|
|
|
|
|
|
|
[22vol21no1-03] 2020³â Áö¿ª»çȸ ÇÑÀÇÇÐ ¹æ¹®µ¹º½»ç¾÷ 5·Ê ÀÓ»óÁõ·Ê º¸°í - Á¤´ë¼º, ¹èÀç·æ, ÀÌÀçÈï |
|
|
|
[Àοë]
Á¤´ë¼º, ¹èÀç·æ, ÀÌÀçÈï. 2020³â Áö¿ª»çȸ ÇÑÀÇÇÐ ¹æ¹®µ¹º½»ç¾÷ 5·Ê ÀÓ»óÁõ·Ê º¸°í. ì¢ÖûѨÍí. 2022;21(3):22-42
Dae Sung Jung, Jae Ryong Bae, Jae Heung Lee. Report of 5 Clinical Cases of Visiting Korean Medicine Care for Community in 2020. Medical Gigong. 2022;21(3):22-42
[°³°ý]
ì¢ÖûѨÍí
MEDICAL GIGONG
Vol.21. No.1. 2022.06.30. DOI: https://doi.org/10.22942/mg.2022.21.1.022
2020³â Áö¿ª»çȸ ÇÑÀÇÇÐ ¹æ¹®µ¹º½»ç¾÷ 5·Ê ÀÓ»óÁõ·Ê º¸°í
Á¤´ë¼º*, ¹èÀç·æ*, ÀÌÀçÈï*
* : ´ëÇÑÀÇ·á±â°øÇÐȸ
[Abstract]
Report of 5 Clinical Cases of Visiting Korean Medicine Care for Community in 2020
Dae Sung Jung*, Jae Ryong Bae*, Jae Heung Lee *
* : The Member of the Korean Academy of Medical Gi-Gong
Objective : The researcher participated in the visiting treatment project organized by OO City in 2020 and showed the advantages of visiting Korean Medicine, so I would like to report it.
Methods : A comprehensive Korean Medicine intervention method was performed for each symptom, and changes in basic physical strength were observed through vital signs, NRS, Single Leg Stance (SLS), and Chair Stand Test (CST) tests.
Results : It can be seen that the NRS level, a pain scale for chronic pain, generally decreased at the last treatment compared to the beginning of treatment. Satisfaction with Project Information (PI) was relatively low at 3.20¡¾1.30, but Ease of Participation (EoP), Intention to Participate Again (IPA), Expansion of Project (ExP), and Overall Satisfaction (OS) were high at 5.00¡¾0.00.
Conclusions : Summarizing the advantages of visiting Korean Medicine is that the treatment satisfaction for chronic pain is high, the patient's satisfaction is high, the treatment tool is easy to carry, and various visiting treatment services can be implemented.
* Keywords : Unmet Medical Needs, KMD Home Visits, Aging-In-Place, Community Care
[¸ñÂ÷]
¥°. ßýÖå
¥±. ¿¬±¸´ë»ó ¹× ¹æ¹ý
¥². Áõ·Ê
¥³. ÍÅóÌ
¥´. Ì¿Öå
¥µ. óÑÍÅÙþúÌ
[¼·Ð]
Åë°èû ÀڷḦ »ìÆ캸¸é ¿ì¸®³ª¶ó´Â 65¼¼ ÀÌ»óÀÇ °í·ÉÀα¸°¡ 1960³â 2.9%¿¡¼ 2000³â¿¡ 7.2%°¡ µÇ¸é¼ °í·ÉÈ»çȸ(ÀüüÀα¸ ´ëºñ 7%ÀÌ»ó)¿¡ Á¢¾îµé¾ú°í, 2017³â 13.8%·Î °í·É»çȸ(14%ÀÌ»ó)°¡ µÇ¾úÀ¸¸ç, 2025³â¿¡ 20.6%·Î ÃÊ°í·É»çȸ(20%ÀÌ»ó)°¡ µÇ¾î 2070³â¿¡ 46.4%¿¡ À̸¦ °ÍÀ¸·Î ¿¹»óÇÑ´Ù[1].
