연령과 사상체질에 따른 개인건강기록(PHR)에 기반한 아토피피부염 환자의 특성
Characteristics of Atopic Dermatitis Patients Based on Personal Health Records (PHR) according to Age and Sasang Constitution
0
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Objectives: The purpose of this study is to identify the characteristics of atopic dermatitis patients based on the personal health records (PHR) according to age and Sasang Constitution, and to find basic data for daily life management using the personal health record. Methods: We analyzed the characteristics of atopic dermatitis patients based on PHR (symptoms, emotional state, SCORAD Index, five viscera weakness questionnaire, etc.), and Sasang Constitution collected for 6 weeks in 34 patients (or guardians). Results: Each item of the SCORAD Index score in children and adolescents showed that children and adolescents have significantly higher edema than adults. However, repeated measurement of the SCORAD Index showed a significant positive improvement over time regardless of age and constitution. In terms of the symptoms of atopic dermatitis, there was a significant correlation between age and swelling, quality of life and effusion, pruritus (itch) and sleep disturbance in relation to the general characteristics of the subject. In the five visceral weakness scores, adults had significantly higher spleen weakness, liver weakness, kidney weakness scores than in children and adolescents. All results showed a high tendency to have a high lung weakness score, which was more pronounced in children and adolescents. Conclusion: This study is meaningful to confirm the correlation between SCORAD Index items related to the symptoms of atopic dermatitis, and to identify trends for specific items by ages and Sasang Constitution.
Abstract
Objectives: The purpose of this study is to identify the characteristics of atopic dermatitis patients based on the personal health records (PHR) according to age and Sasang Constitution, and to find basic data for daily life management using the personal health record. Methods: We analyzed the characteristics of atopic dermatitis patients based on PHR (symptoms, emotional state, SCORAD Index, five viscera weakness questionnaire, etc.), and Sasang Constitution collected for 6 weeks in 34 patients (or guardians). Results: Each item of the SCORAD Index score in children and adolescents showed that children and adolescents have significantly higher edema than adults. However, repeated measurement of the SCORAD Index showed a significant positive improvement over time regardless of age and constitution. In terms of the symptoms of atopic dermatitis, there was a significant correlation between age and swelling, quality of life and effusion, pruritus (itch) and sleep disturbance in relation to the general characteristics of the subject. In the five visceral weakness scores, adults had significantly higher spleen weakness, liver weakness, kidney weakness scores than in children and adolescents. All results showed a high tendency to have a high lung weakness score, which was more pronounced in children and adolescents. Conclusion: This study is meaningful to confirm the correlation between SCORAD Index items related to the symptoms of atopic dermatitis, and to identify trends for specific items by ages and Sasang Constitution.
참고문헌 (22)
- Ann SG, "Atopic Dermatitis", PACIFIC, 14~19 (2007)
- 소은선, "청소년 대상의 건강상태, 생활습관과 아토피 피부염의 관계", Child Health Nursing Research, 18(3), pp.143~149 (2012), 한국아동간호학회[DOI]
- 유승민, "단기 입원 프로그램을 시행한 아토피피부염 환자 6례", 한방안이비인후피부과학회지, 22(1), pp.219~236 (2009), 대한한방안이비인후피부과학회
- 박은성, "보건소 건강증진 사업 중 한방아토피교실의 역할과 효과에 관한 연구", 대한한의학회지, 34(1), pp.146~159 (2013), 대한한의학회
- 성현경, "아토피 안심마을로 이주한 아토피 환아의 관찰연구", 대한한방소아과학회지, 28(1), pp.1~6 (2014), 대한한방소아과학회
- 박승구, "아토피 피부염 환아의 정신 건강 분석 및 아토피 피부염 교육을 통한 인식, 인지도 개선에 대한 고찰", 한방안이비인후피부과학회지, 30(2), pp.51~85 (2017), 대한한방안이비인후피부과학회[DOI]
- 서진순, "한의 개인건강기록 플랫폼 구축에 관한 연구", 동의생리병리학회지, 30(6), pp.458~465 (2016), 한의병리학회[DOI]
- Bodenheimer T, "Patient self-management of chronic disease in primary care", JAMA, 288(19), pp.2469~2475 (2002)
- Fernandez-Llatas C, "Challenges in personalized systems for Personal Health Care", 2016 IEEEEMBS International Conference on Biomedical and Health Informatics(BHI), pp.356~359 (2016)
- 이승호, "개인건강기록 (PHR)을 이용한 허약아 정보 수집 연구", 대한한방소아과학회지, 31(3), pp.46~63 (2017), 대한한방소아과학회
- 김영은, "아토피피부염 개인건강기록 어플리케이션 개발을 위한 전문가집단 설문조사 연구", 한방안이비인후피부과학회지, 29(3), pp.1~13 (2016), 대한한방안이비인후피부과학회[DOI]
- 남보령, "아토피 피부염 관리를 위한 개인건강기록 서비스의 환경 요인 활용 방안", 한국지식정보기술학회 논문지, 12(6), pp.925~936 (2017), 한국지식정보기술학회[DOI]
- 윤영희, "국내외 모바일 기반 아토피피부염 개인건강기록 애플리케이션 현황", 대한예방한의학회지, 19(2), pp.103~112 (2015), 대한예방한의학회
- 서진순, "아토피피부염 개인건강기록 앱 개발에 관한 연구", 한방안이비인후피부과학회지, 32(1), pp.32~41 (2019), 대한한방안이비인후피부과학회[DOI]
- 정민정, "심계 허약아 진단을 위한 절단값의 산정 ; K-CBCL 총문제행동점수를 기준으로", 대한한방소아과학회지, 24(3), pp.58~67 (2010), 대한한방소아과학회
- Kim HJ, "Analysis of Atopic Dermatitis Patients according to the Sasang Constitution", The Journal of Korean Oriental Medical Ophthalmology & Otolaryngology &Dermatology, 16(3), pp.200~209 (2003)
- 구덕모, "아토피 피부염 치료에 관한 사상의학적 임상연구", 사상체질의학회지, 14(2), pp.69~77 (2002), 사상체질의학회
- 임진희, "아토피피부염 患者의 四象體質別 臨床特徵에 관한 硏究", 사상체질의학회지, 20(1), pp.67~88 (2008), 사상체질의학회
- 심우행, "성인과 소아 아토피피부염 환자에서 가려움증의 임상적 특징", 대한피부과학회지, 49(04), pp.318~327 (2011), 대한피부과학회
- 이누리, "아토피피부염 환자에서 소아와 성인에 따른 MAST 화학발광법 양성율과 알레르기 항원 검출율 비교 연구", 대한피부과학회지, 52(11), pp.769~775 (2014), 대한피부과학회
- 이상우, "소아에서의 첩포검사: 알레르기접촉피부염의 흔한 원인항원 및 성인과의 비교 연구", 대한피부과학회지, 50(1), pp.18~24 (2012), 대한피부과학회
- 김기영, "아토피 피부염의 한의학적 치료에 대한 연구 동향 -대한한방소아과학회지를 중심으로-", 대한한방소아과학회지, 31(1), pp.25~42 (2017), 대한한방소아과학회