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KMID : 0644120230360020036
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Journal of Oriental Gynecology
2023 Volume.36 No. 2 p.36 ~ p.54
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A Survey on Korean Medicine Doctors' Recognition and Treatment Method for Developing Clinical Practice Guideline of Nausea and Vomiting of Pregnancy
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Lee Heung-Sook
Jung Hyo-Jeong
Choi Su-Ji
Kim Dong-Il
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Abstract
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Objectives: This study was aimed to develop a Korean Medicine (KM) clinical practice guideline (CPG) of Nausea and Vomiting of Pregnancy (NVP).
Methods: We conducted a questionnaire survey targeting KM doctors belonging to the Association of Korean Medicine by e-mail. We received 1,023 responds, and analyzed the answers.
Results: 1. 83.0% of respondents knew the concepts and contents of CPG, and 98.1% had practical use plan.
2. 82.1% of respondents used pattern identification diagnosis for NVP patients, and the most commonly diagnosed pattern was spleen-stomach weakness (脾胃虛弱) with 41.3%.
3. The most frequently used treatment for NVP patients was KM combined treatment (46.7%). Herbal medicine+acupuncture (46.8%) was most used among KM combined treatments, and herbal medicine (37.1%) was most used among KM single treatments.
4. Among the contents of CPG for NVP, the fields of interest were selected in the order of KM treatment, KM-Western medicine cooperative treatment, KM diagnosis, prevention and regimen management. In the ‘diagnosis part’, the use of the symptom evaluation scale questionnaire was 41.8%, higher than the KM pattern diagnosis (34.4%). In the ‘treatment part', herbal medicine accounted for 33.8%, higher than that of acupuncture (including electro-acupuncture) at 23.7%.
5. As for the expected development effects, opinions on evidence-based, safety, clinical use, and standardization were the most common.
Conclusions: We figured out KM doctors’ recognition of KM clinical practice guideline, clinical diagnosis, treatment on NVP to make the contents of the CPG reflecting the clinical situation.
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KEYWORD
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Nausea and Vomiting of Pregnancy, NVP, Hyperemesis Gravidarum, CPG, Korean Medicine
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