¹®Á¦´Â º¯ÈÀÇ ¼ÓµµÀÌ´Ù. °í·ÉÀα¸ ºñÀ²ÀÌ °í·ÉÈ»çȸ¿¡¼ °í·É»çȸ·Î µµ´ÞÇϴµ¥ °É¸®´Â ±â°£ÀÌ 18³âÀ̸ç, °í·É»çȸ¿¡¼ ÃÊ°í·É»çȸ´Â ºÒ°ú 8³â¿¡ ºÒ°úÇÏ¿© ±âŸ ¼±Áø±¹¿¡ ºñÇØ ÈξÀ ºü¸¥ ¼Óµµ·Î °í·É»çȸ·Î ÁøÀÔÇÒ °ÍÀ¸·Î Àü¸ÁµÈ´Ù. ÇÁ¶û½º 154³â, ¹Ì±¹ 94³â, ÀÌÅ»¸®¾Æ 80³â, ±×¸®°í µ¶ÀÏÀº 77³âÀÌ °É¸®°í ÀϺ»µµ 36³â¿¡ °ÉÃÄ ÃÊ°í·É»çȸ¿¡ ÁøÀÔÇÏ¿´´Ù. ±×·¯³ª Çѱ¹ÀÌ °í·ÉÈ»çȸ¿¡¼ ÃÊ°í·É»çȸ¿¡ µµ´ÞÇÏ´Â ½Ã°£Àº 26³â¿¡ ºÒ°úÇØ ÀϺ»º¸´Ùµµ ´õ¿í ºü¸£´Ù°í ÇÒ ¼ö ÀÖ´Ù[2]. ¼¼°è ¾î´À ±¹°¡¿Íµµ ºñ±³ÇÒ ¼ö ¾øÀ» Á¤µµ·Î ºü¸£°Ô °í·ÉÀα¸°¡ ´Ã¾î³ª°í ÀÖ´Â ¼ÀÀÌ´Ù. ÀüüÀα¸¿¡¼ °í·ÉÀα¸°¡ Â÷ÁöÇÏ´Â ºñÁßÀº Á¡Â÷ ´Ã¸ç °í·Éȼӵµ´Â ºü¸£°Ô ÁøÇàµÇ°í, ±â´ë¼ö¸íÀº Á¡Â÷ ´Ã¾î°¡´Âµ¥ Á¤ÀÛ °Ç°¼ö¸íÀº Á¡Á¡ ÁÙ¾îµé°í ÀÖ´Â Ãß¼¼ÀÌ´Ù[3].
±â´ë¼ö¸íÀº ´Ã°í °Ç°¼ö¸íÀÌ ÁÙ¾îµé¸é¼ ¸öÀÌ º´µé¾î ÀÖ°í ¾ÆÆÄ ÀÖ´Â ½Ã°£ÀÌ ±æ¾îÁö´Â ÇöÀç, ¿ì¸®³ª¶ó¿¡¼ °í·ÉÀα¸µéÀº ÀÇ·á±â°ü ¹æ¹®ÀÌ ¾î·Á¿î »óȲÀÌ´Ù. ¿îµ¿´É·Â¿¡ ÁöÀåÀÌ ÀÖ´Â °æ¿ì´Â ¿îµ¿´É·Â¿¡ ÁöÀåÀÌ ¾ø´Â °æ¿ìº¸´Ù ¹ÌÃæÁ·ÀÇ·á °æÇèÀÌ ´õ ¸¹ÀÌ ¹ß»ýÇÏ´Â °ÍÀ¸·Î ³ªÅ¸³´Ù[4]. ÀÏ·Ê·Î ÇÑ ¿¬±¸¿¡¼ ¹ÌÃæÁ·ÀǷḦ °æÇèÇÏ°Ô µÈ ÀÌÀ¯¿¡ °üÇÏ¿© ÀÀ´äÇÑ ÃÑ 