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한양방 협진치료를 받은 치매와 경도인지장애 환자에 대한 후향적 의무기록 분석

Title
한양방 협진치료를 받은 치매와 경도인지장애 환자에 대한 후향적 의무기록 분석
Other Titles
Retrospective Analysis of Patients Suffering from Dementia or Mild Cognitive Impairment Treated by Collaboration between Western and Korean Medicine
Author
정문주
Keywords
Dementia; Mild Cognitive Impairment; Integrative medicine; Korean medicine.
Issue Date
2018-06
Publisher
대한한방신경정신과학회
Citation
동의신경정신과학회지, v. 29, no. 2, page. 111-119
Abstract
Objectives: To investigate the characteristics of patients diagnosed with dementia or mild cognitive im-pairment who are treated by means of a blend between Western and Korean medicine.Methods: We searched for outpatients with dementia or mild cognitive impairment by means of a collaboration between Western and Korean medicine from August 1, 2015, to July 31, 2017, through electronic medical records in Wonkwang Hospital. The records were retrospectively analyzed according to the patients’ demographic and clinical characteristics, pathway of medical care, diagnostic tests, treatment, and medical expenses.Results: Thirteen patients were included in the analysis. Among them, six patients were diagnosed with mild cognitive impairment, five with dementia, Alzheimer's type, one patient with frontotemporal dementia, and one patient with unspecified dementia. Twelve of the thirteen patients were over 60 years of age. The number of pathways from the Dept. of Neurology to the Dept. of Neuropsychiatry of Korean Medicine was almost the same as the opposite pathway. The most used diagnostic test in Korean medicine was a neuro-psychological test such as SNSB, MMSE and GDS. In Western medicine, hematology and neuroimaging were frequently used for patients. Acupuncture in Korean medicine and medication in Western medicine were the most frequently used. In Korean medicine, uncovered service costs were much higher than covered service costs,. whereas, in Western medicine, covered service costs were higher than uncovered service costs.Conclusions: This study describes the basic characteristics of dementia and mild cognitive impairment patients treated by a collaboration between Western and Korean medicine. Based on these results, a clinical pathway of the collaborative practice system between Western and Korean medicine for de-mentia patients needs to be developed.
URI
http://koreascience.or.kr/article/JAKO201820540192630.pagehttp://repository.hanyang.ac.kr/handle/20.500.11754/118997
ISSN
1226-6396; 2234-4942
DOI
10.7231/jon.2018.29.2.111
Appears in Collections:
GRADUATE SCHOOL OF EDUCATION[S](교육대학원) > EDUCATION(교육학계열) > Articles
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한양방 협진치료를 받은 치매와 경도인지장애 환자에 대한 후향적 의무기록 분석.pdfDownload
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