관리전략으로 간호사의 전문직 자아개념과 자기효능감을 높일 수 있는 업무체계와 프로그램 개발 및 적용이 필요하다. The purpose of this study was to explore the correlation among professional self-concept, self-efficacy and job satisfaction and to identify the effect of professional self-concept and self-efficacy on job satisfaction in general hospital nurses. Questionnaires were completed by 156 nurses who were working for one general hospital in Busan. The mean score of professional self-concept and self-efficacy were $3.02{\pm}0.23$ and $2.92{\pm}0.21$ respectively. The mean score of job satisfaction was $2.76{\pm}0.26$. With respect to job satisfaction, the correlations were .325 (p<.001) for professional self-concept and .212 (p=.008) for self-efficacy. As integrate of the study result showed job satisfaction had correlation to professional self- concept and self-efficacy. The regression model explained 12.6% of job satisfaction. Professional self-concept was factor influencing job satisfaction. So professional self-concept enhancement strategies and self-efficacy improvement programs should be developed to improve job satisfaction.