611¸í Áß 1À§ 69.6%´Â °æÁ¦ÀûÀÎ ÀÌÀ¯·Î ÀÎÇØ, 2À§ 21.3%´Â ±³ÅëÀ̳ª °Åµ¿ÀÌ ºÒÆíÇÑ ¹°¸®Àû Á¦¾àÀ¸·Î ÀÎÇÑ °ÍÀ̶ó ´äÇÏ¿´´Ù[5]. ´Ù¸¥ ¿¬±¸¿¡¼´Â º´ÀÇ¿øÁø·á¿¡¼ ¹ÌÃæÁ·ÀǷḦ °æÇèÇÑ 851¸í Áß ±× »çÀ¯´Â ¡®°æÁ¦Àû ¾î·Á¿ò¡¯ÀÌ 425¸í(49.9%)À¸·Î °¡Àå ³ô¾ÒÀ¸¸ç, ¡®Áõ»óÀÌ °¡º¿ö¼¡¯ 134¸í(15.7%), '°Åµ¿ÀÌ ºÒÆíÇؼ¡¯ 108¸í(12.7%)¼øÀ¸·Î ³ôÀº °ÍÀ¸·Î ³ªÅ¸³µ´Ù[6]. ¹ÌÃæÁ·ÀÇ·áÀÇ ÁÖµÈ ÀÌÀ¯·Î´Â °æÁ¦Àû ÀÌÀ¯°¡ °¡Àå ³ôÀ¸³ª, ±× ¿Ü¿¡µµ ±³ÅëÆíÀÇ ºÒÆí, º´ÀÇ¿ø¿¡ µ¿ÇàÇÒ »ç¶÷ÀÌ ¾ø¾î¼, ÀÇ»ç¼ÒÅëÀÇ ¾î·Á¿ò µî ÀǷἺñ½º ÀÌ¿ëÀÇ ¹°¸®Àû Á¢±Ù ¹× ÀηÂÁö¿ø ºÎÁ·ÀÌ ÀÖ´Â °ÍÀÌ´Ù.
À§¿Í °°ÀÌ ÀÇ·á½Ã¼³·ÎÀÇ Á¢±Ù¼ºÀÌ ¶³¾îÁö´Â °í·ÉÀα¸µé¿¡°Ô ÇÊ¿äÇÑ °ÍÀº Àç°¡º¹ÁöÀÇ °³³äÀÌ´Ù. Àڽŵ鿡°Ô Àͼ÷ÇÑ Áý¿¡¼ °¡´ÉÇÑ ÇÑ ¿À·§µ¿¾È »ýÈ°ÇÒ ¼ö ÀÖµµ·Ï(Aging In Place: ÀÌÇÏ AIP) Áö¿ª»çȸ Â÷¿ø¿¡¼ ¼ºñ½º(Aging In Community: ÀÌÇÏ AIC)¸¦ ÅëÇÕÀûÀ¸·Î Á¦°øÇÏ´Â °Í, ±×·³À¸·Î½á ¿ä¾ç¿ø µî ½Ã¼³·ÎÀÇ ÀÔ¼Ò¸¦ ´ÊÃ߰ųª ÀÔ¼Ò»ýÈ°À» °¡´ÉÇÑ ÃִܱâÈ ÇÏ´Â °ÍÀ» Àç°¡º¹Áö¶ó°í º¼ ¼ö ÀÖ´Ù. ÃÖ±Ù Á¤ºÎ¿¡¼µµ ÃßÁøÇÏ°í ÀÖ´Â ³ëÀε¹º½¼ºñ½º Á¤Ã¥ÀÇ ¹æÇâ ¿ª½Ã Àç°¡º¹Áö·Î ÇâÇØ ÀÖ´Ù´Â °ÍÀ» ¾Ë ¼ö ÀÖ´Ù[7].
´Ù¸¥ ³ª¶ó¿¡ ºñÇÏ¿© °í·ÉÀα¸°¡ ºü¸£°Ô ´Ã¾î°¡´Â ¿ì¸®³ª¶ó¿¡¼ ±â´ë¼ö¸íÀº ´Ã¾î°¡Áö¸¸ °Ç°¼ö¸íÀÌ Áپ°í ÀÖ´Ù. °í·ÉÀα¸°¡ ¾ÆÇÁ¸é¼µµ Á¢±Ù¼º ºÎÁ·À¸·Î ¹ÌÃæÁ·ÀǷḦ °æÇèÇÏ´Â Çö »óȲ¿¡¼ Àç°¡º¹Áö¼ºñ½º ±× Áß¿¡¼µµ °í·ÉÀα¸°¡ ¼±È£ÇÏ´Â ÇÑÀǹ湮Áø·áÀÇ Àû±ØÀûÀÎ µµÀÔÀÌ ÇÊ¿äÇÑ ½Ã±â¶ó º¸ÀδÙ. ´Ù¸¸ ÀÇ·áÀÎÀÌ È¯ÀÚÀÇ Áý¿¡ Á÷Á¢ ¹æ¹®ÇÏ¿© ÀÇ·áÇàÀ§¸¦ ÇÏ´Â ÀçÅú¸°ÇÀǷἺñ½º´Â º´¿øÀÌ ÁÖµµÀûÀ¸·Î ½ÃÇàÇÏ´Â °¡Á¤°£È£»ç¾÷, º¸°Ç¼Ò°¡ ½ÃÇàÇÏ´Â ¹æ¹®º¸°Ç»ç¾÷(¹æ¹®°Ç°°ü¸®»ç¾÷), ±×¸®°í ³ëÀÎÀå±â¿ä¾çº¸Çè¿¡¼ ½ÃÇàÇÏ´Â ¹æ¹®°£È£»ç¾÷, ÀÌ ¼¼°¡Áö°¡ ÁÖ¸¦ ÀÌ·ç´Âµ¥ ¼¼ »ç¾÷ ¸ðµÎ ÀÇ·áÀÎ Áß °£È£»ç°¡ ÁÖ·Î È°µ¿ÇÏ´Â »ç¾÷ÀÌ´Ù. Àǻ糪 ÇÑÀǻ簡 ¹æ¹®ÇÏ¿© Áø·áÇÏ´Â ¹æ¹®Áø·á´Â ¾çÀÇ´Â 2019³â 12¿ù <ÀÏÂ÷ÀÇ·á ¿ÕÁø¼ö°¡ ½Ã¹ü»ç¾÷>ºÎÅÍ, ÇÑÀÇ´Â 2021³â 8¿ù<ÀÏÂ÷ÀÇ·á ÇÑÀǹ湮Áø·á ½Ã¹ü»ç¾÷>ºÎÅÍ ½ÃÀÛÇß´Ù. ¹°·Ð ÀÌÀü¿¡µµ °ø°øº¹ÁöÀÇ °³³äÀ¸·Î º¸°Ç¼Ò¿¡ ¹èÄ¡µÈ °øÁߺ¸°ÇÀǻ簡 ¹æ¹®Áø·á¸¦ ½Ç½ÃÇÑ »ç¾÷Àº 10¿© ³â ÀüºÎÅÍ ÀÖ¾úÁö¸¸, ÀÌ´Â ¾îµð±îÁö³ª ±¹°¡ °ø°ø±â°ü¿¡¼ ½ÃÇàÇÏ´ø »ç¾÷ÀÏ »Ó, ¹Î°£ÀÇ·á±â°ü¿¡¼ ½ÃÇàÇÏ´Â »ç¾÷Àº ¾Æ´Ï¾ú´ø ¹Ù ±× ³»¿ëÀÌ ´Ù¸£´Ù°í º¼ ¼ö ÀÖ´Ù. ¶ÇÇÑ ¹Î°£¿¡¼ Á¶¿ëÇÏ°Ô ÇàÇØÁö´ø ¿ÕÁøÀ̶ó´Â ¹æ¹®Áø·á¹æ½ÄÀÌ ÀÖ±â´Â ÇÏ¿´À¸³ª Çö½ÇÀûÀÎ ¼ö°¡°¡ ÀüÁ¦µÇÁö ¾Ê¾Ò´Ù´Â Á¡¿¡¼ À¯¸í¹«½ÇÇÑ »óȲÀ̾ú´Ù.
ÀÌ¿¡ º» ¿¬±¸ÀÚ´Â 2020³â¿¡ OO½Ã¿¡¼ ÁÖ°üÇÏ´Â ¹æ¹®Áø·á»ç¾÷¿¡ Âü¿©ÇÏ¿© 7ÁÖ°£ ÁøÇàµÈ 5·Ê¸¦ ÅëÇØ ÇÑÀǹ湮Áø·á°¡ °¡Áö´Â ÀåÁ¡À» º¸¾Ò±â¿¡ ±× °á°ú¸¦ º¸°íÇÏ°íÀÚ ÇÑ´Ù. |
|
|
|
|
|
¿ì415-865/
°æ±âµµ ±èÆ÷½Ã ÅëÁøÀ¾ ¸¶¼Û¸® 160-10 ´ëÇÑÀÇ·á±â°øÇÐȸ Tel 031-999-2222 / Fax 02-999-2200
Copyright(c) 2003 ´ëÇÑÀÇ·á±â°øÇÐȸ. All rights reserved.
|
|
|